首页|运动想象疗法对老年髋关节置换患者功能康复及跌倒恐惧的影响

运动想象疗法对老年髋关节置换患者功能康复及跌倒恐惧的影响

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目的 探讨运动想象疗法对老年髋关节置换术后患者功能康复及跌倒恐惧的影响.方法 选取2021年11月至2023年5月在邛崃市医疗中心医院骨科病房接受髋关节置换治疗的98例患者,采用随机数字表法将患者分为试验组和对照组各49例,最终对照组43例与试验组43例患者完成了本项研究.对照组给予术后常规物理康复治疗,试验组在此基础上联合运动想象疗法,干预后比较两组Harris髋关节功能评分及优良率、起立-行走测试时间(TUG)、跌倒恐惧评分(FFQ-R)的差异.结果 出院时和干预2月后,试验组FFQ-R得分均低于对照组(P<0.05);干预2月后,试验组TUG测试用时少于对照组(P<0.05);出院时及干预2月后,两组Harris髋关节功能得分差异无统计学意义(P>0.05);出院时两组患者髋关节功能优良率比较差异无统计学意义(x2=1.550,P=0.213),干预2月后,试验组髋关节功能优良率高于对照组(x2=4.778,P=0.029).结论 运动想象疗法可以提高患者运动能力,减少跌倒恐惧,加速髋关节置换患者术后康复.
The effects of motor imagery therapy on functional rehabilitation and fear of falling in elderly hip arthroplasty patients
Objective To explore the effect of motor imagery therapy on functional rehabilitation and fear of falling in elderly patients after hip arthroplasty.Methods Ninety-eight patients who received hip arthroplasty treatment in the orthopedic ward of our hospital from November 2021 to May 2023 were selected.The patients were divided into an experimental group and a control group by using random number table method,49 in each group.At the end,43 patients in the control group and 43 patients in the experimental group completed the study.The control group was given postoperative conventional physical rehabilitation therapy.The experimental group was combined with motor imagery therapy on the basis of the control group.After intervention,the differences of Harris hip function score,the rate of hip function,TUG-test and FFQ-R score were compared between the two groups.Results At the time of discharge and after 2 months of the intervention,the FFQ-R score of the experimental group was lower than that of the control group(P<0.05).After 2 months of intervention,the TUG test time in the experimental group was less than that in the control group(P<0.05).There was no significant difference in the Harris hip function scores between the two groups(P>0.05).There was also no sig-nificant difference in the rate of hip function between the two groups at discharge(x2=1.550,P=0.213).After 2 months of intervention,the rate of excellent hip joint function in the experimental group was higher than that in the control group(x2=4.778,P=0.029).Conclusions Motor imagery therapy can improve patients'motor ability,reduce the fear of falling,and promote the post-operative rehabilitation of hip arthroplasty patients.

Motor imageryHip arthroplastyFunctional rehabilitationTimed up and go testFear of falling

徐雅琴、李小群、杨勇、贾平、宋慧琴

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四川省邛崃市医疗中心医院骨二科 四川 邛崃 611530

四川省医学科学院·四川省人民医院(电子科技大学附属医院)神经重症监护室,四川成都 610072

四川省邛崃市医疗中心医院护理部 四川 邛崃 611530

运动想象 髋关节置换 功能康复 "起立-行走"计时测试 跌倒恐惧

成都市卫生健康委员会医学科研基金资助项目四川省科技计划项目

20210422023YFS0070

2024

实用医院临床杂志
四川省医学科学院 四川省人民医院

实用医院临床杂志

CSTPCD
影响因子:1.179
ISSN:1672-6170
年,卷(期):2024.21(4)
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