核心稳定训练对预防老年骨质疏松症患者跌倒的影响

目的观察核心稳定训练对预防老年骨质疏松症患者跌倒的影响。方法选择2015年7月至2016年6月份在我们病区住院,诊断为老年骨质疏松症的患者120例(Morse跌倒评估为高危风险),随机分为对照组和实验组各60例。对照组:遵医嘱指导病人常规抗骨质疏松治疗,实施常规预防跌倒的干预护理;实验组:在对照组的基础上增加核心稳定训练。实施1年后,考察两组病人的疼痛评估、步态分析结果、下肢肌力测定、跌倒发生率等指标的治疗前后差异和组间差异。结果实验组与对照组在干预后各项考察指标均有改善;其中,对照组治疗前后改善轻微,实验组治疗前后改善显著,明显优于前者;且实验组的再次跌倒发生率及跌倒损伤程度两项指标下降明显。结论核心稳定训练能有效缓解OP患者腰部疼痛,提高骨质疏松症患者平衡功能和下肢肌力,因此该训练是一项预防跌倒的有效措施,有望成为老年骨质疏松患者的护理路径的一个重要组成部分。

The effect of core stability training on preventing the fall in elderly osteoporosis patients

Objective To explore the effect of core stability training on preventing the fall in elderly osteoporosis patients. Methods From July in 2015 to June in 2016, 120 patients with osteoporosis and high-risk of Morse fall assessment in our hospital, were randomly divided into control group and research group, with 60 patients in each group. Patients in control group received routine interventional treatment and general fall intervention. Patients in research group received additional core stability training on the basis of control group treatment. After 1 year, VAS grade, gait analysis results, low limb muscle testing, and the incidence of falls were evaluated and compared before and after the treatment and between the two groups. Results All of these indicators in both groups improved after the intervention. Among them, the control group improved slightly, and the experimental group improved significantly after the treatment and was better than the former. Furthermore, the incidence of falls and the degree of fall injury in the experimental group decreased significantly. Conclusion Core stability training can effectively alleviate the waist pain, improve the balance function and low limb muscle strength in patients with osteoporosis. So the training is one of the effective measures to prevent fall, and is expected to become important part of nursing path to senile osteoporosis patients.