The clinical effect of neurodynamic solutions combined with McKenzie diagnosis and therapy in patients with cervical spine radiculopathy
10.3969/j.issn.1001-1242.2024.11.004
- VernacularTitle:神经动力学技术联合麦肯基力学疗法对神经根型颈椎病的临床疗效观察
- Author:
Zhenfa ZHANG
1
;
Guifang ZHANG
;
Shanshan ZHANG
Author Information
1. 中山大学附属第一医院,广州市,510080
- Keywords:
cervical spine radiculopathy;
neurodynamic solutions;
McKenzie diagnosis and therapy
- From:
Chinese Journal of Rehabilitation Medicine
2024;39(11):1588-1593
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To observe the clinical effect of neurodynamic techniques combined with McKenzie diagnosis and therapy on patients with cervical spine radiculopathy,and to explore a better clinical treatment method for pa-tients with cervical spine radiculopathy. Method:Thirty-three patients with cervical spine radiculopathy who met the inclusion and matched the base-line characteristics were randomly divided into the two groups:the McKenzie treatment group(n=16)and the combined treatment group(n=17)according to the random number table.The patients in both groups received conventional physical treatment and Mechanical diagnosis and therapy,while the combined treatment group re-ceived neurodynamic techniques additionally.Before treatment and 2 weeks after treatment,the cervical range of motion(ROM)was measured,and the visual analogue scale(VAS)was used to evaluate the patients'pain level and the neck disability index(NDI)were used to assess the functional status and treatment outcome. Result:Before treatment,there were no significant differences in cervical ROM,VAS and NDI between two groups(P＞0.05).After two weeks of treatment,the outcome of the combination group showed significant im-provements cervical ROM for flexion(42.65±3.12)°,extension(40.88±4.05)°,left lateral flexion(41.18±4.52)°,right lateral flexion(42.06±4.70)°,left rotation(73.53±5.80)°,and right rotation(74.71±7.39)°,the VAS score was 0.76±0.75,NDI score was 3.82±3.47,compared with both the baseline and the control group(P＜0.05). Conclusion:Neurodynamic techniques combined with McKenzie diagnosis and therapy provide more effective relief of pain and ROM limitations in patients with cervical spine radiculopathy,accelerating the recovery of cervical function.The combination therapy is a useful clinical treatment option.
