Application of phased rehabilitation training based on goal management method in postoperative rehabilitation of spinal fracture patients
Objective To observe the impact of phased rehabilitation training based on goal management method on the postoperative rehabilitation process and vertebral function of patients with spinal fractures.Methods This study is a prospective study that selected 100 patients with spinal fractures admitted between May 2021 and May 2022 as the study subjects.They were randomly divided into a conventional group(50 cases)and an experimental group(50 cases)using computer randomization.The conventional group received routine rehabilitation training,while the experimental group received phased rehabilitation training based on goal management.Both groups were followed up for one year to compare the improvement of vertebral structure and function,the occurrence of complications,and the recovery process.Results Under different training modes,the posterior convex angle and Cobb angle of the injured vertebrae in the experimental group after one month were(16.2±3.2)° and(13.7±3.1)°,respectively,which were lower than those in the conventional group[(18.6±3.3)° and(15.8±3.2)°].After 3 months,the posterior convex angle and Cobb angle of the injured vertebra were(13.3±3.3)° and(10.2±2.8)°,respectively,which were lower than those in the conventional group[(15.4±3.3)° and(12.4±3.4)°].The ODI scores of the experimental group after 1 month and 3 months were(35.3±5.26)points and(30.4±5.5)points,respectively,which were lower than those of the conventional group[(38.5±5.4)points and(34.7±5.3)points].The JOA scores of the experimental group after 1 month and 3 months were(20.7±5.3)points and(24.2±5.3)points,respectively,which were higher than those of the conventional group[(18.4±3.3)points and(21.3±5.2)points].The incidence of postoperative complications in the experimental group was 10.00％(5/50),which was lower than that in the conventional group[24.0％(12/50)].The hospitalization time,bed rest time,and fracture healing time of the experimental group were(10.3±2.4)days,(45.2±10.4)days,and(85.2±10.4)days,respectively,which were lower than those of the conventional group[(12.3±3.6)days,(50.6±10.7)days,and(90.4±10.5)days](P＜0.05).Conclusion The phased rehabilitation training based on the goal management method can promote the recovery of vertebral structure and function in patients with spinal fractures,and has positive significance in reducing the risk of postoperative complications and accelerating the rehabilitation process.
万方数据
维普
