基于姿势解密技术的手法治疗对头前倾与圆肩的治疗效果研究

The Study of the Therapeutic Effect of Manual Therapy Based on the Discovery of Posture Secret on Forward Head and Round Shoulder Posture

摘要: 目的：观察基于姿势解密技术的手法治疗对头前倾与圆肩的临床疗效。方法：选取30例头前倾与圆肩患者随机分成对照组和治疗组各15例。对照组患者采用自我牵伸疗法进行治疗，治疗组患者采用自我牵伸疗法结合基于姿势解密技术的治疗手法进行治疗。2组患者均于治疗前、首次治疗后、治疗2周后、治疗四周后进行头前倾角、肩前倾角与仰卧位肩峰到床的距离的测量与评估。结果：在治疗前，两组患者的头前倾角、肩前倾角及仰卧位肩峰到床的距离组间比较，差异无统计学意义(P > 0.05)。治疗后组内比较：对照组患者在首次治疗结束后与治疗前相比头前倾角、肩前倾角与仰卧位肩峰到床的距离无统计学差异(P > 0.05)，治疗二周后、治疗四周后较治疗前均有下降(P < 0.05)；治疗组患者首次治疗结束后、治疗二周后、治疗四周后的头前倾角、肩前倾角与仰卧位肩峰到床的距离均有统计学差异(P < 0.05)。治疗后组间比较：治疗组首次治疗结束后、治疗二周后、治疗四周后的头前倾角、肩前倾角与对照组相应时间点比较均有下降(P < 0.05)；治疗组仰卧位肩峰到床的距离在首次治疗结束后、治疗二周后与对照组相应时间点有统计学差异(P < 0.05)，治疗四周后与对照组相应时间点无统计学差异(P > 0.05)。结论：自我牵伸疗法结合基于姿势解密技术的手法治疗对头前倾与圆肩具有积极的改善作用，与单纯自我牵伸疗法相比，具有见效快、疗效好的优势，因此，姿势解密技术可以作为一种治疗头前倾与圆肩的新方法。

Abstract: Objective: To observe the clinical effect of manipulation based on posture decryption technology on forward head and round shoulder posture. Methods: 30 patients with forward head and round shoulder were randomly divided into control group and treatment group with 15 cases in each group. Patients in the control group were treated with self-stretching therapy and patients in the treatment group were treated with self-stretching therapy combined with manual therapy based on the Discovery of Posture Secret. Before treatment, after the first treatment, 2 weeks and 4 weeks after treatment, the Forward Head Angle (FHA) in stand position, Forward Shoulder Angle (FSA) in stand position and the distance between the table and the acromion while the patient was in the supine position were assessed in two teams. Results: Before treatment, there were no significant difference in FHA, FSA and the distance between the table and the acromion while the subject was in the supine position between the two groups (P > 0.05). Within group comparison after the treat-ment: for the control group, after the first treatment, there were no significant difference in FHA, FSA and the distance between the table and the acromion (P > 0.05) and after the treatment for 2 weeks and 4 weeks, FHA, FSA and the distance between the table and the acromion while the sub-ject was in the supine position decreased compared with that before treatment (P < 0.05). For the treatment group, after the first treatment, 2 weeks and 4 weeks, FHA, FSA and the distance between the table and the acromion while the subject was in the supine position decreased compared with that before treatment (P < 0.05). Comparison between two groups: after treatment for the first treatment, 2 weeks and 4 weeks, FHA and FSA in the treatment group decreased compared with the corresponding time point in the control group (P < 0.05). After treatment for the first treatment and 2 weeks, there were significant difference in the distance between the table and the acromion while the subject was in the supine position compared with the corresponding time point in the control group (P < 0.05) and there was no significant difference after treatment for the 4 weeks compared with the corresponding time point in the control group (P > 0.05). Conclusion: The results showed that the forward head and round shoulder posture were actively improved by the manual therapy based on the Discovery of Posture Secret combined with self-stretching therapy, especially on the recovery speed and efficacy. Therefore, the Discovery of Posture Secret can be used as a new method to treat patients with forward head and round shoulder posture.