目的 探究Mulligan动态关节松动术联合肌肉能量技术在神经根型颈椎病治疗中的应用。方法 根据数字随机表将2017年2月—2020年2月收治神经根型颈椎病患者（86例）,分为联合组和常规组,每组43例。常规组给予常规康复手术,联合组给予Mulligan动态关节松动术联合肌肉能量技术,观察联合组和常规治疗前后颈椎病临床评价量表(Clinical Assessment Scale for Cervical Spondylosis, CASCS)、颈椎功能障碍指数量表(Neck Disability Index, NDI)评分、颈部屈曲和颈部主动活动范围（Active Range Of Motion, AROM）以及简明健康测量量表(Short Form 36 Health Survey Questionnaire, SF-36）、视觉模拟疼痛评分(Visual Analogue Scale, VAS）,并对患者治疗前后肌肉压痛阈值进行测量。结果 联合组CASCS、AROM、SF-36明显高于常规组,NDI、VAS评分低于常规组,比较差异有统计学意义（P<0.05）;联合组斜方肌、提肩胛肌、枕骨下肌的肌肉压痛阈值明显低于常规组,比较差异有统计学意义（P<0.05）。结论 Mulligan动态关节松动术联合肌肉能量技术可改善颈椎病临床症状,降低颈椎功能障碍程度,增加颈部关节活动度,降低疼痛感,改善患者生活质量。

Objective To explore the application of Mulligan mobilisations with movement plus muscle energy techniques to cervical spondylotic radiculopathy (CSR). Methods A total of 86 CSR patients treated from February 2017 to February 2020 in our hospital were randomly assigned to two groups, with 43 cases in each group. The conventional group took conventional rehabilitation; the combined group took Mulligan mobilisations with movement and muscle energy techniques. Clinical assessment scale for cervical spondylosis (CASCS) scores, neck disability index (NDI) scores, active range of motion (AROM), Short-form 36 Health Survey Questionnaire (SF-36) scores, Visual Analogue Scale (VAS) scores, and muscle pressure pain threshold were compared before and after the treatment. Results The CASCS score, AROM, and SF-36 score were significantly higher and the NDI score and VAS score were significantly lower in the combined group than those in the conventional group (P<0.05). The pressure pain thresholds of trapezius, levator scapulae, and suboital muscles in the combined group were significantly lower than those in the conventional group (P<0.05). Conclusion Mulligan mobilisations with movement plus muscle energy techniques can relieve the clinical symptoms of cervical spondylosis, such as reducing neck disability, increasing the active range of motion, and reducing pain, and thereby improve the quality of life of patients.