改良版刘寿山"与项争力势"功法锻炼对颈椎前路术后患者身心康复的影响OA

Objective:To assess the effect of the modified neck-rivaling force maneuver on patients following anterior cervi-cal discectomy and fusion(ACDF)or hybrid surgery.Methods:In this retrospective study,40 patients who performed the maneuvers postoperatively(exercise group)were compared with 40 matched controls who did not.The exercise group was further stratified according to preoperative cervical paraspinal muscle fatty infiltration(FI):normal group(n=8),moder-ate group(n=22),and severe group(n=10).Outcomes(mJOA,NDI,VAS,PSQI,HAMA,HAMD scores)were assessed both preoperatively and postoperatively.Results:Both groups showed improved mJOA and NDI scores post-operatively,with no significant intergroup differences.The exercise group had significantly lower neck/upper limb VAS scores at both the 3-month and final follow-ups.While early PSQI,HAMA,and HAMD scores showed no difference,the exercise group demonstrated significantly better scores at both the 3-months and final follow-ups.Within the exercise group,patients with severe FI showed less improvement across all outcomes.Conclusion:The modified neck-rivaling force maneuver effectively reduces post-operative pain,improves sleep,and alleviates anxiety and depression following anterior cervical surgery.Severe cervical paraspinal muscle FI may attenuate these benefits.