核心肌力训练在胸腰椎压缩性骨折康复治疗中的临床观察
发布时间：2019-05-18 16:31
【摘要】：目的:探讨核心肌力训练对胸腰椎压缩性骨折患者的临床疗效。方法:选择2010年1月~2016年12月在四川省骨科医院康复科治疗的胸腰椎压缩性骨折的患者137例为研究对象,将经核心肌力训练+康复理疗者作为一组,简称训练组,经康复理疗者作为一组,简称理疗组。理疗组采用常规的电针、红外线、手法推拿、中药熏药疗法,训练组在上述治疗的基础上加用核心肌力训练(五点支撑法、深呼吸训练、拱桥练习、单侧拱桥、侧桥练习、巴士球平衡训练、巴士球俯卧撑训练、巴氏球牵伸训练)。将治疗前、治疗2、4、6周后的VAS评分、JOA腰痛评分、ADL评分、ODI评分、腰椎活动度作为观察指标,计量资料符合正态分布用t检验(方差不齐时用校正t'检验),不符合正态分布用Mann-Whitney U检验(M-W检验);半计量资料用非参数相关或独立样本的M-W检验;非等级计数资料用卡方检验;等级计数资料用Ridit检验,显著性检验水准α=0.05,P值取双侧值。结果:训练组与理疗组治疗前VAS评分、JOA腰痛评分、ADL评分、ODI评分对比,差异无统计学意义(p0.05),具有可比性。治疗2周后组间对比,训练组的评分优于理疗组,VAS评分具有显著性差异(p0.05),JOA腰痛评分、ADL评分、ODI评分差异无统计学意义(p0.05);治疗4周后组间对比,训练组的评分优于理疗组,VAS评分、ADL评分具有显著性差异(p0.05),JOA腰痛评分、ODI评分差异无统计学意义(p0.05);治疗6周后组间对比,训练组的评分优于理疗组,VAS评分、JOA腰痛评分、ADL评分、ODI评分均具有显著性差异(p0.05)。两组治疗6周后与治疗前进行组内比较,治疗后评分均优于治疗前评分,差异具有统计学意义(p0.05)。训练组与理疗组治疗后腰椎活动度组间对比,训练组的前屈、后伸、侧屈、旋转均优于理疗组,前屈活动度具有显著性差异(p0.05),后伸、侧屈、旋转差异无统计学意义(p0.05)。结论:核心肌力训练在改善胸腰椎压缩性骨折患者的临床症状,缓解疼痛,恢复腰椎活动度,改善日常生活能力,提高生活质量方面具有一定的优势,简单安全易行,疗效确切,值得临床推广。
[Abstract]:Objective: to investigate the clinical effect of core muscle strength training on thoracolumbar compression fracture. Methods: 137 patients with thoracolumbar compression fractures treated in the Department of Rehabilitation, Sichuan Orthopaedic Hospital from January 2010 to December 2016 were selected as the subjects. The patients who received core muscle strength training and physiotherapy were taken as a group, abbreviated as the training group. Rehabilitation physiotherapy as a group, abbreviated as physiotherapy group. The physiotherapy group was treated with routine electro-acupuncture, infrared ray, manual massage, traditional Chinese medicine fumigation therapy, and the training group was treated with core muscle strength training on the basis of the above treatment (five-point support method, deep breathing training, arch bridge practice, unilateral arch bridge training, side bridge training). Bus ball balance training, bus ball push-up training, Babbitt drafting training). Before treatment, 2, 4, 6 weeks after treatment, VAS score, JOA low back pain score, ADL score, ODI score and lumbar mobility were used as observation indexes. The measurement data were in accordance with the normal distribution by t test (corrected t 'test when variance was uneven). The non-coincidence normal distribution was tested by Mann-Whitney U test (M 鈮，
本文编号：2480156
[Abstract]:Objective: to investigate the clinical effect of core muscle strength training on thoracolumbar compression fracture. Methods: 137 patients with thoracolumbar compression fractures treated in the Department of Rehabilitation, Sichuan Orthopaedic Hospital from January 2010 to December 2016 were selected as the subjects. The patients who received core muscle strength training and physiotherapy were taken as a group, abbreviated as the training group. Rehabilitation physiotherapy as a group, abbreviated as physiotherapy group. The physiotherapy group was treated with routine electro-acupuncture, infrared ray, manual massage, traditional Chinese medicine fumigation therapy, and the training group was treated with core muscle strength training on the basis of the above treatment (five-point support method, deep breathing training, arch bridge practice, unilateral arch bridge training, side bridge training). Bus ball balance training, bus ball push-up training, Babbitt drafting training). Before treatment, 2, 4, 6 weeks after treatment, VAS score, JOA low back pain score, ADL score, ODI score and lumbar mobility were used as observation indexes. The measurement data were in accordance with the normal distribution by t test (corrected t 'test when variance was uneven). The non-coincidence normal distribution was tested by Mann-Whitney U test (M 鈮，
本文编号：2480156
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