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康复机器人康复训练同步针刺运动疗法对髋部骨折术后康复的影响

[Effect of rehabilitation robot rehabilitation training synchronizing acupuncture exercise therapy on postoperative rehabilitation with hip fracture].

作者信息

Yan Wen, Cui Shu-Yi, Murong Jia-Ying, He Wan-Wen, Zhuang Xun

机构信息

Department of TCM, Foshan Fifth People's Hospital, Foshan 528211, Guangdong Province, China; Institute of Rehabilitation Medicine, Fifth Affiliated Hospital of Foshan University, Foshan 528211, Guangzhou Province.

Department of TCM, Foshan Fifth People's Hospital, Foshan 528211, Guangdong Province, China.

出版信息

Zhongguo Zhen Jiu. 2021 Apr 12;41(4):387-90. doi: 10.13703/j.0255-2930.20201020-k0004.

DOI:10.13703/j.0255-2930.20201020-k0004
PMID:33909358
Abstract

OBJECTIVE

To compare the therapeutic effect between rehabilitation robot rehabilitation training synchronizing acupuncture exercise therapy and simple acupuncture exercise therapy on lower limb function and life activity ability for postoperative patients with hip fracture.

METHODS

A total of 50 elderly postoperative patients with hip fracture were randomly divided into an observation group and a control group, 25 cases in each group. Both groups were treated with acupuncture at hip three points of the affected side and lateral line 1 of vertex, anterior oblique parietotemporal line of the healthy side, hip three needles were retained for 30 min. The scalp acupuncture needles were continue retained, the observation group was given acupuncture exercise therapy to synchronize lower limb rehabilitation robot rehabilitation training, and the control group was given acupuncture exercise therapy. The two groups were treated once a day, 7 times as a course of treatment, and totally 4 courses were required. The Harris score, Barthel index score and quadriceps femoris isokinetic muscle strength indexes [peak torque (PT), average power (AP), flexor peak torque/extensor peak torque (F/E)] were compared between the two groups before and after treatment.

RESULTS

After treatment, the Harris score, Barthel index score, PT and AP were higher than those before treatment (<0.05), and F/E was lower than that before treatment in the two groups (<0.05). After treatment, the Harris score, Barthel index score, PT and AP in the observation group were higher than those in the control group (<0.05), and the F/E in the observation group was lower than that in the control group (<0.05).

CONCLUSION

Rehabilitation robot rehabilitation training of lower limbs synchronizing acupuncture exercise therapy could enhance the hip joint activity function and quadriceps muscle group function of elderly postoperative patients with hip fracture, and effectively improve the lower limb function and life activity ability.

摘要

目的

比较康复机器人康复训练同步针刺运动疗法与单纯针刺运动疗法对髋部骨折术后患者下肢功能及生活活动能力的治疗效果。

方法

将50例老年髋部骨折术后患者随机分为观察组和对照组,每组25例。两组均针刺患侧髋部三点及健侧顶颞前斜线旁1线,髋三针留针30分钟。头皮针继续留针,观察组给予针刺运动疗法同步下肢康复机器人康复训练,对照组给予针刺运动疗法。两组均每日治疗1次,7次为1个疗程,共需治疗4个疗程。比较两组治疗前后Harris评分、Barthel指数评分及股四头肌等速肌力指标[峰值扭矩(PT)、平均功率(AP)、屈肌峰值扭矩/伸肌峰值扭矩(F/E)]。

结果

治疗后,两组Harris评分、Barthel指数评分、PT及AP均高于治疗前(<0.05),F/E低于治疗前(<0.05)。治疗后,观察组Harris评分、Barthel指数评分、PT及AP高于对照组(<0.05),观察组F/E低于对照组(<0.05)。

结论

下肢康复机器人康复训练同步针刺运动疗法可增强老年髋部骨折术后患者髋关节活动功能及股四头肌群功能,有效改善下肢功能及生活活动能力。

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