| Objective:Cervical spondylosis is a common type of cervical spondylosis,which tends to be younger and younger.In this study,the Thera-band and Mulligan techniques were used to treat cervical spondylosis in college students.The effect of Thera-band and Mulligan techniques on cervical spondylosis was observed,it provides a reference for the rehabilitation treatment of cervical spondylosis in college students,and is helpful for the popularization and application of Thera-band resistance exercise therapy and Mulligan technique in clinical treatment of cervical spondylosis.Methods:Thirty-three college students who met the criteria of cervical spondylotic myelopathy were selected and randomly divided into the Thera-band progressive resistance training group(T group,N = 11),Thera-band progressive resistance training combined with Mulligan technique(T + M group,N = 11)and blank control group(C group,N = 11).Group T received progressive resistance training with Thera-band elastic band,which consisted of six directions of forward flexion,backward extension,left-right flexion and left-right rotation,three times a week for about 30 minutes each for 6 weeks.Group T + M received Mulligan maneuver first,the techniques included NAGS,anti-NAGS,SNAGS,self-SNAGS,After 5 minutes rest,the same Thera-band training was done as T group,and the frequency time was the same as T Group Team C will do nothing.Before and after the intervention,the neck was assessed on visual analogue scale(VAS),cervical spine dysfunction index(NDI),ROM,muscle strength around the neck,SEMG,and FHA,respectively,flow rate of the basilar artery(Vm).The final results were analyzed with SPSS24.0software.Before and after the intervention,T test was used to compare the paired samples,and one-way ANOVA was used to compare the three groups.Results:(1)VAS and NDI:After 6 weeks of intervention,pain and NDI scores in T Group and T + M group were significantly lower than those before intervention(p﹤0.01),and there were significant differences between T Group and C Group(p ﹤ 0.01),there was significant difference between T + M group and C Group(p ﹤0.05),but no significant difference between T group and T + M group(p﹥0.05).NDI group: T Group and T + M group were significantly different from C group(p﹤0.01).(2)ROM:After 6 weeks of intervention,the range of motion of T + M Group was significantly higher than that of T + M group(p﹤0.01).Group T,T + M had significant difference compared with Group C(P ﹤ 0.01),group T + M had significant difference compared with Group C(P ﹤ 0.05),group T + M had significant difference compared with group T(p﹤0.05),there were significant differences between T + M group and C Group(p﹤0.01),left and right side flexor t group and C Group(p﹤0.05),T + M group and C group(p﹤0.01),there was significant difference between right-rotation T + M group and C Group(P﹤0.05).(3)Muscle strength around neck:After 6 weeks intervention,T + M group had significant difference in flexion direction compared with before intervention(p﹤0.05),and the other five directions had significant difference(p﹤0.01).There was significant difference in strength of forward bend and left rotation direction between T Group and C Group(p﹤0.05),and in strength of back extension,left flexion,right flexion and right rotation direction between T Group and C Group(p﹤0.01)The strength of T + M group was significantly higher than that of C Group(p﹤0.05)in flexion,extension and left flexion,and the strength of right flexion was significantly higher than that of C group(p﹤0.01).(4)Surface electromyography of muscles around neck:After 6 weeks of intervention,(1)Sternocleidomastoid muscle: left and right MPF and RMS of T group were significantly different from those before intervention(p﹤0.05),left and right MPF of T + M group were significantly different from those before intervention(p ﹤0.05),there was significant difference between left and right RMS(p﹤0.01).The right MPF and RMS: MPF in T + M group was significantly different from that in C group(p﹤0.01),and RMS in T + M group was significantly different from that in C group(p﹤0.01)Left MPF and RMS: MPF in T + M group was significantly different from that in T group(p﹤0.05),that in T + M group was significantly different from that in C group(p﹤0.05),that in T + M group was significantly different from that in C group(p﹤0.01),RMS in group T was significantly different from that in Group C(p﹤0.05).(2)The MPF on the left and right side of the erector spinalis cervicalis muscle: T,T + M group,the RMS on the right side was significantly different from that before intervention(p﹤0.05),and the RMS on the left side of the two groups was significantly different(p﹤0.01).There were significant differences in MPF between T + M group and C Group(p﹤0.05),RMS between T + M group and T + M group and T + M Group(p﹤0.05),and RMS between T + M group and T + M group(p﹤0.05),compared with Group C,there was a significant difference(p﹤0.01).(3)The trapezius: the left and right trapezius MPF in T,T + M group,the right RMS in T group and the left and right RMS in T +M group were significantly different from before intervention(p﹤0.05),and the left RMS in T group was significantly different from before intervention(p﹤0.01).There was a significant difference in RMS between t group and C Group(p﹤0.05),and there was a significant difference between T + M group and C group(p﹤0.01).(5)Cervical anteversion angle:After 6 weeks intervention,there was significant difference between T group and T + M group(p﹤0.01),the change of cervical anteversion angle in T + M group was greater than that in T group.There were significant differences between T + M group,T Group and C Group(p﹤0.01).(6)It feeds the basilar artery :The blood flow of left vertebral artery in group T was significantly different from that in group T + M(p﹤0.05)after 6 weeks of intervention(p﹤0.05),there was significant difference in right vertebral artery(p﹤0.01).The blood flow of basilar artery in T + M group was significantly different from that in C group(p﹤0.05),and the blood flow of right vertebral artery in T + M group was significantly different from that in C group(P﹤0.05).Conclusion:(1)Thera-band resistance exercise therapy can effectively improve the pain and dysfunction of college students with cervical spondylotic myelopathy,decrease the anterior cervical tilt angle,increase the range of motion of the cervical joints,and combine with Mulligan technique to improve the effect.(2)Thera-band resistance exercise can improve the strength around the neck,while Mulligan technique has no significant effect.(3)Thera-band resistance exercise therapy can improve the fatigue degree of the upper bundle of the Sternocleidomastoid muscle,the erector cervicalis and the trapezius in college students with cervical spondylosis.Combined with Mulligan technique,the improvement effect of the Sternocleidomastoid muscle and the erector cervicalis is better,there was no significant difference in the improvement of superior bundle of trapezius.(4)Thera-band resistance exercise therapy has little effect on the improvement of vertebrobasilar circulation in college students with cervical spondylosis. |
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