| 耿笑微,孙垂国.腰椎固定融合术后患者居家康复运动与术后症状改善的相关性研究[J].中国康复医学杂志,2014,29(1):42~46 |
| 腰椎固定融合术后患者居家康复运动与术后症状改善的相关性研究 点此下载全文 |
| 耿笑微 孙垂国 |
| 北京大学护理学院护理学基础教研室，北京，100191 |
| 基金项目：北京大学医学部校级资助项目（BMU20090500） |
| DOI： |
| 摘要点击次数: 1657 |
| 全文下载次数: 2059 |
| 摘要： |
| 摘要
目的：了解初次行腰椎固定融合手术患者术后1年内的居家康复行为与术后症状改善的相关性。
方法：采用前瞻性纵向研究方法，对首次行腰椎固定融合手术患者进行1年的随访，收集居家康复运动以及术后症状等资料。根据患者术后1年内居家康复运动的具体情况，将研究对象分为三组：A组（39例）：患者在6个月时已停止所有康复运动并未进行任何规律的全身运动；B组（99例）：患者在6个月后以单一运动为主，即或进行腰背肌训练或进行规律全身运动；C组（31例）：患者在6个月后继续进行腰背肌训练并结合规律全身运动。三组患者基线资料除病程外，其他无显著性差异（P＞0.05）。
结果：术后1年时，三组患者的腰椎JOA改善率、ODI改善率、腰痛VAS改善率、腿痛VAS改善率无显著性差异（P=0.441；P=0.299；P=0.329；P=0.176），在“腰部酸胀无力”、“腰椎支撑力量下降”、“脊柱周围肌肉疼痛”三个腰椎不稳定前期症状的发生频率上，B组及C组患者均少于A组患者，差异有显著性意义（P=0.017；P=0.026；P=0.025）。
结论：术后1年内不同居家康复运动的实施对于术后1年功能障碍的改善无明显差异；术后6个月后坚持规律运动对于远期腰椎不稳定的预防有重要意义。 |
| 关键词：腰椎固定术融合 康复行为 康复训练 腰背肌训练 腰椎不稳 |
| Investigation of the correlation between home-based rehabilitation exercises and outcomes of patients undergone first lumbar fusion surgery: a cohort one-year study Download Fulltext |
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| Peking University, School of Nursing, Beijing, 100191 |
| Fund Project: |
| Abstract: |
| Abstract
Objective: To investigate the correlation between home-based rehabilitation exercises and outcomes of patients undergone first lumbar fusion surgery within one-year post-surgery.
Method: A prospective cohort study was proceeded. All the patients who met the inclusion criteria had been followed-up for one-year after surgery, in which the data of “home-based exercise” and “outcome indicators” were collected. The patients were categorized into three exercise groups according to their home-based rehabilitation behaviors. Group A (39 cases): referred to patients who stopped all regular exercises after six month post-surgery. Group B (99 cases): referred to patients who only undertook one exercise, regular back-muscle-strengthening exercise or general full-body movement. Group C (31 cases): referred to patients who undertook both exercises. The baseline data of the three groups was met except for duration.
Result: One year after surgery in the three groups, no statistics significance was observed at self-change of Japanese orthopedic association(JOA), Oswestry disabitity index(ODI), visual analogue scale(VAS) (low back) and VAS (leg) (P=0.441; P=0.299; P=0.329; P=0.176), whilst at the frequency of three symptoms indicating lumbar instability, that was significantly less in group B and group C than in group A (P=0.017; P=0.026; P=0.025).
Conclusion: One year after surgery, different home-based exercises may not significantly different in improving the outcomes of pain relieve and disability situation. However, six month after surgery sticking to a regular home-based or community-based exercise may effectively prevent the lumbar instability from happening. |
| Keywords:lumbar fusion surgery rehabilitation behavior rehabilitation exercise back-muscle exercise lumbar instability |
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