标题：器具辅助软组织松解技术治疗颈型颈椎病疗效观察

      作者：焦睿 1，庄友发 2，刘恒 1    1.深圳市宝安区人民医院康复医学科，广东 深圳 518100；2.南方医科大学，广东 广州 510515

      卷次： 2021年32卷18期

      【摘要】 目的 探讨器具辅助软组织松解技术(IASTM)治疗颈型颈椎病患者的疗效。方法 选择2017年8月23日至2018年3月1日在宝安区人民医院康复科就诊的20例颈型颈椎病患者，按照电脑生成的随机数字码随机分为观察组和对照组，每组10例。观察组患者予以器具辅助软组织松解技术治疗，对照组予以常规手法筋膜松解技术治疗，所有患者每天接受一次治疗，每次治疗时间20 min，共治疗5 d。治疗前后分别使用颈部失能量表(NDI)、简化麦吉尔疼痛调查问卷(SMPQ)和改良Barthel指数(modified barthel index，MBI)评估患者的治疗效果。结果 观察组和对照组各有1例因个人原因中止治疗退出研究。观察组和治疗组各有9例患者纳入统计分析。治疗后，观察组患者的NDI评分和SMPQ评分分别为(12.11±1.62)分、(19.33±1.41)分，明显低于对照组的(15.00±2.45)分、(22.44±2.96)分，而MBI评分为(95.11±1.17)分，明显高于对照组的(92.00±1.94)分，差异均有统计学意义(P<0.05)。结论 相较于传统手法松解术，IASTM治疗颈型颈椎病的效果更佳。
      【关键词】 器具辅助软组织松解技术；颈型颈椎病；筋膜；疼痛；手法治疗
      【中图分类号】 R681.5+5 【文献标识码】 A 【文章编号】 1003—6350（2021）18—2395—04

Clinical efficacy of instrument-assisted soft tissue mobilization in the treatment of patients with cervicalspondylosis.
JIAO Rui 1, ZHUANG You-fa 2, LIU Heng 1. 1. Department of Rehabilitation Medicine, Baoan District People’sHospital, Shenzhen 518101, Guangdong, CHINA; 2. Southern Medical University, Guangzhou 510515, Guangdong, CHINA
【Abstract】 Objective To explore the effect of instrument-assisted soft tissue mobilization (IASTM) in thetreatment of patients with cervical spondylopathy. Methods Twenty patients with cervical spondylosis treated in theDepartment of Rehabilitation Medicine, Baoan District People’s Hospital from August 23, 2017 to March 1, 2018 wererandomly divided into an observation group and a control group according to the random number code generated by thecomputer, each with 10 patients. Patients in the observation group were treated with instrument-assisted soft tissue mobi-lization, and the control group was treated with conventional manual fascia-loosening therapy. All patients received treat-ment once a day for 20 minutes each time for a total of 5 days. Before and after treatment, NDI, Simplified McGill PainQuestionnaire (SMPQ), and modified Barthel Index (MBI) were used to evaluate the clinical efficacy. Results There wasone case in the observation group and one case in the control group who discontinued the treatment due to personal rea-sons. Nine patients in the observation group and 9 patients in the control group were included in the statistical analysis. Af-ter treatment, the NDI score and SMPQ score of the observation group were (12.11±1.62) points and (19.33±1.41) points,which were significantly lower than (15.00±2.45) points and (22.44±2.96) points of the control group, and the MBI scorewas (95.11±1.17) points, which was significantly higher than (92.00±1.94) points of the control group, with statisticallysignificant differences (P<0.05). Conclusion Compared with conventional manual fascia-loosening therapy, IASTM ismore effective in the treatment of cervical spondylosis.
      【Key words】 Instrument-assisted soft tissue mobilization; Cervical spondylosis; Fascia; Pain; Manual therapy·短篇论著·doi:10.3969/j.issn.1003-6350.2021.18.023基金项目：广东省深圳市宝安区科创委医疗卫生科研项目(编号：2018JD195)；南方医科大学附属深圳宝安医院青年基金(编号：2018B026)