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1.
李海  黄石钊  刘恒 《中国康复》2014,29(3):195-196
目的:探讨三种功能障碍评估量表在麦肯基疗法治疗腰椎间盘突出症疗效评估中的应用。方法:腰椎间盘突出症患者42例,均进行麦肯基疗法治疗。治疗前后采用简式 McGill疼痛问卷(SF-MPQ)、中文版Oswestry功能障碍指数(CODI)、汉译Roland-Morris功能障碍调查表(CRMDQ)进行评定。结果:治疗2周后,42例患者的SF-MPQ、CODI、CRMDQ评分均较治疗前明显下降(P<0.01)。结论:麦肯基疗法可有效改善腰椎间盘突出症患者的疼痛和功能障碍;SF-M PQ、CODI及CRMDQ等功能障碍评估量表可有效地应用于评估腰椎间盘突出症患者疼痛及功能状态的临床工作中。  相似文献   

2.
张晓琳 《妇幼护理》2022,2(22):5185-5187
目的 探讨快速康复护理在老年腰椎间盘突出症单侧双通道内镜术患者的应用效果。方法 选取为 2020 年 1 月至 2021 年 9 月在我院接受治疗的老年腰椎间盘突出症单侧双通道内镜术患者 100 例作为本次的研究对象。按照患者入院时顺序将患者进 行登记,将患者随机分为研究组和对照组,每组患者各 50 例。对照组实施对照组,研究组实施快速康复护理。比较两组的治 疗总有效率,肢体活动能力和生活质量和治疗满意率。结果 研究组和对照组的有效率分别是 90%和 70%(P<0.05)。研究组的 肢体活动能力评分和生活质量评分等高于对照组(P<0.05)。研究组的整理满意率高于对照组(P<0.05)。结论 老年腰椎间盘突 出症单侧双通道内镜术患者实施快速康复护理,能够提高肢体活动能力以及生活质量,治疗效果和治疗满意率。  相似文献   

3.
腰椎间盘突出症急性阶段,由于突出的髓核压迫或刺激神经根和硬膜囊而出现相应的神经受累症状,多数患者由于腰部疼痛及下肢放射性痛而活动受限,部分患者有不同程度的脊柱侧弯,严重影响日常工作和生活。近几年来,我科采用综合康复疗法治疗急性腰椎间盘突出症50例,现报道如下。  相似文献   

4.
康复护理措施对腰椎间盘突出症患者康复的影响   总被引:1,自引:0,他引:1  
目的:研究影响腰椎间盘突出症患者康复的因素,并初步了解腰椎间盘突出症患者的认知缺陷及护理对康复的影响。方法:通过护理宣教后,利用调查问卷录入可能影响腰椎间盘突出症康复的有关项目,以RNQ评定腰椎间盘突出症患者康复疗效,通过方差分析研究两者关系。结果:腰椎间盘突出症的发病年限和发病次数与其康复效果显著相关,不同年龄、文化程度、病变节段、是否有腰椎间盘突出症家族史及对腰椎间盘突出症了解程度不同的患者,其康复效果之间也有显著差异,66.67%的患者存在着关于腰椎间盘突出症知识的缺陷。结论:腰椎间盘突出症患者的康复受到生理、社会、疾病本身等多种因素影响,在今后的康复护理中需要进一步加强对腰椎间盘突出症患者的健康教育以逆转部分不良因素的负面影响。  相似文献   

5.
目的定量评定腰椎间盘突出症(LDH)患者腰部活动执行能力,并探讨智能能量消耗和日常生活活动记录仪(IDEEA)在评定LDH患者腰部活动执行能力中的作用。方法研究组为经CT和/或MRI检查证实的LDH患者45例,对照组为近6个月内无腰痛发作的健康志愿者18例。使用IDEEA对2组研究对象的腰部活动功能进行连续监测,并对LDH患者腰部活动执行能力(包括前屈、后伸及综合活动功能)进行定量评定。结果研究组的前屈完成时间(TFF)、前屈-直立完成时间(TFB)、卧.坐转移完成时间(TT)、前屈运动角速度(MFFA/TFF)、前屈-直立角速度(MFFA/TFB)及后伸运动角速度(MEFA/TE)、俯卧位后伸最大角度(APE)与对照组比较,差异均有统计学意义。结论MFFA/TFF、MFFA/TFB、MEFA/TE、TFF、TFB、TT、APE是定量评定LDH患者腰部活动执行能力的敏感指标,IDEEA是评定LDH患者腰部活动执行能力定量、客观、动态的良好工具。  相似文献   

6.
目的 观察智能能量和日常活动记录仪(IDEEA)动态定量评估腰椎间盘突出症(PID)患者运动功能的临床意义.方法 将8例确诊为PID的患者设为研究组,同时选择年龄、身高、体重与之匹配的健康志愿者9名为对照组.采用IDEEA测试系统监测两组受试者日常生活活动,应用IDEEA相关软件采集身体运动功能相关数据并进行统计分析.结果 研究组腰部前屈速度、前屈完成时间、坐-站时间、站-坐时间与对照组均有显著性差异(P<0.05).步态分析显示,研究组患侧每步平均速度为(65.76±8.01) m/min,对照组对应侧为(79.32±6.45) m/min(P<0.05).结论 PID患者运动功能明显下降;IDEEA是动态评估PID患者运动功能的有效工具,具有良好的临床应用价值.  相似文献   

7.
摘要 目的:观察脉冲整脊技术对腰椎间盘突出症的疗效。 方法:选取符合入选条件的腰椎间盘突出症患者30例,随机分为观察组(15例)和对照组(15例)。两组患者均接受常规康复治疗,包括物理因子治疗、手法和运动疗法,观察组患者在常规康复治疗基础上使用脉冲整脊技术进行矫正。分别评估治疗前、治疗2周和4周后患者的视觉模拟评分(VAS)、腰椎活动度和Oswestry功能障碍指数问卷得分。 结果:经过4周治疗,两组患者的VAS、腰椎活动度和Oswestry功能障碍指数问卷得分与治疗前相比均有明显改善,且观察组明显优于对照组(P<0.05)。 结论:常规康复治疗联合脉冲整脊技术对腰椎间盘突出症的疗效更显著。  相似文献   

8.
腰椎间盘突出症患者的心理健康水评调查   总被引:5,自引:0,他引:5  
贺旭  解亚宁 《现代康复》2001,5(5):102-102
目的:了解腰椎间盘突出症患的心理健康状况,为康复治疗提供依据。方法:采用精神卫生自评量表(SCL-90)及状态-特质焦虑问卷(STAI)对50例腰椎间盘突出症患进行测评,并与常模作比较。结果:腰椎间盘突出症患SCL-90因子中躯体化、抑郁、焦虑和恐怖的因子分及状态焦虑和特质症患的心理状态有明显改变,主要表现为躯体化、抑郁、焦虑和恐怖。  相似文献   

9.
目的通过分析患者治疗前、后腰椎间盘突出及其周围结构的形态变化的MRI表现,判断综合康复治疗腰椎间盘突出症的疗效。方法腰椎间盘突出症患者40例,采用物理因子、药物、牵引、推拿、医疗体操进行30d的综合康复治疗。疗程结束后对患者进行腰椎MRI复查,评估治疗效果及治疗前、后突出椎间盘及其周围结构的形态变化。结果综合康复治疗腰椎间盘突出症的有效率为82.5%,治疗前、后的腰椎间盘MRI信号强度、厚度、突出的程度、椎管前后径与横径、侧隐窝宽度等的差异均无统计学意义。结论综合康复疗法不能对腰椎间盘突出症的形态改变产生明显影响,但可有效缓解或消除腰椎间盘突出症患者的临床症状。  相似文献   

10.
腰椎间盘突出症康复治疗对血小板活化的影响   总被引:4,自引:0,他引:4  
目的:探讨血小板的活化在腰椎间盘突出症中的作用和康复治疗对血小板活化的影响。方法:采用双抗体夹心ELISA法测定20例腰椎间盘突出症患者康复治疗前后和18名正常人血浆内血小板α-颗粒膜蛋白140(GMP-140)含量。结果:腰椎间盘突出症患者血浆GMP-140水平显著高于正常对照组(P<0.001),康复治疗后血浆内GMP-140水平比治疗前明显降低(P<0.001),但仍高于正常对照组(P<0.05)。结论:腰椎间盘突出症的发病与GMP-140有关,康复治疗能降低或抑制血小板活化  相似文献   

11.
OBJECTIVE: To investigate whether patients with chronic obstructive pulmonary disease on long-term oxygen therapy would benefit from an early 8-week rehabilitation programme in terms of exercise performance, health-related quality of life and activities of daily living. METHODS: Two weeks after onset of oxygen therapy, 20 patients were randomized to rehabilitation (group A) or not (group B). Exercise performance was measured using a 6-minute walking test. Health-related quality of life was measured with the Chronic Respiratory Disease Questionnaire. Activity of daily living ability was measured with the Stanford Health Assessment Questionnaire. RESULTS: The mean 6-minute walking distance increased by 35% (p < 0.01) in group A after rehabilitation. The mean increase in group B was only 8% (n.s.). Patients in group A reported less overall dyspnoea after rehabilitation (p < 0.05) and, compared with group B, reported better activity of daily living ability (p < 0.01). CONCLUSION: Patients with chronic obstructive pulmonary disease on long-term oxygen treatment may improve their walking distance, experience less dyspnoea and improve activity of daily living ability with an early rehabilitation programme.  相似文献   

12.
ABSTRACT

Objective. To examine the relationship between physical performance and obesity in older African-American women. Methods. Obese (n = 45) and nonobese (n = 88) women were assessed using instrumental activities of daily living, physical function subscale of the Medical Outcomes Short Form-36, and the physical activity scale for the elderly. Physical performance was assessed by Berg Balance Scale, Tandem Stance and Single Test Stance Tests, Multidirectional Reach Test, Timed Up and Go Limb, Six-Minute Walk Test, gait stability ratio, and self-report of daily walking. Results. The obese group had significantly lower self-reported daily activities and poorer scores on several physical performance measures than nonobese older African-American women. Conclusions. Our findings substantiate a relationship between obesity and physical performance in African-American women. Although urban obese women have poorer physical performance, their impairments may be counterbalanced by their daily walking. Clinicians should consider this finding when developing rehabilitative and preventive strategies for older obese African-American women.  相似文献   

13.
OBJECTIVE: To evaluate the reliability and validity of the modified physical performance tests for stroke survivors who live in a community. DESIGN: The subjects included 40 stroke survivors and 40 apparently healthy independent elderly persons. The physical performance tests for the stroke survivors comprised two physical capacity evaluation tasks that represented physical abilities necessary to perform the main activities of daily living, e.g., standing-up ability (time needed to stand up from bed rest) and walking ability (time needed to walk 10 m). RESULTS: Regarding the reliability of tests, significant correlations were confirmed between test and retest of physical performance tests with both short and long intervals in individuals after stroke. Regarding the validity of tests, the authors studied the significant correlations between the maximum isometric strength of the quardriceps muscle and the time needed to walk 10 m, centimeters reached while sitting and reaching, and the time needed to stand up from bed rest. CONCLUSIONS: The authors confirmed that there were significant correlations between the instrumental activity of daily living and the time needed to stand up from bed rest, along with the time needed to walk 10 m for the stroke survivors. These physical performance tests are useful guides for evaluating a level of activity of daily living and physical frailty of stroke survivors living in a community.  相似文献   

14.
减重支持训练对脑瘫痉挛性双瘫患儿步行能力的影响   总被引:1,自引:0,他引:1  
目的观察减重支持训练(PBWST)对脑瘫痉挛性双瘫患儿步行能力的影响。方法60例脑瘫痉挛性双瘫患儿随机分为减重组和传统运动疗法组各30例,均给予传统的运动疗法,减重组在此基础上进行PBWST训练,观察两组患儿治疗前后步行能力和耐力的变化。结果治疗后,两组患儿的步行能力和耐力均有明显提高,但减重组的效果优于传统运动疗法组(P<0.05),特别是耐力提高尤为显著(P<0.001)。结论PBWST可进一步提高已有步行能力的脑瘫痉挛性双瘫患儿的步行能力。  相似文献   

15.
OBJECTIVE: To compare walking test results with walking in daily life, and to investigate the relationships between walking tests, walking activity in daily life, and perceived mobility problems in patients with post-poliomyelitis syndrome. SUBJECTS: Twenty-four ambulant patients with post-poliomyelitis syndrome. METHODS: Walking tests were performed at self-preferred and maximal speed. Walking activity was measured with an ambulatory activity monitor. Heart rate, step cadence and walking speed in the test and in daily life were compared. Walking speed in daily life was represented by the intensity of walking. Perceived mobility problems were assessed with the Nottingham Health Profile. RESULTS: Heart rate during walking was lower in the test at self-preferred speed than in daily life (mean difference: 11.3+/-10.4; p=0.001). Self-preferred walking speed in the test and in daily life correlated significantly (r=0.55; p=0.04). In a sub-group with a test performance below the median value, test performance correlated significantly with walking activity. No significant correlation was found between perceived mobility problems and walking activity. CONCLUSION: Walking in daily life may be more demanding than walking under standardized conditions. Patients with post-poliomyelitis syndrome with the lowest test performance walked less in daily life. Patients do not necessarily match their activity pattern to their perceived mobility problems.  相似文献   

16.
1. The activities of phosphofructokinase (PFK), citrate synthetase (CS), lactate dehydrogenase (LDH), 3-hydroxyacyl-CoA dehydrogenase (ACDH) and cytochrome-c oxidase(Cyt-ox) in the calf muscle tissue were compared in subjects with intermittent claudication (n = 38) and controls (n = 20). The activities of CS, ACDH and Cyt-ox were increased and the activity of Cytox was positively correlated to the maximal walking distance (MWD) in the patients. 2. Thirty-three patients with intermittent claudication were randomized to three treatment groups: (1) operative surgery, (2) operative surgery supplemented with physical training and (3) physical training alone. Before and after 6-12 months of treatment, symptom-free walking distance (SFWD), MWD, ankle-brachial blood pressure quotient (ankle index), maximal plethysmographic calf blood flow (MPBF) and the activities of PFK, CS, LDH, ACDH and Cyt-ox were measured. 3. SFWD and MWD increased in all three groups. Ankle index and MPBF increased in groups 1 and 2, but were unchanged in group 3. The activities of Cyt-ox and CS decreased with operation, but the activity of Cyt-ox was further augmented with training in group 3. Overall, the change in ankle index explained 80-90% of the variability in walking performance. In a separate analysis, the increased activity of Cyt-ox in group 3 was positively correlated to, and explained 31% of the variability in, the improvement in SFWD. 4. These findings indicate that both physical activity and a reduced calf blood flow are necessary conditions for the enzymatic adaptation to take place. A causal relationship between metabolic adaptation in the muscle tissue and walking performance is suggested.(ABSTRACT TRUNCATED AT 250 WORDS)  相似文献   

17.
目的观察踝足矫形器(AFO)对下腰段脊髓损伤患者日常生活活动能力(ADL)及步行能力的影响。方法29例L3节段以下(含L3)脊髓损伤患者,经系统康复训练后,再根据患者功能情况分别装配静态或动态AFO,训练前后用改良Barthel指数(MBI)和功能独立性评测(FIM)对患者进行评定,并测定行走距离。结果配戴矫形器后,患者的ADL明显提高,尤其是行走能力,较配戴前提高(P<0.05);29例患者有26例可达社区功能性步行,3例达家庭功能性步行。结论根据功能情况选用不同的AFO,可帮助下腰段脊髓损伤患者重建步行功能,提高生活自理能力。  相似文献   

18.
This study aimed to compare the impact of dyspnea, pain, and fatigue on daily life activities in ambulatory patients with advanced lung cancer. One hundred seventy-one outpatients with advanced lung cancer completed a questionnaire about symptom severity and whether symptoms interfered with daily life activities (normal work, walking, sleep, mood, relation with other people, enjoyment of life, and general activities). The results indicated that 1) dyspnea and fatigue interfered with at least one daily life activity in more than half the patients, and pain in about 40%, 2) dyspnea and fatigue interfered predominantly with physical activities, such as walking and work, whereas pain interfered with all activities almost equally, and 3) symptoms rated as low severity (1 to 3 on a 0-10-point numerical scale) were severe enough to interfere with at least one daily life activity. To recognize the impact of symptoms may contribute to provide better management.  相似文献   

19.
This study aimed to identify 1) the prevalence of “clinical dyspnea,” defined here as dyspnea interfering with any daily life activities, 2) the impact of dyspnea on daily life activities, and 3) the screening ability of the Cancer Dyspnea Scale (CDS) and the Dyspnea Numeric Scale (DNS). A total of 157 outpatients with advanced lung cancer completed the two scales (CDS and DNS) along with a questionnaire about interference with daily life activities (normal work, walking, sleep, mood, relation with other people, enjoyment of life, and general activities). Over half of this population (55%) experienced “clinical dyspnea.” Dyspnea interfered with not only physical domain (52%), such as walking and work, but also with psychological domain (23%), such as mood and enjoyment. Both scales were feasible for screening of clinical dyspnea. Applying a screening protocol may contribute to avoiding underestimation of clinical dyspnea and lead to appropriate interventions for it.  相似文献   

20.
Theories of stage of readiness for change and self-efficacy guided this investigation of (a) performance of habitual physical activity (daily activity and leisure/sport activity), (b) preference for leisure Physical activities, and (c) relationships of age, stage of readiness for exercise, and exercise self-efficacy with habitual physical activity. The sample consisted of 71 community-residing Mexican American women aged 60-87 years. Fifty-six women reported performing at least one leisure/sport activity; the most frequent was walking, reported by 47 women. Fifty-three women stated that walking was their preferred leisure activity. Age, self-efficacy, and stage of readiness accounted for 27% of the variance in daily activity and 32% of the variance in leisure/sport activity. These findings suggest that stage of readiness for change and self-efficacy theories are useful for this population.  相似文献   

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