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家庭锻炼对腰椎管狭窄症患者临床症状及行走功能的改善作用 被引量:1

Improvement of home exercise on clinical symptoms and walking function of patients with lumbar spinal stenosis
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摘要 目的联合自汇报量表主观参数及步态分析客观参数来评估家庭锻炼对腰椎管狭窄症(LSS)患者的临床症状和行走功能的改善作用,为其居家保守治疗提供理论依据。方法纳入2020年2月至8月收治的50例LSS患者为研究对象,按照家庭锻炼计划给予患者为期4周的背伸肌锻炼、直腿抬高锻炼和行走功能锻炼。家庭锻炼前、后,使用4项自汇报量表[(Oswestry功能障碍指数(ODI);牛津跛行评分问卷(OCS)、脊柱狭窄量表(SSS)、视觉模拟评分法(VAS)]对临床症状改善作用进行主观评估;利用GAIT Rite步态分析装置对时空间步态参数及步态对称性进行客观评估。结果家庭锻炼后,LSS患者的ODI、OCS、SSS评分和静息、行走后的VAS评分均低于家庭锻炼前(P<0.05)。家庭锻炼后,LSS患者的6MWD显著增长(P<0.05)。在时空间步态参数方面,家庭锻炼后,LSS患者的步速显著增大(P<0.05)。在步态对称性方面,家庭锻炼后,LSS患者步态周期的站立相、双足支撑相的对称性显著增加(P<0.01)。结论通过家庭锻炼前后的临床症状及行走功能对比研究证实,家庭锻炼对LSS患者的主观临床症状和行走功能具有改善作用,科学的家庭锻炼是其居家保守治疗的合理策略。 Objective To evaluate the improvement of home exercise on clinical symptoms and walking function of patients with lumbar spinal stenosis(LSS)by subjective parameters of self-report scale combined with objective parameters of gait analysis,so as to provide theoretical basis for home conservative treatment of them.Methods A total of 50 patients with LSS admitted from February to August 2020 were included as the study objects.According to the home exercise program,the patients were given four weeks of back extensor exercise,straight leg lifting exercise and walking function exercise.Before and after home exercise,four self-report scales[(Oswestry dysfunction index(ODI);Oxford claudication scale(OCS),spinal stenosis scale(SSS),visual analogue scale(VAS)]were used to subjectively evaluate the improvement of clinical symptoms;GAIT Rite gait analysis device was used to objectively evaluate the spatiotemporal gait parameters and gait symmetry.Results After home exercise,the scores of ODI,OCS,SSS and VAS after resting and walking in patients with LSS were lower than those before home exercise(P<0.05).After home exercise,the 6MWD of LSS patients increased significantly(P<0.05).In terms of spatiotemporal gait parameters,the walking velocity of LSS patients increased significantly after home exercise(P<0.05).In terms of gait symmetry,the stance phase and double support phase of gait cycle in patients with LSS increased significantly after home exercise(P<0.01).Conclusion Through a comparative study of the clinical symptoms and walking function before and after home exercise,it is confirmed that home exercise can improve the clinical symptoms and walking function of LSS patients,and scientific home exercise is a reasonable strategy for home conservative treatment of them.
作者 景锲 李军 邹继伟 付军 祝勇刚 JING Qie;LI Jun;ZOU Jiwei;FU Jun;ZHU Yonggang(Orthopedics Trauma Department,General Global Xi'an Beihuan Hospital,Xi'an 710032;Orthopaedic Research Institute of PLA,the Xijing Hospital Affliated to Air Force Military Medical University,Xi'an 710032,China)
出处 《临床医学研究与实践》 2022年第11期24-27,共4页 Clinical Research and Practice
基金 陕西省社会发展科技攻关项目(No.2016SF-136)。
关键词 腰椎管狭窄症 家庭锻炼 行走功能 步态分析 自汇报量表 lumbar spinal stenosis home exercise walking function gait analysis self-report scale
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