首页|基于共享决策下的强化平衡训练在骨质疏松性腰椎压缩性骨折患者术后康复中的应用研究

基于共享决策下的强化平衡训练在骨质疏松性腰椎压缩性骨折患者术后康复中的应用研究

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目的:探究基于共享决策下的强化平衡训练对骨质疏松性腰椎压缩性骨折患者术后康复的影响。方法:选取 2021年 1月—2023年 9月青州市人民医院收治的 80例骨质疏松性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与研究组,各 40例。对照组采用常规康复训练,研究组在此基础上采用基于共享决策下的强化平衡训练。两组均干预训练 3个月。比较两组症状严重程度、腰椎功能障碍程度及平衡功能。结果:干预后,两组日本骨科协会腰痛评分量表中主观症状、客观体征、日常活动受限制情况、排尿功能及总分均高于干预前,且研究组均高于对照组,差异均有统计学意义(P<0。05);干预后,两组Oswestry功能障碍指数评分均低于干预前,且研究组低于对照组,两组Berg平衡量表评分均高于干预前,且研究组高于对照组,差异均有统计学意义(P<0。05)。结论:骨质疏松性腰椎压缩性骨折患者术后采用基于共享决策下的强化平衡训练进行干预,可有助于缓解患者腰部的疼痛程度,并促进腰椎功能及平衡功能提升,具有一定的临床应用价值。
Application of Intensive Balance Training Based on Shared Decision Making in Postoperative Rehabilitation of Patients with Osteoporotic Lumbar Compression Fractures
Objective:To explore the effect of intensive balance training based on shared decision making on postoperative rehabilitation of patients with osteoporotic lumbar compression fracture.Methods:A total of 80 osteoporotic lumbar compression fracture patients admitted to Qingzhou People's Hospital from January 2021 to September 2023 were selected as the study objects,and were divided into a control group and a study group according to random number table method,with 40 cases in each group.The control group received routine rehabilitation training,the study group received intensive balance training based on shared decision making.Both groups were trained intervention for 3 months.The severity of symptom,lumbar dysfunction and balance function were compared between the two groups.Results:After intervention,the objective symptoms,clinical signs,limit of daily activities,urinary function and total score of the Japanese Orthopaedic Association Low Back Pain Scale in two groups were higher than before intervention,and the study group were higher than the control group,the differences were statistically significant(P<0.05),after intervention,the score of Oswestry Disability Index in the two groups were lower than before intervention,and the study group was lower than the control group;the score of Berg Balance Scale in the two groups were higher than that before intervention,and the study group was higher than in the control group,with statistical significance(P<0.05).Conclusion:Intensive balance training based on shared decision making can help alleviate the degree of lumbar pain in osteoporotic lumbar compression fracture patients after surgery,and promote the improvement of lumbar function and balance function,which has certain clinical application value.

Osteoporotic lumbar compression fractureShared decision makingIntensive balance trainingDegree of painLumbar spine dysfunctionBalancing function

宋玉堂、王平

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山东省青州市人民医院骨科,山东 潍坊 261000

山东省邹平市人民医院骨科,山东 滨州 256600

骨质疏松性腰椎压缩性骨折 共享决策 强化平衡训练 疼痛程度 腰椎功能障碍 平衡功能

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(20)