悬吊运动对腰段脊髓损伤患者平衡功能的疗效

Efficiency of suspension training for balance function in patients with lumbar spinal cord injury

目的:研究悬吊运动对腰段脊髓损伤患者平衡功能的疗效。方法 :将2014年6月—2015年9月在湖北省中西医结合医院康复医学科门诊和住院部接受康复治疗的35例腰段脊髓损伤术后患者随机分为悬吊运动组(17例)和常规康复治疗组(18例),其中悬吊运动组接受常规神经营养治疗、常规康复治疗和悬吊运动治疗,常规康复治疗组接受常规神经营养治疗和常规康复治疗,2组均治疗12周。采用计时起立行走测试(timed up and go test,TUG)和Berg平衡量表对2组患者接受康复治疗前以及康复治疗第4、8和12周的平衡功能进行评估,比较2组治疗前后以及2组之间平衡功能的变化。结果 :悬吊运动组与常规康复治疗组患者在康复治疗第8和12周的TUG评分均较治疗前显著降低(P<0.01),第4、8和12周的Berg平衡量表评分均较治疗前显著升高(P<0.01)。康复治疗第8和12周,悬吊运动组TUG评分较常规康复治疗组显著降低(P<0.05);康复治疗第12周,悬吊运动组Berg平衡量表评分较常规康复治疗组显著升高(P<0.01)。结论 :悬吊运动联合常规康复治疗可有效改善腰段脊髓损伤患者的平衡功能。

Objective:To evaluate the effects of suspension training on balance function in patients with lumbar spinal cord injury.Methods:T hirty-five eligible patients with lumbar spinal cord injury were enrolled from June 2014 to September 2015 and treated in Department of Rehabilitation Medicine of H ubei Provincial Hospital of Integrated Chinese and Western Medicine.All these patients had received surgical operation for lumbar spinal cord injury.The 35 patients were randomly d ivided into suspension training group(n=17,treated with routine neurotrophic therapy,group(n = 18,treated with routine neurotrophic therapy and routine rehabilitation for 12 weeks).The balance function of the two groups was assessed by time up and go test(TUG) a nd Berg balance scale before rehabilitation treatment and at the 4th,8th and 12th week of rehabilitation treatment.The changes of balance function between the two groups before a nd after rehabilitation treatment and between the two groups were compared.Results:The TUG scores of suspension training group and routine rehabilitation group were significantly lower at the 8th and 12th week of rehabilitation treatment than before rehabilitation(P<0.01),and the Berg balance scale scores at the 4th,8th and 12th week were significantly higher than before rehabilitation(P<0.01).At the 8th and 12th week of rehabilitation treatment,the TUG scores of the suspension training group were significantly l ower than those of the routine rehabilitation group(P<0.05);at the 12 th week of rehabilitation treatment,the Berg balance scale score of the suspension training group was s ignificantly higher than that of the routine rehabilitation group(P<0.01).Conclusion:Suspension training combined with routine rehabilitation has a significant e ffect on balance function of patients with lumbar spinal cordinjury.