The Effect Of Cervical Resistance Combined With Non-surgical Spinal Decompression System On Chronic Non-specific Neck Pain

Objective:To observe the efficacy of cervical elastic band resistance combined with SDS system on chronic non-specific neck pain,and to provide a new treatment plan and theoretical basis for clinical treatment of chronic non-specific neck pain.Methods:Forty patients who met the inclusion criteria were randomly divided into the experimental group(20)and the control group(20).The control group was treated with conventional therapy and neck elastic band intervention,while the experimental group was treated with conventional therapy and SDS system,supplemented by the same neck elastic band intervention.Conventional therapy was performed 30 minutes a time,neck elastic band intervention was performed 12 to 15 minutes a time,and SDS system treatment was performed 26 minutes a time,once a day.In-hospital treatment for 2 weeks,5 times a week;out-of-hospital treatment for 2 weeks,3 times a week,a total of 4 weeks.Visiual Analogue Scale VAS,Neck Disability Index NDI,cervical active range of motion(AROM)and cervical maximum isometric muscle strength(MIS)were applied to evaluate the changes of neck function of patients before and after treatment.SPSS 26.0 statistical software was used for collected data,quantitative data were expressed by((?)±S),paired samples t-test was used for intra-group comparison,independent samples t-test was used for inter-group comparison,andX2 test was used for qualitative data comparison,and p<0.05 indicated statistical difference,p<0.01 indicated statistically significant difference.Results:1.VAS and NDI:Compared with the pre-treatment,the VAS and NDI scores of both the experimental and control groups decreased significantly after treatment,with statistically significant differences(p<0.01);there was no statistical difference between the experimental and control groups in VAS and NDI scores before treatment(p>0.05),and there were statistically significant differences between the groups after treatment(p<0.01).2.AROM:Compared with the pre-treatment period,the AROM of anterior flexion,posterior extension,left and right lateral flexion and left and right rotation increased significantly in the experimental and control groups after treatment(p<0.01);there was no statistical differences between the experimental and control groups in terms of activity in each direction before treatment(p>0.05),and there was a statistical difference between the groups after treatment in terms of AROM of anterior flexion,posterior extension and left lateral flexion of the cervical spine(p<0.05),but there was no statistical difference in the AROM of right cervical flexion and left and right rotation(p>0.05).3.MIS:Compared with the pre-treatment period,the MIS of anterior flexion,posterior extension and left and right lateral flexion of the cervical spine increased significantly in the experimental and control groups after treatment(p<0.01);there was no statistical difference in the MIS of each direction between the experimental and control groups before treatment(p>0.05),and there was also no statistical difference between the groups after treatment(p>0.05).Conclusions:(1)Both cervical resistance therapy combined with SDS system treatment and cervical resistance therapy alone were effective in improving pain,cervical spine function,active cervical joint mobility and neck muscle strength in patients with CNNP.(2)The overall effect of neck resistance therapy combined with SDS system treatment on improving neck pain,cervical dysfunction and active joint mobility in CNNP patients is better than that of neck resistance therapy alone.It is recommended to perform SDS system treatment on the basis of neck resistance therapy alone to enhance the treatment effect.