首页|康复运动日记联合强化步行训练对脊髓损伤伴截瘫患者脊髓独立功能及步行能力的影响

康复运动日记联合强化步行训练对脊髓损伤伴截瘫患者脊髓独立功能及步行能力的影响

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目的 探究康复运动日记联合强化步行训练对脊髓损伤(SCI)伴截瘫患者脊髓独立功能及步行能力的影响.方法 选取广西中医药大学附属瑞康医院 2021 年 9 月—2023 年9 月收治的 76 例SCI伴截瘫患者为研究对象,按随机数字表法将其分为对照组和观察组,各 38 例.对照组行强化步行训练干预,观察组行康复运动日记联合强化步行训练干预,两组均持续干预 8 周.比较两组的脊髓独立功能、步行能力及日常生活活动能力.结果 干预 8 周后,观察组功能独立性评定量表评分、Barthel指数评定量表评分比对照组高,组间差异有统计学意义(P<0.05);干预 2 周、4 周及8周后,观察组 6 min步行距离均比对照组长,10 m行走时间均比对照组短,组间差异有统计学意义(P<0.05).结论康复运动日记联合强化步行训练对SCI伴截瘫患者的效果显著,有助于患者脊髓独立功能及步行能力的恢复,从而提高日常生活活动能力.
Effect of Rehabilitation Exercise Diary Combined with Enhanced Walking Training on Spinal Cord Independent Function and Walking Ability in Patients with Spinal Cord Injury and Paraplegia
Objective To investigate the effect of rehabilitation exercise diary combined with enhanced walking training on spinal cord independent function and walking ability in patients with spinal cord injury(SCI)and paraplegia.Methods Seventy-six SCI patients with paraplegia admitted to Ruikang Hospital affiliated with Guangxi University of Traditional Chinese Medicine from September 2021 to September 2023 were selected as the research subjects,and were divided into a control group and an observation group using a random number table method,with 38 cases in each group.The control group received enhanced walking training intervention,while the observation group received rehabilitation exercise diary combined with enhanced walking training intervention.Both groups received continuous intervention for 8 weeks.Compare the spinal cord independent function,walking ability,and daily living activity ability between two groups.Results After 8 weeks of intervention,the Functional Independence Measure score of the observation group was evaluated the Barthel Index Rating Scale scored higher than the control group,the differences between groups were statistically significant(P<0.05);after intervention for 2,4,and 8 weeks,the observation group had a 6-minute walking distance longer than the control group,and a 10 meter walking time shorter than the control group,the differences between groups were statistically significant(P<0.05).Conclusion The combination of rehabilitation exercise diary and enhanced walking training has a significant effect on SCI patients with paraplegia,which helps to restore independent spinal cord function and walking ability,thereby improving daily living activities.

Spinal cord injuryParaplegiaEnhanced walking trainingRehabilitation exercise diarySpinal cord independent functionWalking ability

马凯芬、农瑾雯

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广西中医药大学附属瑞康医院康复医学科,广西南宁 530001

脊髓损伤 截瘫 强化步行训练 康复运动日记 脊髓独立功能 步行能力

广西壮族自治区卫生健康委员会自筹经费科研课题

Z20211644

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(9)
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