Observation on the efficacy of 4R technology combined with prone position five-direction cervical muscle strength training for cervical spondylosis of cervical type
10.3969/j.issn.1671-8348.2025.11.003
- VernacularTitle:4R技术联合俯卧位五向颈部肌力训练治疗颈型颈椎病的疗效观察
- Author:
Haoyue DENG
1
;
Xiaofeng XIA
;
Jie LIU
;
Qin XU
;
Zeling LIAO
;
Shaohong GUI
Author Information
1. 重庆大学附属沙坪坝医院康复医学科,重庆 400030
- Keywords:
4R technology;
posture adjustment;
cervical muscle strength training;
cervical spondylosis;
rehabilitation therapy
- From:
Chongqing Medicine
2025;54(11):2492-2496,2502
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the efficacy of 4R technology combined with prone five-direction cer-vical muscle strength training for neck type cervical spondylosis.Methods A total of 112 patients with neck and shoulder pain who visited the Affiliated Shapingba Hospital of Chongqing University and the Shapingba District Traditional Chinese Medicine Hospital in Chongqing from January to November 2024 were selected as research subjects.They were randomly assigned using a random number table method into an observation group and a control group,with 56 patients in each group.The observation group received 4R technology com-bined with prone five-direction cervical muscle strength training,while the control group received conventional rehabilitation treatment.Both interventions lasted for 4 weeks.Differences in Visual Analogue Scale(VAS)scores,Neck Disability Index(NDI)scores,and cervical range of motion in flexion,extension,lateral bending,and rota-tion were assessed before treatment and at 1 and 6 months after treatment for both groups.Results At 1 and 6 months of treatment,VAS scores in both groups decreased compared to before treatment,with the observation group lower than the control group,and the difference was statistically significant(P<0.05).At 1 and 6 months of treatment,NDI scores in both groups decreased compared to before treatment,with the observation group lower than the control group,and the difference was statistically significant(P<0.05).At 1 and 6 months of treatment,cervical flexion,cervical extension,and cervical lateral flexion in both groups increased compared to before treatment,and cervical rotation in the observation group increased compared to before treatment.Cervical extension and cervical rotation in the observation group were greater than those in the con-trol group,and only at 6 months of treatment was cervical lateral flexion in the observation group greater than in the control group,with all differences statistically significant(P<0.05).Conclusion The 4R technology combined with prone five-direction cervical muscle strength training can effectively improve cervical-type cer-vical spondylosis.
