Effect of Preoperative Adaptive Behavior Training Combined with Postoperative Core Muscle Training on Functional Recovery of Patients with Osteoporotic Vertebral Compression Fracture after PKP
Objective:To investigate the effect of preoperative adaptive behavior training combined with postoperative core mus-cle training on functional recovery of patients with osteoporotic vertebral compression fracture(OVCF)after percutaneous kyphoplasty(PKP).Methods:A total of 60 patients with OVCF who planned to undergo PKP in Hefei First People's Hospital from April 2018 to June 2022 were selected as the research subjects,and randomly divided into the control group(n=30)and the observation group(n=30).The control group did not receive adaptive behavior training before operation,but received traditional rehabilitation training after operation.The observation group received adaptive behavior training before operation and core muscle training after operation.Rehabilitation ef-fects,pain degree[Visual Analogue Scale(VAS)],and lumbar vertebral function[Oswestry Disability Index(ODI)]in the two groups were compared.The incidence rates of postoperative complications were recorded.Results:Anterior height(AH),posterior height(PH)and AH/PH in the observation group were higher than those in the control group(P＜0.05).Compared with the control group,the observa-tion group had lower VAS scores at 1 week and 2 weeks after operation(P＜0.05).There was no significant difference in ODI score be-tween groups at 1 week and 2 weeks after operation(P＞0.05).The ODI score of the observation group at 4 weeks after operation was low-er than that of the control group(P＜0.05).The total incidence rates of complications in the observation group and the control group were 3.33％and 20.00％,with a significant difference between groups(P＜0.05).Conclusion:Applying preoperative adaptive training combined with postoperative core muscle training to patients with OVCF can alleviate pain after PKP,effectively improve postoperative lumbar vertebral function,and lower the risk of complications.
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