改良定式易筋经锻炼对老年髋部骨折术后患者平衡功能的影响

Effects of modified fixed Yijinjing exercise on balance function of elderly patients after hip fracture surgery

目的 观察改良定式易筋经锻炼对老年髋部骨折术后患者平衡功能的影响。方法 选择2019年1月—2020年6月髋部骨折术后转入上海市第四康复医院住院康复治疗的患者66例,根据数字表法随机分为试验组和对照组,每组33例。对照组住院康复治疗4周后加居家康复4周,试验组患者住院康复4周后,加用4周改良定式易筋经锻炼。2组均在康复干预前后对患者进行起立-行走计时测试(TUGT)、改良Barthel指数(MBI)和Harris髋关节功能评分量表评价,采用平衡检测仪测试睁眼站立时重心动摇总轨迹长、 X轴和Y轴方向上的轨迹长。对2组上述结果进行比较和分析。结果 康复干预前,2组TGUT、动摇总轨迹长、 X轴轨迹长、 Y轴轨迹长、 Harris评分和MBI差异均无统计学意义(P>0.05)。康复干预后,试验组TGUT、动摇总轨迹长、 X轴轨迹长、 Y轴轨迹长显著少于对照组(P<0.05);试验组Harris评分和MBI均显著高于对照组(P<0.05)。结论 改良定式易筋经锻炼可改善髋部骨折术后老年患者的平衡能力、髋关节功能及日常生活能力,具有一定的临床应用价值。

Objective To observe the effects of modified fixed Yijinjing exercise on balance function of elderly patients after hip fracture surgery.Methods 66 patients who were transferred to Fourth Rehabilitation Hospital of Shanghai City for hospitalized rehabilitation treatment after hip fracture surgery from January 2019 to June 2020 were selected and randomly divided into experimental group and control group according to the number table method,with 33 cases in each group.The patients in the control group received 4 weeks of hospitalized rehabilitation treatment plus 4 weeks of home rehabilitation.After 4 weeks of hospitalized rehabilitation treatment,the patients in the experimental group added 4 weeks of modified fixed Yijinjing exercise.Before and after rehabilitation intervention,the patients in both groups were evaluated by TUGT,modified Barthel index(MBI) and Harris Hip Function Rating Scale.The balance detector was used to measure the total track length of the center of gravity away and the track lengths in the X-axis and Y-axis directions when the patient stood with eyes open.The above results of the two groups were compared and analyzed.Results Before rehabilitation intervention,there were no significant differences in TGUT,total track length,X-axis track length,Y-axis track length,Harris score and MBI between the two groups(P>0.05).After rehabilitation intervention,the TGUT,total track length,X-axis track length and Y-axis track length of the experimental group were significantly less than those of the control group(P<0.05);Harris score and MBI of the experimental group were significantly higher than those of the control group(P<0.05).Conclusion The application of modified fixed Yijinjing exercise can improve the balance ability,hip joint function and daily living ability of elderly patients after hip fracture surgery,which has certain clinical application value.