悬吊运动对腰段脊髓损伤患者平衡功能的疗效

韩 冻,夏文广,郑婵娟,张阳普,华 强

神经病学与神经康复学杂志 ›› 2018, Vol. 14 ›› Issue (3) : 141-146.

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神经病学与神经康复学杂志 ›› 2018, Vol. 14 ›› Issue (3) : 141-146. DOI: 10.12022/jnnr.2018-0057
原创研究

悬吊运动对腰段脊髓损伤患者平衡功能的疗效

  • 韩 冻,夏文广,郑婵娟,张阳普,华 强
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Efficiency of suspension training for balance function in patients with lumbar spinal cord injury

  • HAN Dong, XIA Wenguang, ZHENG Chanjuan, ZHANG Yangpu, HUA Qiang
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摘要


目的:研究悬吊运动对腰段脊髓损伤患者平衡功能的疗效。

方法:将2014 年6 月—2015 年9 月在湖北省中西医结合医院康复医学科门诊和住院部接受康复治疗的35 例腰段脊髓损伤术后患者随机分为悬吊运动组(17 例)和常规康复治疗组(18 例),其中悬吊运动组接受常规神经营养治疗、常规康复治疗和悬吊运动治疗,常规康复治疗组接受常规神经营养治疗和常规康复治疗,2 组均治疗12 周。采用计时起立行走测试(timed up and go test,TUG)和Berg 平衡量表对2 组患者接受康复治疗前以及康复治疗第4、8 和12 周的平衡功能进行评估,比较2 组治疗前后以及2 组之间平衡功能的变化。

结果:悬吊运动组与常规康复治疗组患者在康复治疗第8 和12 周的TUG 评分均较治疗前显著降低(P < 0.01),第4、8 和12 周的Berg 平衡量表评分均较治疗前显著升高(P < 0.01)。康复治疗第8 和12 周,悬吊运动组TUG 评分较常规康复治疗组显著降低(P < 0.05);康复治疗第12 周,悬吊运动组Berg 平衡量表评分较常规康复治疗组显著升高(P < 0.01)。

结论:悬吊运动联合常规康复治疗可有效改善腰段脊髓损伤患者的平衡功能。

Abstract


Objective: To evaluate the effects of suspension training on balance function in patients with lumbar spinal cord injury.

Methods: Thirty-five eligible patients with lumbar spinal cord injury were enrolled from June 2014 to September 2015 and treated in Department of Rehabilitation Medicine of Hubei Provincial Hospital of Integrated Chinese and Western Medicine. All these patients had received surgical operation for lumbar spinal cord injury. The 35 patients were randomly divided into suspension training group (n = 17, treated with routine neurotrophic therapy, routine rehabilitation and suspension training for 12 weeks) and routine rehabilitation group (n = 18, treated with routine neurotrophic therapy and routine rehabilitation for 12 weeks). The balance function of the two groups was assessed by time up and go test (TUG) and Berg balance scale before rehabilitation treatment and at the 4th, 8th and 12th week of rehabilitation treatment. The changes of balance function between the two groups before and after rehabilitation treatment and between the two groups were compared.

Results: The TUG scores of suspension training group and routine rehabilitation group were significantly lower at the 8th and 12th week of rehabilitation treatment than before rehabilitation (P < 0.01), and the Berg balance scale scores at the 4th, 8th and 12th week were significantly higher than before rehabilitation (P < 0.01). At the 8th and 12th week of rehabilitation treatment, the TUG scores of the suspension training group were significantly lower than those of the routine rehabilitation group (P < 0.05); at the 12th week of rehabilitation treatment, the Berg balance scale score of the suspension training group was significantly higher than that of the routine rehabilitation group (P < 0.01).

Conclusion: Suspension training combined with routine rehabilitation has a significant effect on balance function of patients with lumbar spinal cord injury.

关键词

悬吊运动 / 脊髓损伤 / 平衡功能

Key words

Suspension training /  Lumbar spinal cord injury /  Balance function

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韩 冻,夏文广,郑婵娟,张阳普,华 强. 悬吊运动对腰段脊髓损伤患者平衡功能的疗效[J]. 神经病学与神经康复学杂志. 2018, 14(3): 141-146 https://doi.org/10.12022/jnnr.2018-0057
HAN Dong, XIA Wenguang, ZHENG Chanjuan, ZHANG Yangpu, HUA Qiang. Efficiency of suspension training for balance function in patients with lumbar spinal cord injury[J]. Journal of Neurology and Neurorehabilitation. 2018, 14(3): 141-146 https://doi.org/10.12022/jnnr.2018-0057

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