核心肌群强化训练对髋关节置换患者整体功能恢复的影响

发布时间：2018-04-17 07:47

本文选题：髋关节置换术 + 运动疗法　；参考：《中国康复理论与实践》2017年10期

【摘要】：目的观察核心肌群强化训练对老年股骨颈骨折髋关节置换患者整体功能恢复的影响。方法 2011年1月至2012年12月,60例因股骨颈骨折行髋关节置换患者,随机分为对照组(n=30)和观察组(n=30)。对照组予常规康复训练(每次50 min);观察组在常规康复训练(每次30 min)基础上,增加核心肌群强化训练,每次20 min。以上训练每天2次,每周5 d,连续治疗2周。训练前,训练1周、2周、3个月后分别采用Harris髋关节功能量表(HHS)评分、Charnley髋关节功能评分和改良Barthel指数(MBI)对两组进行评定。结果训练前及训练后1周,两组HHS评分、Charnley髋关节功能评分和MBI均无显著性差异(P0.05)。各组训练后各评分均随时间显著增加(F248.165,P0.001)。训练后2周及训练后3个月,观察组各评分均显著高于对照组(t3.211,P0.001)。结论术后进行核心肌群强化训练,有助于提高老年髋关节置换患者的躯干稳定性,以及关节功能和日常生活活动能力的恢复。
[Abstract]:Objective to observe the effect of intensive training of core muscle group on the recovery of global function in the elderly patients with hip replacement of femoral neck fracture.Methods from January 2011 to December 2012, 60 patients with femoral neck fracture underwent hip replacement and were randomly divided into control group (n = 30) and observation group (n = 30).The control group was given routine rehabilitation training (50 mins each time), and the observation group increased the core muscle group intensive training for 20 mins on the basis of conventional rehabilitation training (30 mins each time).Above training 2 times a day, 5 days per week, continuous treatment for 2 weeks.Before training, 1 week and 2 weeks, 3 months later, the two groups were evaluated by Harris hip function scale and modified Barthel index.Results before training and 1 week after training, there was no significant difference in HHS score, Charnley hip function score and MBI between the two groups (P 0.05).After training, the scores of each group increased significantly with time.2 weeks after training and 3 months after training, the scores of observation group were significantly higher than those of control group (t 3.211p 0.001).Conclusion intensive training of core muscle group after operation is helpful to improve the stability of trunk and the recovery of joint function and activities of daily living in elderly patients with hip replacement.
【作者单位】：广州军区广州总医院骨科医院;广州军区广州总医院康复医学科;广州市中医医院骨伤科;
【基金】：广州市科技计划科技惠民专项(No.2014Y2-00131);广州市科技计划健康医疗协同创新重大专项(No.201508020253)
【分类号】：R493;R687.4

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