六字诀联合吸气肌训练对颈髓损伤患者功能恢复的影响

Liuzijue Combined with Inspiratory Muscle Training on Functiona l Recovery in Cervical Spinal Cord Injury

目的探讨六字诀联合吸气肌训练对颈髓损伤患者功能恢复的影响。方法选取2022年1月至2023年7月于康复医学科就诊的42例颈髓损伤患者,将其按随机数字表法分为干预组和对照组,每组21例。2组均进行常规康复训练,对照组在常规康复训练基础上,增加吸气肌抗阻训练;干预组在对照组基础上,增加六字诀气功锻炼。2组均接受4周的康复干预,治疗前后对患者吸气肌功能[最大吸气压(MIP)、吸气峰流速(PIF)]、神经功能(脊髓损伤神经学分类国际标准第7版)和日常生活能力(MBI,改良Barthel指数量表)进行评估。结果治疗后,2组MIP、PIF、运动评分均优于治疗前(P<0.05);干预组轻触觉评分、针刺觉评分、MBI评分优于治疗前(P<0.05),而对照组则差异无统计学意义(P>0.05)。治疗后,干预组MIP、PIF、运动评分、MBI评分优于对照组(P<0.05);2组轻触觉评分及针刺觉评分比较差异无统计学意义(P>0.05)。结论在常规康复的基础上,与单独的吸气肌训练相比,六字诀联合吸气肌训练对改善颈髓损伤患者的吸气肌功能、运动功能和日常生活能力更为明显,也更有利于患者的整体康复。

Objective To explore the effect of Liuzijue combined with inspiratory muscle training on functional recovery in patients with cervical spinal cord injury.Methods 42 patients with cervical spinal cord injury who were treated in the Department of Rehabilitation Medicine of the First Affiliated Hospital of Nanchang University from January 2022 to July 2023 were randomly divided into the intervention group and the control group,with 21 cases in each group.The control group received routine rehabilitation therapy and inspiratory muscle training,while the intervention group were further given Liuzijue training.Both groups received 4-week rehabilitation interventions,and inspiratory muscle function[maximum inspiratory pressure(MIP)and peak inspiratory flow rate(PIF)],neurological function(international standard for neurological classification of spinal cord injury,7th edition),and daily living ability(modified barthel index scale,MBI)were assessed before and after the treatment.Results After treatment,the MIP,PIF and motor scores in the two groups were significantly increased compared with those before treatment(P<0.05);the scores of light-touch sensation,pinprick sensation,and MBI in the intervention group were better than those before treatment(P<0.05),whereas the difference in the control group was not statistically significant(P>0.05).After treatment,the MIP,PIF and motor scores,as well as MBI scores,were higher in the intervention group than those in the control group(P<0.05);there was no statistically significant difference in light-touch sensation score and pinprick sensation score between the 2 groups(P>0.05).Conclusion Compared with inspiratory muscle training alone,routine rehabilitation intervention further with Liuzijue can positively improve inspiratory muscle function,motor function and daily living ability for patients with cervical spinal cord injury,beneficial for their overall rehabilitation.