直腿抬高训练联合早期腰背肌核心肌力训练对椎体成形术后患者的影响

摘要/Abstract

摘要： 目的探讨椎体成形术后患者采用直腿抬高训练联合早期腰背肌核心肌力训练的应用效果。方法选取2023年1月—2023年12月山东省济南市第三人民医院收治的共计116例椎体成形术患者,以随机数表法分成研究组（n=58）与对照组（n=58）,对照组给予常规康复训练,研究组给予直腿抬高训练联合早期腰背肌核心肌力训练,对两组脊柱功能、疼痛程度、平衡及运动能力、日常生活能力进行比较。结果干预前,两组Oswestry功能障碍指数问卷表（Oswestry Disability Index,ODI）、日本骨科协会评估治疗分数（Japanese Orthopaedic Association,JOA）评分比较,差异无统计学意义（P>0.05）;干预后,研究组ODI评分低于对照组,JOA评分高于对照组,差异有统计学意义（P<0.05）。干预前,两组视觉模拟评分法（Visual Analogue Scale,VAS）评分比较,差异无统计学意义（P>0.05）;干预后,研究组VAS评分低于对照组,差异有统计学意义（P<0.05）。干预前,两组Berg平衡量表（Berg Balance Scale,BBS）、Fugl-Meyer量表下肢部分（The Lower Section of Fugl-Meyer Assessment,FMA-LE）评分比较,差异无统计学意义（P>0.05）;干预后,研究组BBS、FMA均高于对照组,差异有统计学意义（P<0.05）。干预前,两组Barthel指数（Barthel Index,BI）比较,差异无统计学意义（P>0.05）;干预后,研究组BI评分高于对照组,差异有统计学意义（P<0.05）。结论直腿抬高训练联合早期腰背肌核心肌力训练应用于椎体成形术后患者中,能够改善脊柱功能,降低疼痛程度,提高平衡及运动能力,改善日常生活能力。

关键词: 直腿抬高训练, 早期腰背肌核心肌力训练, 椎体成形术

Abstract: Objective To explore the application effect of straight leg elevation training and early lumbar and dorsal core muscle strength training in patients undergoing vertebroplasty. Methods A total of 116 patients who were underwent vertebroplasty at the Third People's Hospital of Jinan City, Shandong Province from January 2023 to December 2023 were selected, and randomly divided into the study group (n=58) and the control group (n=58). The control group was received routine rehabilitation training, while the study group was received straight leg elevation training and early lumbar and dorsal muscle nucleus myocardial strength training. The spinal function, pain level, balance and exercise ability, and daily living ability in both groups were compared. Results Before intervention, in the Oswestry Disability Index (ODI) and Japanese Orthopaedic Association (JOA) scores in both groups, there was no statistically significant difference (P>0.05). After intervention, in comparison of the control group, the ODI scores of the study group were lower, and JOA scores were higher, with statistically significant differences (P<0.05). Before intervention, there was no statistically significant difference in the visual analog scale (VAS) scores in both groups (P>0.05). After intervention, in comparison of the control group, the VAS score of the study group was lower, and the difference between the groups was statistically significant (P<0.05). Before intervention, there was no statistically significant difference in the scores of the Berg balance scale (BBS) and the lower section of the Fugl Meyer assessment (FMA-LE) in both groups (P>0.05). After intervention, in comparison of the control group, the BBS and FMA scores of the study group were higher, with statistically significant differences (P<0.05). Before intervention, there was no statistically significant difference in the Barthel index (BI) in both groups (P>0.05). After intervention, in comparison of the control group, the study group was higher, and the difference was statistically significant (P<0.05). Conclusion The combination of straight leg elevation training and early lumbar and dorsal core muscle strength training can improve spinal function, reduce pain, enhance balance and mobility, and improve daily living abilities in patients undergoing vertebroplasty.

Key words: straight leg lifting training, early core muscle strength training for the lower back muscles, vertebroplasty

中图分类号:

R473.6

王芳. 直腿抬高训练联合早期腰背肌核心肌力训练对椎体成形术后患者的影响[J]. 中华养生保健, 2025, 43(2): 12-15.

WANG Fang. Effects of Straight Leg Elevation Training and Early Lumbar and Dorsal Core Muscle Strength Training on Patients Undergoing Vertebroplasty[J]. ZHONGHUA YANGSHENG BAOJIAN, 2025, 43(2): 12-15.

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