渐进抗阻训练配合过伸牵引弹性按压对OVCF术后患者康复效果的影响-《中国医学物理学杂志》

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Title:: Effects of progressive resistance training combined with hyperextension traction elastic pressure on rehabilitation in OVCF patients after PVP

文章编号:: 1005-202X（2024）05-0623-05

作者:: 朱诗苗1; 王功旭2; 1.湘南学院附属医院康复科，湖南郴州 423000； 2.湘南学院附属医院急诊科，湖南郴州 423000

Author(s):: ZHU Shimiao1; WANG Gongxu2; 1. Department of Rehabilitation, Affiliated Hospital of Xiangnan University, Chenzhou 423000, China 2. Department of Emergency, Affiliated Hospital of Xiangnan University, Chenzhou 423000, China

关键词:: 渐进抗阻训练; 过伸牵引弹性按压; 骨质疏松性椎体压缩性骨折; 椎体成形术; 疼痛指数; 康复效果

Keywords:: Keywords: progressive resistance training hyperextension traction elastic pressure osteoporotic vertebral compression fracture percutaneous vertebroplasty pain index rehabilitation outcome

分类号:: R318.01；R49

DOI:: DOI:10.3969/j.issn.1005-202X.2024.05.014

文献标志码:: A

摘要:: 目的：观察渐进抗阻训练（PRT）配合过伸牵引弹性按压用于骨质疏松性椎体压缩性骨折（OVCF）患者经皮椎体成形（PVP）术后对疼痛指数及康复效果的影响。方法：选取98例OVCF患者，随机分为观察组和对照组，每组49例。两组患者均于术前采用过伸牵引弹性按压后行PVP术，对照组术后行常规康复训练，观察组在此基础上行PRT，均持续训练3个月。观察两组患者术前、术后1周及术后3月影像学指标、腰椎疼痛指数、腰椎功能指标、骨代谢指标、日常生活能力变化情况。结果：术后3月，观察组伤椎前缘高度高于对照组（P<0.05），Cobb角低于对照组（P<0.05）；观察组视觉疼痛评分和Oswsetry功能障碍指数评分低于对照组（P<0.05），下腰痛日本骨科协会评估治疗评分高于对照组（P<0.05）；观察组血清骨钙素和骨特异性碱性磷酸酶水平低于对照组（P<0.05）；观察组日常生活活动能力评估量表评分高于对照组（P<0.05）。结论：OVCF患者PVP术前采用过伸牵引弹性按压，术后配合PRT，能降低患者术后腰椎疼痛指数，促进骨生长，进一步改善腰椎功能，提高日常生活能力。

Abstract:: Objective To observe the effects of progressive resistance training (PRT) combined with hyperextension traction elastic pressure on pain indexes and rehabilitation outcome in patients with osteoporotic vertebral compression fracture (OVCF) after percutaneous vertebroplasty (PVP). Methods A total of 98 OVCF patients were randomly divided into observation group and control group, with 49 cases in each group. All underwent PVP following preoperative hyperextension traction elastic pressure. After operation, control group was given routine rehabilitation training, while observation group was treated with PRT in addition to routine rehabilitation training. All were intervened for 3 months. The changes of imaging indexes, lumbar pain indexes, lumbar function indexes, bone metabolism indexes and activities of daily living before, at 1 week and 3 months after operation were observed. Results Three months after operation, the anterior vertebral height was higher (P<0.05) and Cobb Angle was lower (P<0.05) in observation group than in control group. Compared with control group, observation group had lower scores on visual analog scale and Oswsetry disability index, obtained higher Japanese Orthopaedic Association score for low back pain, scored higher on activities of daily living scale, and showed lower levels of serum osteocalcin and bone specific alkaline phosphatase (all P<0.05). Conclusion Hyperextension traction elastic pressure before PVP combined with PRT after surgery can better reduce postoperative lumbar pain index, and promote bone growth, further improving lumbar function and activities of daily living in OVCF patients.

《中国医学物理学杂志》[ISSN:1005-202X/CN:44-1351/R]

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