躯干功能训练促进老年单侧全髋关节置换术后下肢肌力与平衡的研究

Effect of Trunk Function Training on Lower Extremities Muscle Strength and Postural Balance of the Elderly Patients after Unilateral Total Hip Replacement

中文关键词: 躯干功能训练  全髋关节置换术  肌力  平衡功能

英文关键词: trunk function training  total hip replacement (THR)  muscle strength  balance

中文摘要:

      目的 探讨躯干功能训练改善老年单侧全髋关节置换术(THR)后下肢肌力与平衡的疗效.方法 选取35例THR术后的患者,按照随机数字表法纳入对照组(n=18)和观察组(n=17).对照组进行常规THR康复,观察组在常规THR康复基础上,结合躯干功能训练.干预前和干预3周后,进行肌力、平衡、髋关节功能评定.结果 与治疗前相比,治疗3周后2组BBS、Harris评分、髋膝PT/BW及平衡功能均上升,有统计学差异(P＜0.05).与对照组相比,3周后观察组BBS、Harris评分(步态、关节活动度)及患侧髋屈曲、外展肌群和健侧髋屈曲、内收、外展肌群PT/BW均增加,重心移动速度(EOFI、ECFI及综合评分)下降,差异均有统计学意义(P＜0.05).结论 躯干功能训练能够促进老年单侧THR后下肢肌力和平衡功能.

英文摘要:

      Objective To investigate the effect of trunk function training on lower extremities muscle strength and postural balance of the elderly patients after unilateral total hip replacement (THR).Methods 35 patients after THR were selected and randomly divided into 2 groups:control grouo (n=18) and observation group (n=17);routine rehabilitation after THR was performed on patients in both groups while trunk function training was added to patients in observation group;evaluations of muscle strength,postural balance and hip joint function were made before training and 3 weeks after training.Results 3 weeks after training,PT/BW of hip and knee muscle,Harris scores,BBS and postural balance of the patients in both groups were significantly different from those before training with obvious improvement (P＜0.05);3 weeks after training,the increase of BBS,Harris score (gait,joint activity),PT/BW of hip flexor and abductor of the affected side and PT/BW of hip flexor,abductor and adductor of the unaffected side was bigger in obserevation group than in control group with a statistical difference (P＜ 0.05);the sway velocity ofpostural gravity center (ECFI,EOFI and the comprehensive scores) decreased more in observation group than in control group,the difference was of statistical significance (P＜ 0.05).Conclusions Truck function training can promote the low extremities muscle strength and postural balance of the elderly patients after unilateral THR.