體位姿勢訓練對頸椎功能的影響研究-藏刊網

本篇論文目錄導航：

【題目】體位姿勢訓練對頸椎功能的影響研究
【引言第一章】頸椎病運動康復研究現狀
【第二章】80例頸椎病患者運動康復研究方法
【第三章】運動訓練對頸椎康復的作用研究結果與分析
【結論/參考文獻】體位姿勢訓練對頸椎病的改善研究結論與參考文獻

摘要

目前已被證實與脊柱力學失衡有關的病癥達 100 余種。近幾年的報道顯示，頸椎病的發病率不降反升，發病年齡不升反降，影響聽力、視力、呼吸、平衡、肢體協調性、下肢力量等各項功能，而這幾項功能與腦干供血、脊柱骨骼支撐能力、肌肉力量、運動模式是否合理密切相關。

本研究的目的在于明確體位姿勢修正和訓練對頸椎功能的影響，為多病之源的頸椎病找到一個切實可行并易于推廣的防治方法，對改善患者生活質量，減緩和預防傷痛的發生具有積極作用。

本研究應用文獻資料法進行檢索證實此項研究具有創新性和可行性；采用實驗法將受試者分為觀察組和對照組，觀察組進行常規治療配合體位姿勢修正和頸椎功能訓練，對照組只進行常規治療，在治療前后進行療效評定。包括影像學、治療效果，再從身體體成分、腦干聽覺誘發電位和步態等方面評價，驗證體位姿勢訓練對頸椎功能的積極影響，結果如下：

1.觀察組在影像變化和療效統計上均優于對照組。

2.觀察組身體脂肪率治療后低于治療前，觀察組治療后低于對照組，具有統計學意義，對照組的治療前后變化不顯著。兩組基礎代謝值治療后高于治療前，觀察組治療后高于對照組，具有統計學意義。

3.治療前頸前屈狀態下兩組 I、II、V 波潛伏期高于正常體位，上肢前屈狀態下 I、II、III 波高于正常體位，治療后兩組各波潛伏期均較治療前縮短，差異具有統計學意義。

治療后觀察組非正常體位下與正常體位相比無顯著性差異，而對照組治療后頸前屈狀態下 V 波，上肢前屈狀態下 II、III 波較正常體位潛伏期長，差異具有統計學意義。

4.兩組步長、步頻和步速經治療后都顯著好于治療前，治療后兩組比較，觀察組在步長和步速上好于對照組，差距具有顯著性意義。

由此得出結論如下：

1.頸椎功能訓練配合常規治療的效果比單一常規治療要好。

2.治療后患者基礎代謝值（體重）有所增加，但身體脂肪率降低，人體新陳代謝功能得到了改善。

3.治療后患者的平衡能力和本體感覺功能得到了提高，腦干供血情況得到了改善，因此對不良體位的耐受力增強4.治療后患者視聽覺、本體感覺和運動系統的協調配合功能增強，改善關節運動的精確性和肌張力的調節功能，使動作的完成質量更高。

建議：對患者強調日常不良姿勢對頸椎功能影響的重要性，樹立動作維護的意識，重視體位姿勢的分析和評估，運動訓練應包括基本動作和針對性動作，養成日常休息時動作的中正和對稱，勞作時動作的協調和完整的習慣，訓練應體現出個性化。

關鍵詞：體位姿勢動作訓練頸椎病

Abstract

It has been linked to spinal mechanics imbalance disorders of more than 100 species. Inrecent years, reports indicate that the incidence of cervical disease rise, not fall, fallinginstead of rising age, the impact of hearing, vision, breathing, balance, physical coordination,leg strength and other functions, and that several features and blood supply to the brain stem,spinal bone supporting capacity, muscle strength, movement patterns are closely related towhether it is reasonable.

The purpose of this study is to identify and influence posture correction posture trainingon cervical function to find a practical and easy method to promote the prevention andtreatment of cervical spondylosis sick of sources, to improve the quality of life, reduce painand prevent the occurrence of having positive effects.

Conducted this study literature retrieval of this study confirm the feasibility ofinnovative and; experimental method using subjects were divided into observation group andthe control group, the observation group with routine treatment of cervical posture posturecorrection and functional training, group perform only routine treatment effect was evaluatedbefore and after treatment. Including imaging, treatment, and then from the bodycompositions, brainstem auditory evoked potentials and gait and other aspects of theevaluation, verify the positive impact of training on postural posture cervical function, theresults are as follows:

1. The observation group in the image changes and statistical effect on average than thecontrol group.

2. After the observation group body fat percentage is lower than before treatment,treatment, post-treatment observation group than the control group, with statisticalsignificance, before and after treatment in the control group was not significant. After the twogroups before treatment is higher than the value of the basal metabolic treatment, observationgroup after treatment was higher, with statistical significance.

3. Under the two groups before treatment, neck flexion I, II, V wave latency is higherthan the normal position, the upper limb flexion under state I, II, III wave higher than normalposition, two groups after treatment than before treatment to shorten the latency Thedifference was statistically significant. No abnormal observation group after treatmentcompared with normal postural position under significant difference, but under the controlgroup V neck flexion wave flexion at upper state II, III wave than the normal position longincubation period, the difference was statistically significance.

4.Two step length, stride frequency and stride after treatment were significantly betterthan before treatment, the two groups after the treatment, the observation group in step andpace better than that in the control group, with a significant gap.

The conclusion is as follows:

1. Cervical functional training with conventional treatment effect is better than a singleconventional treatment.

2. The value of basal metabolism in patients with post-treatment （weight） increased, butlower body fat percentage, body metabolism improved.

3. Treatment of balance and proprioceptive function in patients has been improved,brainstem blood supply has been improved, so the bad posture of tolerance increased.

4. After treatment coordination function in patients with visual and auditory, sensory andmotor systems of the body to enhance and improve joint movement and muscle tensionaccuracy of the regulatory function, so that the finished higher quality operation.

Recommendation: patients emphasize the importance of routine cervical function ofpoor posture, and establish actions to maintain consciousness, attention to analyze and assesspostural posture, exercise training should include basic movements and targeted action, todevelop a daily rest when Chiang Kai-shek and the action symmetry, coordination andcomplete diet when labor movements, the training should reflect personalized.

Key Words: Posture Functional training Cervical spondylosis

摘要

Abstract

引言

1 研究現狀

1.1 頸椎病的病因病機研究

1.2 頸椎病與體位和運動的關系

1.3 頸椎病的運動康復療法

2 研究對象與研究方法

2.1 研究對象

2.2 研究方法

2.2.1 文獻資料法