Age-related changes in cervical range of motion and its relationship with cervical spondylosis in school students aged 12-18 in Nanyang City

WANG Qing; XU Guochang; XU Fei; LIU Rongzhi; YIN Jinpeng; HUANG Yanyan

doi:10.16835/j.cnki.1000-9817.2022.04.027

Volume 43 Issue 4

Apr. 2022

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WANG Qing, XU Guochang, XU Fei, LIU Rongzhi, YIN Jinpeng, HUANG Yanyan. Age-related changes in cervical range of motion and its relationship with cervical spondylosis in school students aged 12-18 in Nanyang City[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(4): 594-597. doi: 10.16835/j.cnki.1000-9817.2022.04.027

Citation:

WANG Qing, XU Guochang, XU Fei, LIU Rongzhi, YIN Jinpeng, HUANG Yanyan. Age-related changes in cervical range of motion and its relationship with cervical spondylosis in school students aged 12-18 in Nanyang City[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(4): 594-597. doi: 10.16835/j.cnki.1000-9817.2022.04.027

Citation:

WANG Qing, XU Guochang, XU Fei, LIU Rongzhi, YIN Jinpeng, HUANG Yanyan. Age-related changes in cervical range of motion and its relationship with cervical spondylosis in school students aged 12-18 in Nanyang City[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(4): 594-597. doi: 10.16835/j.cnki.1000-9817.2022.04.027

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Age-related changes in cervical range of motion and its relationship with cervical spondylosis in school students aged 12-18 in Nanyang City

doi: 10.16835/j.cnki.1000-9817.2022.04.027

1.
Department of Anatomy, Nanyang Medical College, Nanyang (473000), Henan Province, China

Received Date: 2021-11-08
Rev Recd Date: 2022-03-18

Available Online: 2022-04-25

Publish Date: 2022-04-25

Abstract

Abstract

Objective To investigate the age-related changes in cervical range of motion (CROM) and its relationship with cervical spondylosis in school students aged 12-18 in Nanyang City, to provide reference for prevention, early diagnosis and treatment evaluation of cervical spondylosis. Methods Stratified sampling was adopted in 13 counties and districts of Nanyang City and 890 students aged 12-18 were assessed for CROM using the Coda Motion Analyzer. SPSS 19.0 was used to data analyze. Results A decreasing trend was observed in CROM among boys and girls aged 12-18 years in Nanyang. For boys aged 15 and 18 years old, higher anterior flexion (t=2.02, 2.70), posterior extension (t=2.01, 2.81), left flexion (t=3.51, 2.99), right flexion (t=5.07, 2.66), sinistral (t=2.28, 2.92) and dextral (t=2.91, 3.60) were found compared with younger age groups (P < 0.05). Similar findings were found in girls aged 15-and 18-years old [anterior flexion (t=2.38, 2.20), posterior extension (t=2.09, 2.02), left flexion (t=2.33, 2.55), right flexion (t=7.34, 4.60), sinistral (t=3.73, 2.35) and dextral (t=2.31, 3.99, P < 0.05). Except for the right flexion, the CROM of boys in was higher than that of girls at the same age group. The prevalence of cervical spondylosis showed an increasing trend (boys: χ_trend²=13.93, girls: χ_trend²=12.87, P < 0.05). Except for 14-year-old group, the prevalence of cervical spondylosis in girls was higher than that in boys, with significant differences observed in 15-and 17-year-old groups (χ²=10.35, 9.64, P < 0.05). Conclusion With the increase of age, the CROM of male and female students shows a downward trend in general. The prevalence of cervical spondylosis increases with the decrease of CROM. CROM measurement is conducive to the prevention, early diagnosis and treatment of juvenile cervical spondylosis.
- Cervical vertebrae,
- Age distribution,
- Disease,
- Grow and development,
- Students

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References(20)

References

[1]	GORNET M F, LANMAN T H, BURKUS J K, et al. Cervical disc arthroplasty with the Prestige LP disc versus anterior cervical discectomy and fusion, at 2 levels: results of a prospective, multicenter randomized controlled clinical trial at 24 months[J]. J Neurosurg Spine, 2017, 26(6): 653-667. doi: 10.3171/2016.10.SPINE16264
[2]	杨润, 李明磊, 陈克诚, 等. 中医外治法对青少年颈椎生理曲度改变的研究进展[J]. 山西中医学院学报, 2020, 21(1): 72-76. https://www.cnki.com.cn/Article/CJFDTOTAL-SHAN202001023.htm YANG R, LI M L, CHEN K C, et al. Research progress of external treatment of traditional Chinese Medicine on the changes of cervical physiological curvature in adolescents[J]. J Shanxi Univ Chin Med, 2020, 21(1): 72-76. https://www.cnki.com.cn/Article/CJFDTOTAL-SHAN202001023.htm
[3]	王星, 张少杰, 史君, 等. CT三维重建青少年颈椎钩突与椎体各结构的相关性[J]. 中国组织工程研究, 2017, 21(3): 412-417. https://www.cnki.com.cn/Article/CJFDTOTAL-XDKF201703018.htm WANG X, ZHANG S J, SHI J, et al. CT three-dimensional reconstruction of cervical uncinate process and vertebral body structure correlation in adolescents[J]. Chin J Tissue Engineer Res, 2017, 21(3): 412-417. https://www.cnki.com.cn/Article/CJFDTOTAL-XDKF201703018.htm
[4]	国家卫生和计划生育委员会. 学龄儿童青少年营养不良筛查: WS/T 456—2014[S]. 2014-12-15. National Health and Family Planning Commission of the PRC. Screening standard for malnutrition of school-age children and adolescents: WS/T 456-2014[S]. 2014-12-15.
[5]	李淑春, 张虹, 李吉祥, 等. 推拿结合Mulligan技术治疗青少年颈椎病[J]. 长春中医药大学学报, 2019, 35(4): 700-703. https://www.cnki.com.cn/Article/CJFDTOTAL-CZXX201904026.htm LI S C, ZHANG H, LI J X, et al. Treatment of adolescent cervical spondylosis with massage combined with Mulligan technique[J]. J Changchun Univ Chin Med, 2019, 35(4): 700-703. https://www.cnki.com.cn/Article/CJFDTOTAL-CZXX201904026.htm
[6]	SONG H, ZHAI X, GAO Z, et al. Reliability and validity of a Coda Motion 3-D Analysis system for measuring cervical range of motion in healthy subjects[J]. J Electromyogr Kinesiol, 2017, 38: 56-66. https://pubmed.ncbi.nlm.nih.gov/29169054/
[7]	梁龙, 于杰, 魏戌, 等. 基于筋束骨理论建立慢性劳损型上颈椎失稳尸体模型及评价[J]. 中国组织工程研究, 2020, 24(20): 3152-3156. doi: 10.3969/j.issn.2095-4344.2610 LIANG L, YU J, WEI X, et al. Establishment and evaluation of a cadaveric model of chronic strain-induced upper cervical spine instability based on fascia-bone theory[J]. Chin J Tissue Enginee Res, 2020, 24(20): 3152-3156. doi: 10.3969/j.issn.2095-4344.2610
[8]	张德闻, 肖强兵, 李言杰, 等. 颈椎横突定向颈神经节触激法治疗肌源性颈椎旋转活动受限102例体会[J]. 时珍国医国药, 2020, 31(1): 134-136. https://www.cnki.com.cn/Article/CJFDTOTAL-SZGY202001043.htm ZHANG D W, XIAO Q B, LI Y J, et al. Experience in the treatment of 102 cases of myogenic cervical spine rotation by cervical cervical transverse ganglion and cervical ganglion[J]. Lishizhen Med Mate Med Res, 2020, 31(1): 134-136. https://www.cnki.com.cn/Article/CJFDTOTAL-SZGY202001043.htm
[9]	MONTANO N, RICCIARDI L, OLIVI A, et al. Comparison of anterior cervical decompression and fusion versus laminoplasty in the treatment of multilevel cervical spondylotic myelopathy: a Meta-analysis of clinical and radiological outcomes[J]. World Neurosurg, 2019, 130: 530-536. doi: 10.1016/j.wneu.2019.06.144
[10]	王广超, 李永军, 吕志刚. 颈椎间盘退变程度与颈椎矢状力线参数的相关性分析[J]. 颈腰痛杂志, 2020, 41(1): 32-35. doi: 10.3969/j.issn.1005-7234.2020.01.009 WANG G C, LI Y J, LYU Z G. Correlation analysis between the degree of cervical disc degeneration and the parameters of cervical sagittal force line[J]. J Cervicodynia Lumbodynia, 2020, 41(1): 32-35. doi: 10.3969/j.issn.1005-7234.2020.01.009
[11]	朱玉权, 曹建辉, 王乾, 等. 基于影像学角度进行脊髓型颈椎病发病的多因素Logistic回归分析[J]. 颈腰痛杂志, 2019, 40(3): 347-349. doi: 10.3969/j.issn.1005-7234.2019.03.018 ZHU Y Q, CAO J H, WANG Q, et al. Multivariate Logistic regression analysis of the pathogenesis of cervical spondylotic myelopathy based on imaging[J]. J Cervicodynia Lumbodynia, 2019, 40(3): 347-349. doi: 10.3969/j.issn.1005-7234.2019.03.018
[12]	刘佳, 李志强, 滕军燕, 等. 平脊疗法治疗青少年颈椎曲度异常及其伴随症状临床研究[J]. 新中医, 2021, 53(2): 130-134. https://www.cnki.com.cn/Article/CJFDTOTAL-REND202102035.htm LIU J, LI Z Q, TENG J Y, et al. Clinical study of spinal leveling therapy in the treatment of abnormal cervical curvature and its accompanying symptoms in adolescents[J]. J New Chin Med, 2021, 53(2): 130-134. https://www.cnki.com.cn/Article/CJFDTOTAL-REND202102035.htm
[13]	周淑娟, 李松山, 辛凯, 等. 不同年龄青少年颈椎生理曲度改变的临床分析[J]. 河南中医, 2017, 37(8): 1398-1401. https://www.cnki.com.cn/Article/CJFDTOTAL-HNZY201708030.htm ZHOU S J, LI S S, XIN K, et al. Clinical analysis and prevention of physiological curvature of cervical spine in adolescents of different ages[J]. Henan Tradit Chin Med, 2017, 37(8): 1398-1401. https://www.cnki.com.cn/Article/CJFDTOTAL-HNZY201708030.htm
[14]	苏江涛, 赵伟忠, 何颖强, 等. 某高校学生颈椎病致病因素病例对照研究[J]. 中国学校卫生, 2013, 34(12): 1470-1472. http://www.cjsh.org.cn/article/id/zgxxws201312022 SU J T, ZHAO W Z, HE Y Q, et al. A case-control study on the risk factors of cervical spondylosis in college students[J]. Chin J Sch Health, 2013, 34(12): 1470-1472. http://www.cjsh.org.cn/article/id/zgxxws201312022
[15]	ZHOU J, LI J, LIN H, et al. A comparison of a self-locking stand-alone cage and anterior cervical plate for ACDF: Minimum 3-year assessment of radiographic and clinical outcomes[J]. Clin Neurol Neurosurg, 2018, 170: 73-78. doi: 10.1016/j.clineuro.2018.04.033
[16]	陈韬, 李坤关, 江文彬. 颈椎动态MRI对早期脊髓型颈椎病(CSM)的诊断价值[J]. 影像研究与医学应用, 2021, 5(11): 165-166. doi: 10.3969/j.issn.2096-3807.2021.11.081 CHEN T, LI K G, JIANG W B. Diagnostic value of cervical dynamic MRI in early cervical spondylotic myelopathy (CSM)[J]. J Imag Res Med Appl, 2021, 5(11): 165-166. doi: 10.3969/j.issn.2096-3807.2021.11.081
[17]	DAVIES B M, FRANCIS J J, BUTLER M B, et al. Current surgical practice for multi-level degenerative cervical myelopathy: findings from an international survey of spinal surgeons[J]. J Clin Neurosci, 2021, 87: 84-88. doi: 10.1016/j.jocn.2021.01.049
[18]	张先发, 沈利华, 李建康, 等. 对儿童青少年颈椎病病名来源的探讨[J]. 西部医学, 2009, 21(2): 337. doi: 10.3969/j.issn.1672-3511.2009.02.076 ZHANG X F, SHEN L H, LI J K, et al. Study on the origin of cervical spondylosis in children and adolescents[J]. Med J West Chin, 2009, 21(2): 337. doi: 10.3969/j.issn.1672-3511.2009.02.076
[19]	FLETCHER J P, BANDY W D. Intrarater reliability of CROM measurement of cervical spine active range of motion in persons with and without neck pain[J]. J Orthop Sports Phys Ther, 2008, 38(10): 640-645. doi: 10.2519/jospt.2008.2680
[20]	霍明娜, 尚静波, 李仁波. 正强化理论护理干预对颈椎病术后康复治疗患者颈椎功能及生命质量的影响[J]. 中国实用护理杂志, 2021, 37(2): 93-98. doi: 10.3760/cma.j.cn211501-20200824-03648 HUO M N, SHANG J B, LI R B. The effect of positive reinforcement theory nursing intervention on cervical function and quality of life of patients with cervical spondylosis after rehabilitation treatment[J]. Chin J Pract Nurs, 2021, 37(2): 93-98. doi: 10.3760/cma.j.cn211501-20200824-03648