早期目标导向活动方案对颈椎前路术患者运动恐惧及康复依从性的影响

Objective To investigate the effect of early goal-directed activity program on fear of movement and rehabilitation compliance in patients undergoing anterior cervical surgery. Methods The clinical data of 100 patients with cervical spondylosis who received anterior cervical surgery in the hospital from May 2025 to May 2026 were retrospectively analyzed. According to different intervention schemes, they were divided into control group(n=50) and observation group(n=50). Both groups were intervened for 1 month. The fear of movement, pain degree, cervical physiological curvature and cervical function before and 1 month after intervention were compared between the two groups, and the rehabilitation compliance and complications of the two groups were compared. Results After one month of intervention, the scores of activity avoidance, body focus and numerical rating scale(NRS) in the observation group were lower than those in the control group(P<0.05). One month after intervention, the cervical physiological curvature in the observation group was larger than that in the control group, and the neck disability index(NDI) was lower than that in the control group(P<0.05). The rehabilitation compliance of the observation group was higher than that of the control group(P<0.05). The incidence of complications in the observation group was lower than that in the control group(P<0.05). Conclusion The early goal-directed activity program can effectively reduce the fear of movement and pain of patients undergoing anterior cervical surgery, improve the rehabilitation compliance, promote the recovery of cervical physiological curvature and cervical function, and reduce complications.