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整体治疗方法改善术后椎体压缩性骨折(VCF)患者的功能活动能力:病例报告

Holistic Therapeutic Approaches Improve Functional Mobility in Patients With Postoperative Vertebral Compression Fracture (VCF): A Case Report.

作者信息

Pakhan Arjavi A, Boob Manali A, Somaiya Kamya J, Phansopkar Pratik

机构信息

Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education & Research (DU), Wardha, IND.

Musculoskeletal Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education & Research (DU), Wardha, IND.

出版信息

Cureus. 2023 Aug 24;15(8):e44032. doi: 10.7759/cureus.44032. eCollection 2023 Aug.

Abstract

For an unusual spinal injury that frequently results in a traumatic fracture of the lumbar spine, surgical procedures, including spinal fixation and osteotomies, are commonly needed for the therapy of complicated spinal pathologies to regain stability and relieve pain. A 55-year-old man complained of lower back pain while lifting heavy objects at work. He was taken to Acharya Vinoba Bhave Rural Hospital (AVBRH), where a radiological examination revealed a fracture of the L3 vertebra. He underwent surgery for the fracture, which included an L2-L4 spinal fixation operation and an L3-level osteotomy. The patient was sent to the physiotherapy department for postoperative recovery after the surgery. The rehabilitation program was designed according to the patient's condition. The goals were maximizing functional recovery, better pain management, and improving the participant's health and quality of life. The novel rehabilitation strategy strongly emphasized a multifunctional, patient-centric approach and evidence-based methodologies. The goals of the therapy were to regain full range of motion, gradually increase axial loading, and keep the supporting muscles strong.

摘要

对于一种常导致腰椎创伤性骨折的特殊脊柱损伤,治疗复杂的脊柱病变以恢复稳定性和缓解疼痛通常需要包括脊柱固定和截骨术在内的外科手术。一名55岁男性在工作中搬运重物时抱怨下背部疼痛。他被送往阿查里亚·维诺巴·巴韦农村医院(AVBRH),在那里的放射学检查显示L3椎体骨折。他接受了骨折手术,包括L2-L4脊柱固定手术和L3节段截骨术。术后患者被送往理疗科进行康复。康复计划根据患者情况制定。目标是使功能恢复最大化、更好地控制疼痛以及改善参与者的健康和生活质量。这种新颖的康复策略强烈强调多功能、以患者为中心的方法和循证方法。治疗的目标是恢复全关节活动范围、逐渐增加轴向负荷并保持支撑肌肉强壮。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b352/10517586/58c34436a7eb/cureus-0015-00000044032-i01.jpg

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