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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,3m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。
Abstract BACKGROUND: How to reconstruct the stability of the spine after spinal compression fracture is surgically? Objective: To investigate whether spinal stability training can effectively improve the stability of vertebral osteoporosis fracture patients Pain and motor function. Methods: Patients with osteoporotic compression fracture were selected and divided into two groups. The experimental group received routine treatment and individualized spinal stability training. The control group received routine treatment only. Digital pain scale, 3m walking time and Oswestry disability index were evaluated in all subjects before and after treatment, and the results of two groups were statistically analyzed. RESULTS AND CONCLUSION: A total of 27 patients were included, 16 in the experimental group and 11 in the control group. Statistics show no significant difference between the two groups of baseline. After 4 weeks of treatment, the experimental group 3m walking time and Oswestry dysfunction index was significantly lower than the control group (P <0.05). However, there was no significant difference between the two groups in the assessment and change of digital pain scale (P> 0.05). After treatment, the symptoms and functions of both groups improved. However, the training of personalized spinal stability combined with traditional treatment can effectively improve the motor function of patients with osteoporosis fracture and reduce the pain of lumbar fractures in patients with osteoporosis.