目的 探讨低强度体外冲击波联合本体感觉训练治疗双侧颞下颌关节紊乱病的临床疗效。方法 给予1例双侧颞下颌关节紊乱病半年余患者低强度体外冲击波联合本体感觉训练治疗2周,比较治疗前、治疗2周后的最大张口度(MIO)、疼痛压力阈值(PPT)和Fricton颞下颌关节紊乱指数量表 (CMI),并于2个月后随访。结果 经过2周治疗,MIO、PPT和CMI均出现明显改善,2个月后随访未出现反弹,持续改善。结论 低强度体外冲击波联合本体感觉训练治疗颞下颌关节关节紊乱病临床疗效显著。

Objective To investigate the clinical efficacy of low intensity extracorporeal shock wave combined with proprioceptive training in the treatment of bilateral temporomandibular disorders (TMD). Methods A patient with bilateral TMD was treated with low intensity extracorporeal shock wave combined with proprioceptive training for 2 weeks.The maximal interincisal opening (MIO)、pain pressure thresholds (PPT), and Fricton's craniomandibular index (CMI) were compared before and after treatment,and followed up for 2 months. Results After 2 weeks of treatment, MIO, PPT and CMI were significantly improved, and there was no relapse after 2 months of follow-up. Conclusions Low intensity extracorporeal shock wave combined with proprioceptive training was effective in treating TMD.

目的 观察PNF技术配合寰枢椎复位对颈源性眩晕的临床疗效。方法 48例颈源性眩晕患者随机分为2组,PNF组24例给予寰枢椎旋转复位配合PNF技术治疗;对照组24例单纯给予旋转复位,分别在疗程结束后1天、1个月、半年回访。治疗前后应用颈性眩晕症状及功能评估量表和VAS视觉模拟疼痛评定量表进行疗效评定。结果 2组在短期治疗效果上没有显著的临床差别,但在中长期的疗效巩固、预防复发上,PNF组优于单纯寰枢椎旋转复位组。结论 PNF技术配合旋转复位能提高颈源性眩晕的临床疗效。

Objective To observe the clinical effect of PNF technique on cervicogenic vertigo. Methods 48 patients with cervicogenic vertigo were randomly divided into two groups, 24 patients in the PNF group; 24 patients were treated with atlantoaxial rotation and PNF. The control group (24 cases) was treated with rotational reduction. Before and after treatment, the curative effect of cervical vertigo and function evaluation scale and VAS visual analogue pain rating scale were used to evaluate the curative effect. Results There was no significant clinical difference between the two groups in the short-term treatment effect. But in the long-term effect of consolidation, prevention of recurrence, PNF group was superior to the simple atlantoaxial rotation reduction group. Conclusion PNF technique combined with rotational reduction may improve the curative effect of cervicogenic vertigo.

目的 通过采用本体感觉神经肌肉刺激技术（PNF）对慢性颈痛患者进行治疗,观察患者颈部肌肉力量是否得到增强,以及颈椎的Cobb角是否得到改善。方法 将符合纳入标准的30例慢性颈痛患者纳入研究对象（PNF组）。研究对象接受为期4周的PNF技术治疗,对比治疗前（基线）和治疗4周后颈部最大等长收缩肌力（MIS）,并比较治疗前后Cobb角。结果 共30例患者完成研究。治疗后颈椎Cobb角明显改善,治疗4周后对比基线Cobb角差异具有统计学意义（t=4.925,P<0.001）。颈椎屈曲和伸展的力量经过4周治疗后都得到明显的改善,颈椎伸展的MIS从（15.8±2.5）lbs增加到（19.3±3.1）lbs,比较基线差异具有统计学意义（t=5.685,P<0.001）。颈椎屈曲的MIS从13.9（10.3,15.6）lbs增加到17.8（15.3,18.8）lbs,治疗4周后对比基线差异具有统计学意义（Z=-4.783,P<0.001）。结论 PNF技术能有效增强颈部肌肉力量,可有效增大颈椎Cobb角,可能为颈椎变直的慢性颈痛患者的治疗带来积极的影响。

Objective To observe whether the strength of the neck muscles and the Cobb angle of the cervical vertebra are improved by proprioceptive neuromuscular facilitation（PNF）in the treatment of patients with chronic neck pain. Methods Thirty patients with chronic neck pain who met the inclusion criteria were included in the study group（PNF group）. They were treated with PNF for four weeks, maximal isometric strength（MIS）and Cobb angle in the neck were compared at before（baseline）and four weeks after treatment. Results A total of 30 participants completed the study. The Cobb angle of cervical spine was significantly improved after treatment,and the Cobb angle before treatment was significantly different from that after four weeks of treatment（t=4. 925, P<0. 001）. The strength of cervical flexion and extension improved significantly after four weeks of treatment,and the MIS of cervical extension increased from（15. 8±2. 5）lbs to（19. 3±3. 1）lbs, which was statistically significant compared to baseline（t=5. 685, P<0. 001）. Cervical flexion MIS increased from 13. 9（10. 3,15. 6）lbs to 17. 8（15. 3,18. 8）lbs,and the difference was statistically significant compared to baseline after four weeks of treatment（Z=-4. 783, P<0. 001）. Conclusions PNF can effectively enhance the strength of neck muscles,and can effectively increase the Cobb angle of cervical spine, which may have a positive impact on the treatment of chronic neck pain patients with cervical straightening.