摘要
目的探讨躯干功能训练改善老年单侧全髋关节置换术(THR)后下肢肌力与平衡的疗效。方法选取35例THR术后的患者,按照随机数字表法纳入对照组(n=18)和观察组(n=17)。对照组进行常规THR康复,观察组在常规THR康复基础上,结合躯干功能训练。干预前和干预3周后,进行肌力、平衡、髋关节功能评定。结果与治疗前相比,治疗3周后2组BBS、Harris评分、髋膝PT/BW及平衡功能均上升,有统计学差异(P<0.05)。与对照组相比,3周后观察组BBS、Harris评分(步态、关节活动度)及患侧髋屈曲、外展肌群和健侧髋屈曲、内收、外展肌群PT/BW均增加,重心移动速度(EOFI、ECF/及综合评分)下降,差异均有统计学意义(P<0.05)。结论躯干功能训练能够促进老年单侧THR后下肢肌力和平衡功能。
Objective To investigate the effect of trunk function training on lower extremities muscle strength and postural balance of the elderly patients after unilateral total hip replacement（THR）.Methods 35 patients after THR were selected and randomly divided into 2 groups：control grouo（n = 18） and observation group（n = 17）;routine rehabilitation after THR was performed on patients in both groups while trunk function training was added to patients in observation group;evaluations of muscle strength,postural balance and hip joint function were made before training and 3 weeks after training.Results3 weeks after training,PT/BW of hip and knee muscle,Harris scores,BBS and postural balance of the patients in both groups were significantly different from those before training with obvious improvement（P〈0.05）;3 weeks after training,the increase of BBS,Harris score（gait,joint activity）,PT/BW of hip flexor and abductor of the affected side and PT/BW of hip flexor,abductor and adductor of the unaffected side was bigger in obserevation group than in control group with a statistical difference（P〈0.05）;the sway velocity of postural gravity center（ECFI,EOFI and the comprehensive scores） decreased more in observation group than in control group,the difference was of statistical significance（P0.05）.Conclusions Truck function training can promote the low extremities muscle strength and postural balance of the elderly patients after unilateral THR.
作者
徐国会
段林茹
沈利岩
陈秀恩
李勇
郑洁皎
Xu Guohui Duan Linru Shen Liyan Chen Xiuen Li Yong Zheng Jiejiao(Department of Rehabilitation Medicine, Huadong Hospital Affiliated to Fudan University, Shanghai, 200040, P. R. Chin)
出处
《老年医学与保健》
CAS
2017年第3期149-151,共3页
Geriatrics & Health Care
基金
上海市卫生计生系统重要薄弱学科建设康复医学项目(2015ZB0402)
上海市市级医院新兴前沿技术联合攻关项目(SHDCI2014126)
关键词
躯干功能训练
全髋关节置换术
肌力
平衡功能
trunk function training
total hip replacement（THR）
muscle strength
balance
