平乐正骨“动静互补”平衡理论在桡骨远端骨折术后功能康复中的临床应用  

Clinical Application of Pingle Orthopedics “Staticand Dynamic Complementary” Balance Theory in Functional Rehabilitation of Distal Radial Fracture

作　　者：王敬威 高山[2] 郭艳幸 

机构地区：[1]河南中医药大学,河南郑州450008 [2]湖南中医药大学,湖南长沙410007 [3]河南省洛阳正骨医院(河南省骨科医院),河南洛阳471000

出　　处：《世界中西医结合杂志》2017年第10期1411-1414,共4页World Journal of Integrated Traditional and Western Medicine

基　　金：国家中医药管理局"全国中医学术流派传承工作建设项目"资助(国中医药人教涵[2012]228号);河南省中医药科学研究专项课题(2015ZY02069)

摘　　要：目的在平乐正骨"动静互补"平衡理论指导下建立形神统一的平衡康复锻炼方法,对比其与常规康复锻炼方法对桡骨远端骨折术后康复的临床疗效,探讨两种康复锻炼方法的选择。方法采用临床随机对照研究的方法,选择符合纳入标准的69例桡骨远端骨折患者,随机分为平衡组(35例)和常规组(34例),两组于术后同时期分别开始常规功能康复锻炼方法和平衡康复锻炼方法,两组均随访12周。于2、4、6、8、12周观察并记录腕关节患者自行评估量表评分(PRWE)、腕关节活动度及握力。结果两组PRWE评分随术后康复锻炼时间的延长,均呈降低趋势。于2、4、6、8周时,平衡组患者PRWE评分均低于常规组。随着康复锻炼时间的延长,两组腕关节掌屈、背伸、桡偏、尺偏及前臂旋前、旋后的活动度均呈上升趋势;各时间点,平衡组掌屈活动度均大于常规组(P<0.05)。术后4、6、8周平衡组腕关节背伸、旋后活动度大于常规组(P<0.05),但在各个随访节点,两组患者旋前、尺偏、桡偏活动度差异无统计学意义(P>0.05)。两组患者的握力随时间的推移呈上升趋势,随访6周和12周时,平衡组的握力大于常规组(P<0.05)。结论遵循平乐正骨"动静互补"平衡理论,坚持形体和心神相结合的动静平衡康复锻炼方法能加快桡骨远端骨折术后的康复,取得较好的康复疗效,值得进一步研究与推广运用。Objective To compared the clinical curative effect of functional rehabilitation of distal radial fracture between the balance of physical and mental rehabilitation exercises based on the guidance of the balance theory of Pingle Orthopedics and Osteoporosis and conventional rehabilitation training method.Method 69 cases with distal radius fractures were randomly divided into the balanced group（35 cases） and the conventional group（34 cases）. The patients in the two groups were treated with routine functional rehabilitation exercise methods and balanced rehabilitation exercises respectively,both groups were followed up for12 weeks. The wrist joint activity and grip strength,and self-rating scale（PRWE） were observed at 2,4,6,8,and 12 weeks after operation. The wrist joint. Result The PRWE scores of the two groups was decreased with the prolongation of the postoperative rehabilitation exercise time. At 2,4,6,and 8 weeks,the PRWE score of the balanced group was lower than that of the conventional group. With the extension of rehabilitation exercise time,the activity of palmarflexion,dorsiflexion,radialdeviation,ulnardeviation and forearmpronation and supination of the wrist were increased in two groups. At each time point,the flexion activity of the balance group was greater than conventional group（P〈0. 05）. The grip strength of the two groups increased with time,and the grip strength of the balanced group was greater than that of the conventional group at 6 and 12 weeks of follow-up（P〈0. 05）. Conclusion Based on Pingle orthopedics ＂ staticand dynamic complementary＂ balance theory,the method of the combination of physical and mental balance rehabilitation exercises can improve the recovery of distal radius fractures and achieve better rehabilitation effect,which is worthy of further study and application.

关 键 词：动静互补 桡骨远端骨折 术后康复 平衡理论 

分 类 号：R683[医药卫生—骨科学]