【摘 要】
：
目的:探讨办公室颈型颈椎病人群颈椎功能障碍、疼痛与肌力之间的相关性，为防治颈椎病提供科学依据。方法:于2021年4月，选择2015年4月至2017年4月在福建中医药大学附属康复医院就诊的办公室颈型颈椎病患者234例，采用Spearman秩相关分析颈椎功能障碍指数（NDI）评分、疼痛评分与肌力三者间的相关性；采用独立样本Mann-Whitney n U检验，进一步比较等长收缩最大肌力的差异。n 结果:NDI评分与颈部前屈、后伸、左侧和右侧屈方向肌力均存在负相关（n rn
【机 构】
：
福建医科大学健康学院，福州 350122;福建省康复养老与产业促进协同创新中心，福州 350122;福建中医药大学康复医学院，福州 350122
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目的:探讨办公室颈型颈椎病人群颈椎功能障碍、疼痛与肌力之间的相关性，为防治颈椎病提供科学依据。方法:于2021年4月，选择2015年4月至2017年4月在福建中医药大学附属康复医院就诊的办公室颈型颈椎病患者234例，采用Spearman秩相关分析颈椎功能障碍指数（NDI）评分、疼痛评分与肌力三者间的相关性；采用独立样本Mann-Whitney n U检验，进一步比较等长收缩最大肌力的差异。n 结果:NDI评分与颈部前屈、后伸、左侧和右侧屈方向肌力均存在负相关（n rn s=-0.164、-0.169、-0.222、-0.176，n P=0. 012、0.010、0.001、0.007）。与重度功能障碍患者比较，轻中度功能障碍患者前屈、后伸、左右侧屈方向肌力更大，差异均有统计学意义（n P<0.01）。n 结论:办公室人群颈部功能障碍与颈部肌力呈负相关，增强颈部肌肉力量可作为提高颈椎功能的防治手段。“,”Objective:To expore the correlation between neck disability, neck pain and muscle strength in cervical pondylosis of office worker, and to provide scientific basis for the prevention and treatment of cervical spondylosis.Methods:In April 2021 ,234 patients with cervical spondylotic myelopathy treated in the Subsidiary Rehabilitation Hospital of Fujian University of Traditional Chinese Medicine from April 2015 to April 2017 were selected, the correlation between Neck Disability Index (NDI) score, neck pain and muscle strength was analyzed using the Spearman rank correlation method. Mann-Whitney n U test was used to compare the difference of maximum muscle strength of isometric contraction.n Results:NDI score was negatively correlated with neck flexion, extension, and muscle strength in the left and right flexion directions (n rn s=-0.164, -0.169, -0.222, -0.176, n P=0.012, 0.010, 0.001 , 0.007). In mild and moderate functional disorder patients, the muscle strength in flexion, extension and left and right flexion direction was greater, the difference was statistically significant (n P <0.01).n Conclusion:There is a negative correlation between cervical functional disorder and cervical muscle strength in office workers, suggesting that strengthening cervical muscle strength may be a way to improve cervical spine function.
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