CAJ | 학술논문

目的：探讨Mulligan手法结合按摩治疗椎动脉型颈椎病的临床效果。方法采用随机数字表法将64例椎动脉型颈椎病患者分为观察组和对照组各32例。两组患者均采用颈椎牵引、按摩及超短波治疗，观察组加用Mulligan手法。于治疗前、治疗10次后采用经颅多普勒超声(TCD)及椎动脉型颈椎病功能评定量表(FSCSA)对患者进行评测。结果两组患者治疗后的椎动脉(VA)、基底动脉(BA)平均血流速度(Vm)与治疗前比较差异均有统计学意义(P<0.01)，观察组优于对照组(P<0.01)；两组患者的功能评分均改善，与治疗前比较差异均有统计学意义(P<0.01)，观察组优于对照组(P<0.01)。结论 Mulligan手法结合按摩治疗椎动脉型颈椎病能显著改善患者的椎-基底动脉血流动力学及躯体、心理、社会生活功能，临床疗效优于单用按摩。
목적：탐토Mulligan수법결합안마치료추동맥형경추병적림상효과。방법채용수궤수자표법장64례추동맥형경추병환자분위관찰조화대조조각32례。량조환자균채용경추견인、안마급초단파치료，관찰조가용Mulligan수법。우치료전、치료10차후채용경로다보륵초성(TCD)급추동맥형경추병공능평정량표(FSCSA)대환자진행평측。결과량조환자치료후적추동맥(VA)、기저동맥(BA)평균혈류속도(Vm)여치료전비교차이균유통계학의의(P<0.01)，관찰조우우대조조(P<0.01)；량조환자적공능평분균개선，여치료전비교차이균유통계학의의(P<0.01)，관찰조우우대조조(P<0.01)。결론 Mulligan수법결합안마치료추동맥형경추병능현저개선환자적추-기저동맥혈류동역학급구체、심리、사회생활공능，림상료효우우단용안마。
Objective To investigate the effects of Mulligan technique combined with traditional Chinese massage in the treatment of cervical spondylosis of vertebral artery type. Methods Sixty-four patients with cervical spondylosis of vertebral artery type were randomly divided into study group (n=32) and control group (n=32). Both groups were treated with cervical traction and traditional Chinese massage and ultrashort wave therapy. In addition, the study group was also treated with Mulligan technique. Transcranial dopple (TCD) and functional scale for cervical spon-dylosis of vertebral artery type (FSCSA) were used to assess the changes before and after treatment. Results The mean blood flow velocity (Vm) of vertebral artery (VA) and basilar artery (BA) and the FSCSA score in both groups were im-proved after treatment (P<0.01), especially in the study group (P<0.01). Conclusion Mulligan technique combined with massage is more effective in the treatment of cervical spondylosis of vertebral artery type than simply massage.