摘要
目的探讨核心肌群强化训练结合平衡功能锻炼在髋关节置换术后患者中的应用效果.方法选取2021年1月—2022年5月我院收治的92例髋关节置换术后患者为研究对象,按随机数字表法分为两组,各46例.对照组采取常规康复锻炼,观察组在对照组基础上加用核心肌群强化训练结合平衡功能锻炼,持续至术后3个月.对比两组髋关节功能、移动能力、平衡能力、下肢运动能力及生活质量.结果术后3个月,观察组Harris髋关节功能评分量表中的疼痛(31.22±2.40)分、关节活动度(2.43±0.18)分、关节功能(38.38±1.55)分、关节畸形(2.66±0.14)分,Berg平衡量表(47.30±2.86)分,Fugl-Meyer肢体运动功能评定量表(26.33±1.05)分,生活质量综合评定问卷中的心理(87.16±6.75)分、躯体(85.53±6.62)分、社会功能(82.43±5.26)分、物质生活状态(85.90±6.27)分,均高于对照组的(28.19±2.73)分、(2.12±0.20)分、(35.71±1.32)分、(2.15±0.20)分、(42.13±3.52)分、(24.38±1.87)分、(79.52±7.43)分、(76.21±6.43)分、(76.01±6.09)分、(76.33±7.58)分,"起立-走"计时实验时长(10.22±2.58)s,短于对照组的(14.93±2.60)s,组间差异有统计学意义(P<0.05).结论核心肌群强化训练结合平衡功能锻炼能提高髋关节置换术后患者移动能力、平衡能力及下肢运动功能,加快髋关节功能康复,提高患者生活质量.
Objective To explore the application effect of core muscle group strengthening training combined with balance function exercise in patients with hip joint replacement.Methods 92 patients with hip joint replacement admitted to the hospital from January 2021 to May 2022 were selected as the research objects,and divided into two groups according to random number table method,with 46 cases in each group.The control group received routine rehabilitation exercise,and the observation group received core muscle group strengthening training combined with balance function exercise on the basis of the control group,which lasted until 3 months after surgery.Hip function,mobility,balance,lower limb mobility and quality of life were compared between the two groups.Results Three months after surgery,the scores of pain(31.22±2.40)points,range of motion(2.43±0.18)points,joint function(38.38±1.55)points,and joint deformity(2.66±0.14)points on the Harris Hip Scale,Berg Balance Scale(47.30±2.86)points,Fugl-Meyer assessment(26.33±1.05)points,and psychological(87.16±6.75)points,physical(85.53±6.62)points,social(82.43±5.26)points,and material life status(85.90±6.27)points on the comprehensive quality of Life assessment questionnaire in the observation group,which were higher than the control group(28.19±2.73)points,(2.12±0.20)points,(35.71±1.32)points,(2.15±0.20)points,(42.13±3.52)points,(24.38±1.87)points,(79.52±7.43)points,(76.21±6.43)points,(76.01±6.09)points,(76.33±7.58)points,the"stand up and walk"time in the observation group was(10.22±2.58)s shorter than the control group(14.93±2.60)s,the differences between groups were statistically significant(P<0.05).Conclusion Core muscle group strengthening training combined with balance function exercise can improve the mobility,balance and lower limb motor function of patients after hip replacement,accelerate the recovery of hip function and improve the quality of life of patients.
作者
庞忠莉
朱会
PANG Zhongli;ZHU Hui(The Second Group of Orthopedics Joint,the 80th Army Military Hospital,Weifang City,Weifang Shandong,261000,China)
出处
《反射疗法与康复医学》
2022年第24期175-178,共4页
Reflexology And Rehabilitation Medicine
关键词
髋关节置换术
核心肌群强化训练
平衡功能锻炼
髋关节功能
移动能力
Hip replacement
Core muscle group strengthening training
Balance function exercise
Hip joint function
Locomotivity
作者简介
庞忠莉(1989-),女,山东潍坊人,本科,初级康复治疗师,研究方向:运动康复;通信作者:朱会(1990-),女,河北邯郸人,本科,护师,研究方向:临床护理,邮箱:605110343@qq.com