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持续静态牵伸训练联合目标性自主训练对肘关节骨折患者的影响

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目的:探讨持续静态牵伸训练联合目标性自主训练对肘关节骨折患者的影响。方法:选择 2022年 4月—2023年 8月天津市天津医院收治的 80例肘关节骨折患者为研究对象,按随机数字表法将患者分为对照组与试验组,每组40例。对照组行常规康复训练干预,试验组行持续静态牵伸训练联合目标性自主训练干预,两组均持续训练干预 12周。比较两组的康复时间、肘关节活动度、疼痛程度、肘关节功能及日常生活能力。结果:干预后,试验组肘关节功能改善与骨折愈合时间均短于对照组,差异均有统计学意义(P<0。05);两组肘关节屈曲、伸展、前臂旋前、旋后活动度均大于干预前,且试验组大于对照组,差异均有统计学意义(P<0。05);两组疼痛评分均低于干预前,且试验组低于对照组,差异均有统计学意义(P<0。05);两组Mayo肘关节功能评分系统评分均高于干预前,且试验组高于对照组,差异均有统计学意义(P<0。05);两组Barthel指数评分均高于干预前,且试验组高于对照组,差异均有统计学意义(P<0。05)。结论:持续静态牵伸训练联合联合目标性自主训练干预可促进患者术后恢复,扩大患者肘关节活动度,提升日常生活能力,减轻疼痛,改善其肘关节功能。
Effect of Continuous Static Stretension Training Combined with Targeted Autonomous Training on Elbow Joint Range of Motion in Patients with Elbow Joint Fractures
Objective:To investigate the effect of continuous static extension training combined with targeted autonomous training in patients with elbow joint fracture.Methods:A total of 80 patients with elbow joint fracture admitted to Tianjin Hospital from April 2022 to August 2023 were selected as the study objects.The patients were divided into a control group and an experimental group according to random number table method,with 40 cases in each group.The control group received routine rehabilitation training intervention,and the experimental group received continuous static drafting training combined with targeted autonomous training intervention.Both groups received continuous training intervention for 12 weeks.The recovery time,elbow motion,pain,elbow function and daily living ability were compared between the two groups.Results:After intervention,the time of elbow joint function improvement and fracture healing in the experimental groups were shorter than those in the control group,with statistical significance(P<0.05);elbow joint flexion and extension forearm pronation and supination motion of both groups were greater than before intervention,the experimental group was greater than the control group,the differences were statistically significant(P<0.05);the score of pain in both groups were lower than before intervention,and the experimental group was lower than the control group,with statistical significance(P<0.05);the score of Mayo elbow joint function scoring system in both groups was higher than before intervention,the experimental group was higher than the control group,with statistical significance(P<0.05);the score of Barthel Index score in both groups were higher than before intervention,and the experimental group was higher than the control group,with statistical significance(P<0.05).Conclusion:Continuous static extension training combined with targeted autonomous training intervention can promote postoperative recovery,expand elbow joint motion,enhance daily living ability,reduce pain,and improve elbow joint function.

Elbow joint fractureContinuous static stretching trainingTargeted autonomous trainingElbow joint range of motionElbow joint function

魏琨

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天津市天津医院康复科,天津 300211

肘关节骨折 持续静态牵伸训练 目标性自主训练 肘关节活动度 肘关节功能

2024

中国伤残医学
中国康复医学会,黑龙江省截瘫研究所

中国伤残医学

影响因子:0.451
ISSN:1673-6567
年,卷(期):2024.32(13)