手法治疗颈型颈椎病的研究进展

Research Progress in Manual Therapy for Cervical Spondylopathy

摘要: 手法治疗作为颈型颈椎病的主要保守治疗手段，相较于其他疗法，有其独特的优势。通过收集查找资料，分析认为手法治疗颈型颈椎病疗效确切且优势突出，能够纠正颈椎“筋出槽、骨错缝”的病理状态，恢复“筋–经–骨”的生物力学平衡，改善颈型颈椎病的临床症状。本文主要介绍手法治疗颈型颈椎病的中医理论依据及西医的相关作用机制，以及现阶段临床上治疗颈型颈椎病的主要手法。笔者在总结前人研究的基础上提出展望，以期手法治疗能够更好地运用于颈型颈椎病的治疗中，并为手法治疗颈型颈椎病提供更加标准化、科学化依据。

Abstract: As a primary conservative treatment modality for cervical spondylopathy, manual therapy demonstrates unique advantages compared to other therapeutic approaches. Through comprehensive literature review and data analysis, this study concludes that manual therapy exhibits significant efficacy in treating cervical spondylopathy by effectively correcting pathological states of “tendon displacement and vertebral subluxation”, restoring biomechanical equilibrium of the “tendon-meridian-bone” complex, and ameliorating clinical manifestations. This paper systematically elucidates the traditional Chinese medical theoretical framework and contemporary Western medical mechanisms underlying manual therapy for cervical spondylopathy, along with current predominant clinical techniques. Building upon previous research, the author proposes future research directions to optimize clinical application of manual therapy in cervical spondylopathy management, while advocating for establishing standardized protocols and evidence-based scientific foundations for this therapeutic intervention.