与术后康复计划相比,腰椎切除术后患者心理物理表现的变化
Grzegorz Sobański1, Andżelina Wolan-Nieroda2, Agnieszka Guzik2
11Reha Medica Medical and Rehabilitation Center, Tarnów, Poland.
Acta of bioengineering and biomechanics
|June 22, 2025
概括
将手动治疗添加到康复中,显著改善了腰椎间盘切除术后患者的治疗结果. 这种增强的程序导致了更大的疼痛减轻,更好的功能状态 (奥斯韦斯特里残疾指数),并改善了静态平衡.
科学领域:
- 整形外科 整形外科 整形外科
- 康复医学 康复医学 康复医学
- 物理疗法物理治疗
背景情况:
- 腰椎间盘切除术是对椎间盘的一个常见的手术程序.
- 术后康复对于患者的康复和功能恢复至关重要.
- 优化康复计划可以提高患者的治疗结果和生活质量.
研究的目的:
- 评估包括手术治疗在内的强化康复计划对腰椎切除术后心理物理表现的影响.
- 为了比较基本康复计划与手动治疗补充方案的有效性.
主要方法:
- 一项随机对照试验,涉及60名接受腰椎切除术的患者.
- 参与者被分为两组:基本康复和基本康复加上手动治疗.
- 心理物理评估,包括平衡,功能状态 (ODI,RMDQ),腰部运动 (舒伯测试) 和疼痛 (VAS),在康复前和3个月后进行.
主要成果:
- 两组在大多数评估的心理物理参数 (p < 0.01,p < 0.05) 中均显著改善,但不包括一些平衡指标.
- 接受手动治疗的组在减少疼痛 (VAS,p = 0.0001),功能状态 (ODI) 和静态平衡 (p < 0.01) 中表现出统计学上显著的更大改善.
结论:
- 术后康复方案,包括手动治疗,比单独的基本方案更有效.
- 手动疗法增强导致优异的结果在减轻疼痛,功能恢复和静态平衡在患者后腰椎切除术.
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