神经肌肉本体感觉促进疗法在胸椎骨折致脊髓损伤患者术后康复治疗中应用

目的 :观察神经肌肉本体感觉促进疗法在胸椎骨折致脊髓损伤患者术后康复治疗中应用疗效.方法 :选取2012年5月~2015年3月我院骨外科收治的86例胸椎骨折合并脊髓损伤患者为研究对象,患者入院时间顺序随机分为观察组和对照组,每组43例,对照组患者采用高压氧辅助治疗、中医针灸治疗、常规运动治疗等常规康复训练治疗,观察组患者在对照组基础上采用PNF治疗,观察比较两组患者治疗前后脊髓损伤Frankel分级、感觉评分、运动评分、改良巴氏指数评分、功能独立性(FIM)评分和脊髓独立性(SCIMⅢ)评分.结果 :治疗后两组患者脊髓损伤Frankel分级差异显著,观察组患者改善程度明显优于对照组,差异具有统计学意义.治疗前两组患者运动评分、感觉评分、MBI评分、SCIMⅢ评分和FIM评分差异不明显,治疗后两组以上评分较治疗前明显提高,且观察组明显高于对照组,差异具有统计学意义.结论 :神经肌肉本体感觉促进疗法联合常规康复疗法治疗胸椎骨折致脊髓损伤患者,在提高患者日常生活能力和改善患者肢体运动功能方面显优于单独常规康复治疗,值得临床推广使用.

Application of therapy for promoting neuromuscular proprioception in postoperative rehabilitation treatment of patients with spinal cord injury caused by thoracic spinal fracture

Objective To observe the application effects of therapy for promoting neuromuscular proprioception in post-operative rehabilitation treatment of patients with spinal cord injury caused by thoracic spinal fracture. Methods Eighty-six patients with thoracic spinal fracture and spinal cord injury who were treated in our hospital between May 2012 and March 2015 were selected as study subjects and were randomized into observation group and control group, 43 cases in each group. Patients in control group were treated with hyperbaric oxygen therapy, traditional Chinese medicine acupuncture and conven-tional exercise therapy, and on the basis, patients in the observation group were treated with PNF. After treatment, both groups were followed up for 6~24 months in behavior phase. Frankel grade of spinal cord injury, sensory score, motor score, modified Barthel index (MBI) score, functional independence (FIM) score and spinal cord independence (SCIM Ⅲ) score were observed and compared between the two groups. Results After treatment, there was significant difference in Frankel grade of spinal cord injury between the two groups, and the improvement in observation group was significantly better than that in control group. Before treatment, there were no significant differences in sensory score, MBI score, SCIM Ⅲ score and FIM score between the two groups. After treatment, the scores in both groups were significantly higher than those before treatment, and the scores in observation group were significantly higher than those in control group. Conclusion Therapy for promoting neuromuscular pro-prioception combined with routine rehabilitation therapy has more advantages over routine rehabilitation therapy alone in the treatment of patients with spinal cord injury caused by thoracic spinal fracture, in terms of improving activities of daily living and motor function of limbs. It is worthy of clinical application.