关键词:

胸腰椎压缩性骨折, 核心稳定训练, 椎体结构, 椎体功能, 康复进程

Abstract:

Objective　To observe the application effect of core stabilization training in rehabilitation after surgery of elderly patients with thoracolumbar compression fractures. Methods　One hundred and eighteen patients with thoracolumbar compression fractures treated at Tongxu County Hospital of Traditional Chinese Medicine from January 2021 to October 2022 were selected for the randomized controlled trial, and were divided into a routine group and a rehabilitation group by the random number table method, with 59 cases in each group. There were 30 males and 29 females in the routine group; they were (65.22±5.36) years old. There were 32 males and 27 females in the rehabilitation group; they were (66.18±5.22) years old. The routine group did routine postoperative rehabilitation training; in addition, the rehabilitation group did core stabilization training. All the patients were followed up for 6 months. The injured vertebral structure, recovery of vertebral pain, improvement of vertebral function and body balance ability, and rehabilitation were compared between the two groups. t and χ² were applied. Results　After the intervention, the anterior edge height of the injured vertebrae in the rehabilitation group was higher than that in the routine group [(75.22±10.31)% vs. (70.23±10.46)%]; the posterior convex angle of the injured vertebrae and the Cobb angle in the rehabilitation group were lower than those in the routine group [(13.28±3.11)° vs. (15.62±3.25)° and (10.36±3.22)° vs. (12.41±3.25)°]; there were statistical differences (t=2.610, 3.996, and 3.442; all P<0.05). One, three, and six months of the follow up, the scores of Visual Analogue Scale and Oswestry Disability Index (ODI) in the rehabilitation group were lower than those in the routine group [(4.14±1.25) vs. (5.22±1.88), (3.06±0.77) vs. (4.24±1.06), and (2.45±0.31) vs. (3.07±0.45); (30.45±5.27) vs. (33.49±5.25), (25.66±5.14) vs. (28.42±5.31), and (21.44±5.27) vs. (24.33±5.46)], with statistical differences (t=3.675, 6.918, 8.715, 3.139, 2.869, and 2.925; all P<0.05). One, three, and six months of the follow up, the scores of Berg Balance Scale (BBS) in the rehabilitation group were higher than those in the routine group [(45.25±5.16) vs. (42.25±5.11), (50.27±5.35) vs. (47.62±5.32), (55.26±5.43) vs. (52.11±5.44)]; the hospitalization time and fracture healing time in the rehabilitation group were shorter than those in the routine group [(5.21±1.46)d vs. (7.35±2.47)d and (10.21±3.45) weeks vs. (12.27±3.28) weeks]; there were statistical differences (t=3.173, 2.698, 3.148, 5.729, and 3.324; all P<0.05). Conclusion　Core stabilization training for elderly patients with thoracolumbar compression fractures can effectively improve their vertebral structure and alleviate their vertebral pain, and is of great significance in promoting their recovery of vertebral function and balance ability and accelerating their rehabilitation process.

Key words:

Thoracolumbar compression fractures, Core stabilization training, Vertebral structure, Vertebral function, Rehabilitation process