绳带疗法对不完全性胸腰段脊髓损伤患者步行功能的影响

Effect of rope therapy on walking function in patients with incomplete thoracolumbar spinal cord injury

目的:观察绳带疗法辅助康复训练对不完全性胸腰段脊髓损伤(SCI)患者步行能力恢复的临床效果的影响。方法:选取2018年9月至2020年8月在广西医科大学第二附属医院康复医学科住院的不完全性胸腰段SCI(ASIA分级C~D级)患者28例,按随机数字表法分为对照组和治疗组,每组14例。对照组在整个康复过程中只进行常规康复训练,治疗组在常规康复训练基础上采用绳带疗法治疗。采用ASIA下肢运动评分(LEMS)、Holden分级、Berg平衡量表(BBS)、10 m最大步行速度(10MWS)、6 min步行测试(6MWT)对结果进行疗效评估。结果:治疗8周后,两组患者的ASIA-LEMS评分、Holden分级、BBS评分、10MWS、6MWT均较治疗前有所改善(均P<0.05),且治疗组疗效显著优于对照组(均P<0.05)。结论:在常规康复训练的基础上再辅以绳带疗法干预,可以进一步提高不完全性胸腰段脊髓损(ASIA C~D级)患者的步行功能。

Objective:To observe the clinical effect of rope band therapy on walking ability recovery of incomplete thoracolumbar spinal cord injury patients.Methods:A total of 28 patients with incomplete thoracolumbar spinal cord injury(ASIA C-D)were selected and randomly divided intoa control group and atreatment group,with 14 patients in each group.The patients in the control group received routine rehabilitation training during the whole rehabilitation process,while those in the treatment group were treated as the control group with addition of rope and band acting on the injured limbs through a specific winding method.Asia lower limb motion score(LEMS),Berg balance scale(BBS),10-meter maximum walking speed(10MWS)and 6-minute walking test(6MWT)were used to evaluate the curative effect.Results:After 8 weeks of treatment,significant improvements in ASIA-LEMS,Holden walking function classification,BBSscore,10MWS and 6MWT were found in both groups,and the therapeutic effect of the treatment group was superior to the control group(P<0.05).Conclusion:The walking function of patients with AISA C-D could be further improved by rope therapy on the basis of conventional rehabilitation training.