不稳定支撑面核心稳定锻炼在老年胸腰椎压缩骨折术后康复中的应用  

Application of Unstable Surface Core Stability Exercises in the Rehabilitation of Elderly Patients After Surgery for Thoracolumbar Compression Fractures

作　　者：姬鑫玉 洪兴龙 李嘉琪 李宁 JI Xinyu;HONG Xinglong;LI Jiaqi;LI Ning(Department of Rehabilitation Medicine,Henan Provincial Hospital of Traditional Chinese and Western Medicine,Zhengzhou Henan 450000,China)

机构地区：[1]河南省中西医结合医院康复医学科,河南郑州450000

出　　处：《临床研究》2025年第5期57-61,共5页Clinical Research

基　　金：2023年度河南省中医药科学研究专项课题(2023ZY2142)。

摘　　要：目的探究不稳定支撑面核心稳定锻炼在老年胸腰椎压缩骨折术后康复中的应用价值。方法选取2021年1月至2023年1月于河南省中西医结合医院接受治疗的80例胸腰椎压缩骨折老年患者为研究对象,采用随机数表法电脑随机对患者进行分组,分为观察组和对照组,每组各40例。对照组患者在术后给予常规康复干预,观察组患者在对照组基础上术后加用不稳定支撑面核心稳定锻炼干预。比较两组患者相关功能评分、各项平衡能力相关指标、生活质量及并发症发生情况。结果干预后,两组患者VAS疼痛评分均降低,JOA评分和BI评分均升高,且观察组VAS疼痛评分低于对照组,JOA评分和BI评分高于对照组,差异有统计学意义(P<0.05)。干预后,观察组患者闭眼轨迹长、Romberg率、睁眼X轴重心中心偏差、闭眼X轴重心中心偏差、睁眼Y轴重心中心偏差、闭眼Y轴重心中心偏差均较干预前降低,跨步长、步频、舒适步速均较干预前升高,差异有统计学意义(P<0.05);干预后,对照组患者睁眼X轴重心中心偏差、睁眼Y轴重心中心偏差均较干预前降低,Romberg率、闭眼X轴重心中心偏差、闭眼Y轴重心中心偏差、跨步长、步频、舒适步速均较干预前升高,差异有统计学意义(P<0.05);干预后,观察组患者闭眼轨迹长、Romberg率、睁眼X轴重心中心偏差、闭眼X轴重心中心偏差、睁眼Y轴重心中心偏差、闭眼Y轴重心中心偏差均低于对照组,跨步长、步频、舒适步速均高于对照组,差异有统计学意义(P<0.05)。干预后,观察组患者QOL各项评分均高于对照组,差异有统计学意义(P<0.05)。观察组患者并发症发生率(15.00%)低于对照组(55.00%),差异有统计学意义(P<0.05)。结论不稳定支撑面核心稳定锻炼用于老年胸腰椎压缩骨折术后康复可促进腰椎功能的恢复、提升脊柱稳定性和平衡能力、降低疼痛程度、提升生活质量并减少并发�Objective To explore the application value of unstable surface core stability exercises in the rehabilitation of elderly patients after surgery for thoracolumbar compression fractures.Methods Eighty elderly patients with thoracolumbar compression fractures treated at Henan Provincial Hospital of Traditional Chinese and Western Medicine from January 2021 to January 2023 were selected as subjects.Patients were randomly assigned to an observation group and a control group using a random number table,with 40 cases in each group.The control group received conventional rehabilitation interventions after surgery,while the observation group received unstable surface core stability exercise interventions in addition to the conventional treatment.Functional scores,balance ability indicators,quality of life,and the incidence of complications were compared between the two groups.Results After intervention,the VAS pain scores of both groups decreased,while the JOA scores and BI scores increased.The VAS pain score in the observation group was lower than that in the control group,and the JOA scores and BI scores were higher than those in the control group,with statistically significant differences(P<0.05).After intervention,the observation group showed reduced eye-closure trajectory length,Romberg rate,eye-opening X-axis center of gravity deviation,eye-closing X-axis center of gravity deviation,eye-opening Y-axis center of gravity deviation,and eye-closing Y-axis center of gravity deviation compared to before intervention.The stride length,step frequency,and comfortable walking speed all increased compared to before intervention,with statistically significant differences(P<0.05).After intervention,the control group showed reduced eye-opening X-axis center of gravity deviation and eye-opening Y-axis center of gravity deviation compared to before intervention,while the Romberg rate,eye-closing X-axis center of gravity deviation,eye-closing Y-axis center of gravity deviation,stride length,step frequency,and comfortable walking spe

关 键 词：不稳定支撑面核心稳定锻炼 胸腰椎压缩骨折 老年 术后康复 

分 类 号：R274.1[医药卫生—中医骨伤科学]