运用选择性功能动作评估指导纠正性训练对骨质疏松症疼痛患者的影响

Effect of Selective Function Motor Assessment on Guiding Corrective Training in Patients with Osteoporosis Pain

目的探讨采用选择性功能动作评估(SFMA)指导纠正性训练对骨质疏松症疼痛患者的炎性因子、疼痛程度、生活质量及平衡能力的影响。方法选取2019年1月至2019年9月在湘南学院附属康复医学科门诊和住院部就诊患者90例,按随机数字表法分为观察组(n=45)和对照组(n=45)。对照组采用常规抗骨质疏松药物+有氧健身操训练,观察组采用常规抗骨质疏松药物+SFMA指导纠正性训练法,疗程12周。对比治疗前后两组骨密度值(左股骨颈、右股骨颈、腰椎)、炎性因子[肿瘤坏死因子-α(TNF-α)、超敏C-反应蛋白(hs-CRP)]的表达水平、视觉模拟评分法(VAS)评分健康调查简表(SF-36)评分及平衡能力(双足支撑睁眼平衡、左、右足支撑睁眼平衡、双足支撑闭眼平衡、左、右足支撑闭眼平衡)体位测试评分。结果治疗后,两组与治疗前对比,骨密度值(左股骨颈、右股骨颈、腰椎)表达、SF-36评分及平衡能力6个体位评分均升高,hs-CRP、TNF-α表达水平及VAS评分下降,差异均有统计学意义(P<0.05)。治疗后,观察组骨密度值(左股骨颈、右股骨颈、腰椎)、双足支撑睁眼平衡、双足支撑闭眼平衡评分与对照组对比,差异均无统计学意义(P>0.05);而观察组hs-CRP、TNF-α表达水平及VAS评分低于对照组,SF-36评分、平衡能力中左/右足支撑睁眼平衡及左/右足支撑闭眼平衡评分高于对照组,差异均有统计学意义(P<0.05)。结论采取SMFA指导纠正性训练后能有效抑制骨质疏松症疼痛患者炎性因子分泌,改善疼痛程度,同时还可提高平衡能力,但未发现其具有增加骨质含量的能力。

Objective To investigate the effects of selective functional motor assessment(SFMA)guided corrective training on inflammatory factors,pain degree,quality of life and balance ability in patients with osteoporosis pain.Methods A total of 90 patients treated in the outpatient and inpatient departments of the Affiliated Rehabilitation Medicine Department of Xiangnan University from January 2019 to September 2019 were selected and divided into observation group(n=45)and control group(n=45)according to random number table.Conventional anti-osteoporosis drugs and aerobics training were used in the control group,and conventional anti-osteoporosis drugs and SFMA guided the corrective training method were used in the observation group.The treatment course was 12 weeks.Bone mineral density values(left femoral neck,right femoral neck,lumbar spine),inflammatory factor[tumor necrosis factor alpha(TNF-α),hypersensitive C-reactive protein(hs-CRP)]expression level,visual analog score(VAS),health survey profiles(SF-36)score and balance ability(double foot support and eye opening balance,left and right foot support and eye opening balance,foot support and eye closing balance,left,right foot support and eye closing balance)position test scores were compared of two groups before and after treatment.Results After treatment,compared with before treatment,the expression of bone mineral density(left femoral neck,right femoral neck and lumbar spine),SF-36 score and six individual scores of balance ability increased in 2 groups,while the expression levels of hs-CRP and TNF-αand VAS score decreased,with statistical significance(P<0.05).After treatment,there were no significant differences in bone mineral density(left femoral neck,right femoral neck and lumbar spine),double foot support and eye opening balance,foot support and eye closing balance between the observation group and the control group(P>0.05).The expression levels of hs-CRP and TNF-αand VAS score in the observation group were lower than those in the control group,and SF-36 score and balance score of left/right foot support eye opening balance and left/right foot support eye closing balance were higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion Corrective training guided by SMFA can effectively inhibit the secretion of inflammatory factors in patients with osteoporosis pain,improve the degree of pain,and improve the ability of balance,but it does not show the ability to increase the bone content.