CAJ | 학술논문

背景:脊柱压缩性骨折后稳定性的重建多采用手术方法,但对于一些保守治疗患者,如何重建其脊柱稳定性?目的:探讨脊柱稳定性训练是否可有效改善椎体骨质疏松性骨折患者的疼痛和运动功能.方法:选择骨质疏松压缩性骨折患者,分成两组,实验组患者接受常规治疗和个体化的脊柱稳定性训练,对照组仅接受常规治疗.对所有受试者治疗前后进行数字疼痛量表,3 m步行计时和Oswestry功能障碍指数评价,对两组评价结果进行统计分析. 结果与结论:共纳入27例患者,实验组16例,对照组11例.统计显示两组基线无显著性意义.经过4周的治疗,实验组3m步行计时和Oswestry功能障碍指数明显低于对照组(P < 0.05).但两组数字疼痛量表评估和变化程度差异无显著性意义(P > 0.05).说明经过治疗后,两组患者症状和功能均有改善,但个性化脊柱稳定性的训练配合传统治疗可更有效改善骨质疏松骨折患者运动功能,并减少骨质疏松症患者腰椎骨折的疼痛.
배경:척주압축성골절후은정성적중건다채용수술방법,단대우일사보수치료환자,여하중건기척주은정성?목적:탐토척주은정성훈련시부가유효개선추체골질소송성골절환자적동통화운동공능.방법:선택골질소송압축성골절환자,분성량조,실험조환자접수상규치료화개체화적척주은정성훈련,대조조부접수상규치료.대소유수시자치료전후진행수자동통량표,3 m보행계시화Oswestry공능장애지수평개,대량조평개결과진행통계분석. 결과여결론:공납입27례환자,실험조16례,대조조11례.통계현시량조기선무현저성의의.경과4주적치료,실험조3m보행계시화Oswestry공능장애지수명현저우대조조(P < 0.05).단량조수자동통량표평고화변화정도차이무현저성의의(P > 0.05).설명경과치료후,량조환자증상화공능균유개선,단개성화척주은정성적훈련배합전통치료가경유효개선골질소송골절환자운동공능,병감소골질소송증환자요추골절적동통.
BACKGROUND: Surgery is a main method to reconstruct the stability of spine after compression fracture. But the reconstruction of spinal stability for patients undergoing conventional therapy remains unclear.OBJECTIVE: To explore whether spinal stability training is effective on improving pain and motor function of patients with vertebral osteoporotic fractures.METHODS: Patients with vertebral osteoporotic fractures were divided into two groups. The study group was treated with conventional treatments and individualized spinal stabilization training, while the control group received conventional treatments alone. All the subjects were evaluated before and after treatment by numeric pain rating scale (NPRS), 3-meter timed up and go (TUG) and Oswestry functional limitation index (OFLI). The results were compared between the two groups.RESULTS AND CONCLUSION: A total of 27 patients were included, including 16 patients in the study group and 11 in the control group. After 4-week treatment, TUG and OFLI in the study group decreased significantly compared with the control group (P < 0.05). But there was no statistical significance between the two groups in the level of NPRS and the amount of changes (P > 0.05). Symptoms and function of both groups were improved after treatments. Individualized spinal stability training is effective to restore the motor function and may be helpful for reducing pain for patients with vertebral osteoporotic fractures combined with conventional treatments.