核心肌力訓練在胸腰椎壓縮性骨折康復治療中的臨床觀察
發(fā)布時間：2019-05-18 16:31
【摘要】：目的:探討核心肌力訓練對胸腰椎壓縮性骨折患者的臨床療效。方法:選擇2010年1月~2016年12月在四川省骨科醫(yī)院康復科治療的胸腰椎壓縮性骨折的患者137例為研究對象,將經(jīng)核心肌力訓練+康復理療者作為一組,簡稱訓練組,經(jīng)康復理療者作為一組,簡稱理療組。理療組采用常規(guī)的電針、紅外線、手法推拿、中藥熏藥療法,訓練組在上述治療的基礎上加用核心肌力訓練(五點支撐法、深呼吸訓練、拱橋練習、單側(cè)拱橋、側(cè)橋練習、巴士球平衡訓練、巴士球俯臥撐訓練、巴氏球牽伸訓練)。將治療前、治療2、4、6周后的VAS評分、JOA腰痛評分、ADL評分、ODI評分、腰椎活動度作為觀察指標,計量資料符合正態(tài)分布用t檢驗(方差不齊時用校正t'檢驗),不符合正態(tài)分布用Mann-Whitney U檢驗(M-W檢驗);半計量資料用非參數(shù)相關或獨立樣本的M-W檢驗;非等級計數(shù)資料用卡方檢驗;等級計數(shù)資料用Ridit檢驗,顯著性檢驗水準α=0.05,P值取雙側(cè)值。結(jié)果:訓練組與理療組治療前VAS評分、JOA腰痛評分、ADL評分、ODI評分對比,差異無統(tǒng)計學意義(p0.05),具有可比性。治療2周后組間對比,訓練組的評分優(yōu)于理療組,VAS評分具有顯著性差異(p0.05),JOA腰痛評分、ADL評分、ODI評分差異無統(tǒng)計學意義(p0.05);治療4周后組間對比,訓練組的評分優(yōu)于理療組,VAS評分、ADL評分具有顯著性差異(p0.05),JOA腰痛評分、ODI評分差異無統(tǒng)計學意義(p0.05);治療6周后組間對比,訓練組的評分優(yōu)于理療組,VAS評分、JOA腰痛評分、ADL評分、ODI評分均具有顯著性差異(p0.05)。兩組治療6周后與治療前進行組內(nèi)比較,治療后評分均優(yōu)于治療前評分,差異具有統(tǒng)計學意義(p0.05)。訓練組與理療組治療后腰椎活動度組間對比,訓練組的前屈、后伸、側(cè)屈、旋轉(zhuǎn)均優(yōu)于理療組,前屈活動度具有顯著性差異(p0.05),后伸、側(cè)屈、旋轉(zhuǎn)差異無統(tǒng)計學意義(p0.05)。結(jié)論:核心肌力訓練在改善胸腰椎壓縮性骨折患者的臨床癥狀,緩解疼痛,恢復腰椎活動度,改善日常生活能力,提高生活質(zhì)量方面具有一定的優(yōu)勢,簡單安全易行,療效確切,值得臨床推廣。
[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，
本文編號：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，
本文編號：2480156
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