Department of Rehabilitation Teaching and Research, Medical College of Zhengzhou University of Industrial Technology, Xinzheng, Henan 451100, China.
Department of Rehabilitation Medicine, South Branch of the First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan 450000, China.
Comput Math Methods Med. 2022 Oct 17;2022:4480349. doi: 10.1155/2022/4480349. eCollection 2022.
OBJECTIVE: Thoracolumbar vertebral compression fractures (TVCF) are caused by anterior flexion or vertical downward violence to the spine (Sezer et al. 2021). This study is aimed at investigating the effect of core stability training (CST) on unstable support surfaces in the postoperative rehabilitation of TVCF in the elderly. Ninety-eight patients with TVCF who underwent surgical treatment in our hospital from July 2021 to April 2022 were selected as study subjects. Then, they were divided into a research group receiving unstable support surface CST and a control group with conventional rehabilitation training according to the random number table method. Before and after the training, the X-ray machine was positioned and the anterior margin and middle height ratio and the posterior convex Cobb angle of the injured vertebrae were observed, and the balance detector was used to detect patients' eye opening and closing trajectory length, Romberg rate, and to perform gait test. Patients' pain, lumbar spine function, and quality of life were subsequently assessed using the Visual Analogue Scale (VAS), Oswestry Dysfunction Index (ODI), Generic Quality of Life Inventory-74 (GQOL-74), and patient satisfaction with rehabilitation was investigated. After rehabilitation training, there was no statistically marked difference in eye-opening trajectory length between both groups ( > 0.05). The research group had higher scores than the control group in all dimensions of the anterior border of the injured vertebra, middle height ratio, and GQOL-74, while the posterior convex Cobb angle, closed-eye trajectory length, Romberg rate, VAS, and ODI were lower than the control group ( < 0.05). The research group also revealed better gait improvement and higher rehabilitation satisfaction than the control group after training ( < 0.05). CONCLUSION: Unstable support surface CST can effectively improve postoperative vertebral body rehabilitation, balance function, gait, pain conditions, and lumbar spine function in elderly TVCF patients, and enhance their quality of life and rehabilitation satisfaction. This trial is registered with ChiCTR2000014547.
目的：胸腰椎压缩性骨折（thoracolumbar vertebral compression fractures，TVCF）是由脊柱前屈或垂直向下暴力引起的（Sezer 等人，2021 年）。本研究旨在探讨核心稳定性训练（core stability training，CST）对不稳定支撑面在老年 TVCF 术后康复中的影响。选择 2021 年 7 月至 2022 年 4 月在我院接受手术治疗的 98 例 TVCF 患者为研究对象。然后，根据随机数字表法将其分为研究组（接受不稳定支撑面 CST）和对照组（常规康复训练）。训练前后，使用 X 光机定位，观察伤椎前缘及中部高度比、后凸 Cobb 角，使用平衡检测仪检测患者睁眼、闭眼轨迹长度、Romberg 率，并进行步态测试。随后采用视觉模拟评分法（visual analogue scale，VAS）、Oswestry 功能障碍指数（Oswestry Disability Index，ODI）、通用生活质量量表 74 项（generic quality of life inventory-74，GQOL-74）评估患者疼痛、腰椎功能和生活质量，并调查患者对康复的满意度。康复训练后，两组睁眼轨迹长度无统计学差异（>0.05）。研究组伤椎前缘各维度、中部高度比、GQOL-74 评分均高于对照组，后凸 Cobb 角、闭眼轨迹长度、Romberg 率、VAS、ODI 评分均低于对照组（<0.05）。研究组在步态改善和康复满意度方面也优于对照组（<0.05）。
结论：不稳定支撑面 CST 可有效改善老年 TVCF 患者术后椎体康复、平衡功能、步态、疼痛状况和腰椎功能，提高生活质量和康复满意度。本试验已在中国临床试验注册中心注册，注册号 ChiCTR2000014547。
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2013-2
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2023-10-15
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2021-4-15
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2013-11
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2012-8
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2014-2
Medicine (Baltimore). 2025-1-10
J Am Acad Orthop Surg. 2021-9-1
Zotero 插件
