CAJ | 학술논문

目的：明确承重运动疗法对脑卒中患者骨质疏松症的疗效。方法：选择2011年1月-2013年10月我院收治的脑卒中合并骨质疏松症患者174例，随机分为承重运动治疗组1（56例，承重运动40min/d）、承重运动治疗组2（58例，承重运动80min/d）与对照组（60例，常规治疗），干预8个月。治疗前、后用双能X线骨密度仪检查患者股骨颈骨密度值（BMD），视觉模拟评分法（VAS法）评估患者腰背痛症状。结果：每日行80min承重运动疗法的患者股骨颈BMD较治疗前明显提升，腰背痛症状明显改善；每日行40min承重运动及常规治疗不能提升股骨颈BMD并缓解腰背痛症状。结论：承重运动训练需达到一定时间才能对脑卒中患者的骨质疏松症产生治疗作用。
목적：명학승중운동요법대뇌졸중환자골질소송증적료효。방법：선택2011년1월-2013년10월아원수치적뇌졸중합병골질소송증환자174례，수궤분위승중운동치료조1（56례，승중운동40min/d）、승중운동치료조2（58례，승중운동80min/d）여대조조（60례，상규치료），간예8개월。치료전、후용쌍능X선골밀도의검사환자고골경골밀도치（BMD），시각모의평분법（VAS법）평고환자요배통증상。결과：매일행80min승중운동요법적환자고골경BMD교치료전명현제승，요배통증상명현개선；매일행40min승중운동급상규치료불능제승고골경BMD병완해요배통증상。결론：승중운동훈련수체도일정시간재능대뇌졸중환자적골질소송증산생치료작용。
Objective:To confirm the therapeutic effect of weight-bearing exercise on bone mineral density and low back pain in stroke patients with Osteoporosis .Methods:174 stroke patients with osteoporosis ,who were treated in Shanghai yangzhi rehabilitation hospital during January 2011 and October 2013 ,were randomly divided into control group (n=60 ,conventional therapy) ,weight-bearing exercise group 1(n=56 ,weight-bearing exercise of moderate in-tensity for 40 minutes daily)and weight-bearing exercise group 2(n=58 ,weight-bearing exercise of moderate intensity for 80 minutes daily) .All patients were treated with weight bearing exercise for 8 months .The BMD of all patients were measured by Dual energy X-ray absorptiometry and the assessment of low back pain was done by Visual Analog Scale (VAS) before and after treatment .Results:Both the BMD and symptom of patients treated with weight-bearing exercise for 80 minutes daily improved significantly .Neither the BMD nor the symptom of low back pain in both con-ventional therapy patients and 40 minutes weight-bearing exercise patients was improved .Conclusion:Weight bearing exercise had no obvious effect either on the increasing of bone mineral density in femoral neck or lightening the symp-tom of low back pain unless it continues for enough time .