Effects of progressive resistance training combined with hyperextension traction elastic pressure on rehabilitation in OVCF patients after PVP
10.3969/j.issn.1005-202X.2024.05.014
- VernacularTitle:渐进抗阻训练配合过伸牵引弹性按压对OVCF术后患者康复效果的影响
- Author:
Shimiao ZHU
1
;
Gongxu WANG
Author Information
1. 湘南学院附属医院康复科,湖南郴州 423000
- Keywords:
progressive resistance training;
hyperextension traction elastic pressure;
osteoporotic vertebral compression fracture;
percutaneous vertebroplasty;
pain index;
rehabilitation outcome
- From:
Chinese Journal of Medical Physics
2024;41(5):623-627
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the effects of progressive resistance training(PRT)combined with hyperextension traction elastic pressure on pain indexes and rehabilitation outcome in patients with osteoporotic vertebral compression fracture(OVCF)after percutaneous vertebroplasty(PVP).Methods A total of 98 OVCF patients were randomly divided into observation group and control group,with 49 cases in each group.All underwent PVP following preoperative hyperextension traction elastic pressure.After operation,control group was given routine rehabilitation training,while observation group was treated with PRT in addition to routine rehabilitation training.All were intervened for 3 months.The changes of imaging indexes,lumbar pain indexes,lumbar function indexes,bone metabolism indexes and activities of daily living before,at 1 week and 3 months after operation were observed.Results Three months after operation,the anterior vertebral height was higher(P<0.05)and Cobb Angle was lower(P<0.05)in observation group than in control group.Compared with control group,observation group had lower scores on visual analog scale and Oswsetry disability index,obtained higher Japanese Orthopaedic Association score for low back pain,scored higher on activities of daily living scale,and showed lower levels of serum osteocalcin and bone specific alkaline phosphatase(all P<0.05).Conclusion Hyperextension traction elastic pressure before PVP combined with PRT after surgery can better reduce postoperative lumbar pain index,and promote bone growth,further improving lumbar function and activities of daily living in OVCF patients.
