Nghiên cứu pilot về hiệu quả giảm đau, biên độ vận động khớp cổ, khớp vai, chức năng sinh hoạt hằng ngày của bài tập khớp cổ, khớp vai theo y học cổ truyền và bài tập vận động cột sống cổ theo phục hồi chức năng trên bệnh nhân thoái hóa cột sống cổ=A pilot study on the efficacy of pain reduction, neck and shoulder range-of-motion, and daily functional activities between neck and shoulder joint exercises in traditional medicine and cervical spine exercises in rehabilitation for cervical spondylosis patients

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Tác giả: Quang Công Chế, Tân Kha Lê, Hữu Đức Minh Nguyễn, Minh Hoài Nguyễn, Ngọc Nhật Phương Nguyễn, Minh Hoàng Phan, Nhật Khánh Phan

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Y học cộng đồng, 2024

Mô tả vật lý: tr.164-170

Bộ sưu tập: Metadata

ID: 242186

Thêm vào giỏ

So sánh hiệu quả cải thiện mức độ đau, biên độ vận động, chức năng sinh hoạt hằng ngày của tập vận động khớp cổ, vai của bài tập vận động khớp được giảng dạy tại trường đại học Y dược thành phố Hồ Chí Minh và bài tập khớp cột sống cổ theo phác đồ Bộ Y Tế của phục hồi chức năng. trên người bệnh thoái hoá cột sống cổ. Phương pháp nghiên cứu: Thử nghiệm lâm sàng không mù có nhóm chứng so sánh trước – sau điều trị 14 ngày từ tháng 04 đến tháng 08 năm 2024. Nghiên cứu 60 người bệnh được chẩn đoán thoái hoá cột sống cổ từ đủ 18 đến 60 tuổi tại Bệnh viện Phục hồi chức năng - điều bệnh nghề nghiệp. Nhóm nghiên cứu dùng thuốc kết hợp tập vận động 3 lần khớp cổ, 3 lần khớp vai, nhóm chứng dùng thuốc kết hợp bài tập được hướng dẫn tự vận động cột sống cổ 3 lần theo phác đồ Bộ Y Tế. Biên độ được đo bằng thước đo tầm vận động khớp đã tiêu chuẩn. Kết quả nghiên cứu: Phương pháp vận động khớp làm giảm VAS cổ, VAS vai, cải thiện biên độ vận động cột sống cổ, vai và cải thiện chức năng sinh hoạt hàng ngày sau 14 ngày (p<
0,05). Nhóm can thiệp cải thiện hợn nhóm chứng. Kết luận: Nhóm can thiệp làm tăng biên độ khớp, giảm đau vùng cổ, vai và cải thiện chức năng sinh hoạt hằng ngày, kết quả điều trị chung so với nhóm chứng.To compare the effectiveness of improving pain level, range of motion, and Neck Disability Index (NDI) of neck and shoulder joint movement exercises taught University of Medicine and Pharmacy at Ho Chi Minh City and cervical spine joint exercise according to the Ministry of Health's rehabilitation protocol on patients with cervical spondylosis. Research methods: This is a non-blind clinical trial with a control group, comparing pre- and post-treatment outcomes over a 14-day period from April to August 2024. The study involved 60 patients aged 18 to 60 years, diagnosed with cervical spondylosis, and divided into two groups at the Rehabilitation Hospital for Rehabilitation and Occupational Diseases. The intervention group received medication combined with 3 sessions of neck and 3 sessions of shoulder joint movement exercises, while the control group received medication with self-guided cervical spine exercises according to the Ministry of Health’s protocol. The study used standardized goniometers. Results: The intervention group, showed signi ¿ cant reductions in neck and shoulder VAS scores, improvements in cervical spine and shoulder range-of-motion, as well as daily functional improvements based on NDI after 14 days (p<
0.05). The intervention group performed better than the control group. Conclusion: The intervention group demonstrated increased joint range-of-motion, reduced neck and shoulder pain, and improved daily functional activities, showing better overall treatment outcomes compared to the control group.

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