研究疾病:
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慢性非特异性颈痛
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研究疾病代码:
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Target disease:
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nonspecific chronic neck pain
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Target disease code:
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研究类型:
Study type:
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干预性研究
Interventional study
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研究设计:
Study design:
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随机平行对照
randomized controlled trial(parallel group design)
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研究所处阶段:
Study phase:
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其它
Others
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研究目的:
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本研究的目的是以减轻患者症状,提高颈肌耐力和协调性,增强颈部本体感觉,改善患者生活质量,降低复发率为主,探究PNF技术联合推拿疗法在患有慢性非特异性颈痛的大学生中的有效性,以及对比PNF技术、推拿疗法单独治疗和联合治疗三者的疗效。其次,通过后期随访对干预效果的持续性进行量化研究。将为慢性非特异性颈痛患者的治疗和康复提供新的思路与方法。并且我们计划撰写论文并发表。
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Objectives of Study:
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The purposes of this study are to alleviate patients' symptoms, improve cervical muscle endurance and coordination, enhance cervical proprioception, improve the quality of life of patients, and reduce the recurrence rate. We also investigate the effectiveness of tuina combined with PNF in college students suffering from nonspecific chronic neck pain, and compare the efficacy of PNF, Tui Na and combined therapy. Secondly, a quantitative study on the sustainability of the intervention effect is carried out through follow-up. It will bring new ideas and methods for the treatment and rehabilitation of patients with nonspecific chronic neck pain.And we intend to write and publish a paper.
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药物成份或治疗方案详述:
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Description for medicine or protocol of treatment in detail:
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纳入标准:
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根据《2014 年加拿大整脊疗法治疗成人颈痛循证指南》中制定的颈痛诊断标准拟定:
(1)枕部、颈肩部及(或)肩胛区域疼痛、僵硬、活动受限;
(2)颈痛伴或不伴头痛、睡眠障碍;
(3)病程≥3 个月;
(4)X 线片可见椎体边缘骨赘,颈椎生理曲度变浅或消失;
(5)颈椎体格检查未见神经根受压体征;
符合(1)、(3)(5)即可诊断为慢性非特异性颈痛。
如果满足以下标准,即为主要受试人群。
⑴以颈痛为主诉者,且符合上述诊断标准;
⑵男女不限,18-30 岁;
⑶病程≥3 个月;
⑷自愿参与研究,愿意配合治疗并随访,签署知情同意书。
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Inclusion criteria
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Based on "the 2014 Evidence-Based Guidelines for the Treatment of Neck Pain in Adults with Chiropractic Therapy in Canada" The criteria for diagnosis of neck pain are determined below,
(1) Pain, stiffness, and limited mobility in the occiput, neck and shoulder and/or scapula area;
(2) Neck pain with or without headache and sleep disturbance;
(3) Course of illness ≥3 months;
(4) Osteophytes at the edges of the vertebral body can be seen on X-rays, and the physiological curvature of the cervical spine becomes shallow or disappear;
(5) Physical examination of the cervical spine showed no signs of nerve root compression;
It can be diagnosed as chronic non-specific neck pain if it meets (1), (3) (5).
If the following criteria are met, it is the main subject population.
⑴people who complains mainly of neck pain and meets the above diagnostic criteria;
⑵No gender limit, 18-30 years old;
⑶Course of illness≥3 months;
⑷Voluntarily participate in research, willing to cooperate with treatment and follow-up and sign informed consent.
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排除标准:
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如果符合下述任意一项,将不能参加本项研究。
①正在接受或过去 1 个月接受其他针对慢性颈痛有效的方法治疗;
②伴有神经根、脊髓、椎动脉、交感神经等压迫的颈痛患者;
③局部皮肤破溃,皮肤病或皮肤感觉障碍;
④妊娠期和哺乳期女性;
⑤认知障碍、感觉性失语、严重的视力或听力障碍;
⑥合并有颈椎骨折、脱位、肿瘤、感染、类风湿等具体原因导致的颈部疼痛患者;
⑦除颈肩部位外,伴有超过3个部位疼痛者;
⑧合并严重的内科疾病,如心血管系统疾病,造血系统疾病,内分泌系统疾病;
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Exclusion criteria:
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If you meet any of the following items, you will not be able to participate in this study.
①People who are receiving or have received other effective treatment for chronic neck pain in the past month;
②Patients with neck pain accompanied by compression of nerve roots, spinal cord, vertebral artery, sympathetic nerves, etc;
③Local skin ulceration, skin disease or skin sensory disturbance;
④Women during pregnancy or lactation;
⑤Cognitive impairment, sensory aphasia, severe visual or hearing impairment;
⑥Patients with neck pain caused by cervical fractures,dislocations,tumors,infections,
Rheumatoid arthritis, etc;
⑦Except for the neck and shoulders, those with pain in more than 3 locations;
⑧Combined with serious Internally medical diseases, such as cardiovascular system disease, hematopoietic system disease, endocrine system disease;
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研究实施时间:
Study execute time:
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从From
2022-12-01
至To
2023-12-01
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征募观察对象时间:
Recruiting time:
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从From
2022-09-01
至To
2022-12-01
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