首页|不稳定支撑面核心稳定训练联合强化平衡训练干预对胸腰椎压缩性骨折患者术后康复效果的观察

不稳定支撑面核心稳定训练联合强化平衡训练干预对胸腰椎压缩性骨折患者术后康复效果的观察

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目的 探讨不稳定支撑面核心稳定训练联合强化平衡训练在胸腰椎压缩性骨折患者术后功能康复中的应用效果.方法 选取 2022 年 7 月—2024 年1 月徐州市康复医院收治的 86 例胸腰椎压缩性骨折患者为研究对象,按随机数字表法将其分为对照组和观察组,每组 43 例.对照组采用常规康复干预,观察组在对照组的基础上采用不稳定支撑面核心稳定训练联合强化平衡训练干预.比较两组的腰椎功能、腰椎活动度、日常生活能力、并发症发生情况.结果 干预前,两组腰椎功能、腰椎活动度、日常生活能力比较,组间差异无统计学意义(P>0.05);干预后,观察组日本骨科协会评估治疗分数、Barthel指数评定量表评分均高于对照组,腰椎关节活动度大于对照组,组间差异有统计学意义(P<0.05).观察组并发症发生率为 4.65%,低于对照组的 18.60%,差异有统计学意义(P<0.05).结论 不稳定支撑面核心稳定训练联合强化平衡训练可促进胸腰椎压缩性骨折患者术后腰椎功能恢复,改善腰椎活动度及日常生活能力,减少并发症发生风险.
Observation on the Postoperative Rehabilitation Effect of Patients with Thoracolumbar Vertebral Compression Fractures by Core Stability Training on Unstable Support Surface Combined with Intensive Balance Training Intervention
Objective Explore the application effect of core stability training on unstable support surface combined with intensive balance training in postoperative functional rehabilitation of patients with thoracolumbar vertebral compression fractures.Methods A total of 86 patients with thoracolumbar vertebral compression fractures admitted to Xuzhou Rehabilitation Hospital from July 2022 to January 2024 were selected as the research objects,according to the random number table method,they were divided into a control group and an observation group,with 43 cases in each group.The control group received conventional rehabilitation intervention,the observation group received core stability training on unstable support surface combined with intensive balance training intervention on the basis of the control group.Compare the lumbar spine function,lumbar spine range of motion,activities of daily living,and occurrence of complications between the two groups.Results Before intervention,there was no significant difference in lumbar spine function,lumbar spine range of motion and activities of daily living between the two groups,and the differences between the groups were no statistically significant(P>0.05);after intervention,the scores of the Japanese Orthopaedie Association Score and the Barthel Index Scale in the observation group were higher than those in the control group,and the range of motion of the lumbar spine joints was greater than that in the control group,and the differences between the groups were statistically significant(P<0.05).The complication rate in the observation group was 4.65%,which was lower than 18.60%in the control group,and the difference was statistically significant(P<0.05).Conclusion Core stability training on unstable support surface combined with intensive balance training can promote the recovery of lumbar spine function in patients with thoracolumbar vertebral compression fractures after surgery,improve lumbar spine range of motion and activities of daily living,and reduce the risk of complications.

Thoracolumbar vertebral compression fractureCore stability training on unstable support surfaceIntensive balance trainingLumbar spine function

独磊、陈姣姣、翟宏伟、李书钢

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徐州市康复医院康复科,江苏 徐州 221000

胸腰椎压缩性骨折 不稳定支撑面核心稳定训练 强化平衡训练 腰椎功能

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(14)