握力运动对Colles骨折患者桡骨骨量的影响  

Effect of gripping exercise on the radius bone mass of patients with Colles fracture

作　　者：张海峰[1] 王建波[2] 赵其林[1] 杨士平[3] 赵民建[4] 

机构地区：[1]河北师范大学体育学院,河北省石家庄市050016 [2]河北经贸大学体育教学部,河北省石家庄市050061 [3]河北省老年病医院骨科,河北省石家庄市050012 [4]河北省老年病医院放射科,河北省石家庄市050012

出　　处：《中国临床康复》2005年第8期136-137,共2页Chinese Journal of Clinical Rehabilitation

摘　　要：目的:通过握握力器运动方式与传统功能锻炼方式比较,探讨握力运动对Colles骨折患者桡骨骨密度下降的影响。方法:43例初发Colles骨折患者,骨折后均给予手法复位小夹板固定。随机分为对照组20例和运动组23例。运动组在固定后每天进行握握力器运动,3次/d,每次一两分钟。对照组只进行简单的腕部活动。固定4周后,拆除小夹板,固定6周后用HB-6012型二维单光子骨密度仪测定全部患者的桡骨骨宽、骨矿含量和骨密度。结果:运动组和对照组的桡骨骨宽值分别为(2.31±0.14)cm和(1.97±0.16)cm,两组比较差异有显著性意义(t=2.548,P<0.05);运动组和对照组的骨矿含量分别为(0.874±0.150)g/cm和(0.620±0.140)g/cm,两组比较差异有非常显著性意义(t=2.987,P<0.01);运动组和对照组的骨密度值分别为(0.382±0.070)g/cm2和(0.312±0.020)g/cm2,两组比较差异有非常显著性意义(t=3.243,P<0.01)。结论:Colles骨折小夹板固定后采用握力健身器运动可以预防桡骨骨密度的下降。AIM:To study the influence of gripping exercise on the radius bone density of patients with Colles fracture by comparison of gripping exercise with traditional functional training methods. METHODS:Totally 43 patients with primary Colles fracture were treated with manual diaplasis and small splint immobilization.All the patients were randomly divided into control group(n=20) and exercise group(n=23). From the second day after fixation,the patients in the exercise group took the grip exerciser 3 times a day,and 1 to 2 minutes for each time,while patients in the control group only did some simple wrist activity.The small splints were dismantled after 4 weeks.Six weeks after fixation, the bone width(BW) of radius, bone mineral content(BMC) and bone mineral density(BMD) of fractured radiuses were measured with the HB-6012 two-dimensional single photon bone density machine. RESULTS:There was significant difference in BW of radius between the exercise group[(2.31±0.14) cm] and control group[(1.97±0.16) cm] (t=2.548,P< 0.05).Very significant difference was found in BMC between the exercise group[(0.874±0.150) g/cm] and control group[(0.620±0.140) g/cm] (t=2.987, P< 0.01).BMD in the exercise group[(0.382±0.070) g/cm2] was very significantly different from that in the control group[(0.312±0.020) g/cm2] (t=3.243,P< 0.01). CONCLUSION:Gripping exercise can prevent the decrease of the radius bone density after Colles' fracture treated with small splint immobilization.

关 键 词：COLLES骨折 握力 骨密度 

分 类 号：R681.7[医药卫生—骨科学]