一个随机对照试验,比较视频引导拉伸运动和术后部剖析患者的标准方法之间的宫运动范围
Sataporn Ruangprasertkul1, Watchareporn Teeramatwanich1, Pornthep Kasemsiri1
1Department of Otorhinolaryngology, Srinagarind Hospital, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.
Head & neck
|January 23, 2026
概括
视频指导的部练习可以改善部解剖后的宫运动范围. 这种方法建议在打印的传单上进行,以获得更好的患者结果和流动性.
科学领域:
- 在瘤学瘤学.
- 康复医学 康复医学 康复医学
- 术后恢复 术后恢复
背景情况:
- 先进的头癌经常转移到宫淋巴结,需要部剖析.
- 部剖析可能导致显著的术后疼痛和减少部和肩部的移动性,影响患者的生活质量 (QOL).
- 开发有效的术后康复策略,如运动方案,对于改善患者的治疗结果至关重要.
研究的目的:
- 评估视频指导的部炼计划与传统印刷炼传单相比在接受部剖析的患者中效果.
- 评估运动干预措施对宫运动范围 (CROM) 和QOL的影响.
- 确定手术后开始部炼的最佳时间和方法.
主要方法:
- 在2022年8月至2023年11月期间,对接受部剖析的患者进行了一项随机对照试验.
- 参与者被分配到视频指导的炼组 (n=21) 或打印的传单组 (n=19).
- 在手术前测量了CROM和QOL,并在2周和12周后进行随访,在手术后的第7天开始运动.
主要成果:
- 在40名参与者中,36人完成了研究 (每组18人).
- 在手术后2周,两组均呈现出减少的CROM,两组之间没有显著差异.
- 在12周后,视频引导炼组在部曲和延伸方面表现出显著改善,而小册子组表现出下降 (分别为p=0.01和p=0.04).
- 两组之间没有观察到其他CROM参数或整体QOL的显著变化.
结论:
- 视频指导的部运动是部解剖后患者推的干预措施.
- 建议在运动训练期间进行专家监督,以确保正确的技术并最大限度地提高临床益处.
- 这种方法显示了增强功能恢复和改善部解剖后移动性的特定方面的潜力.
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