承重运动对脑卒中患者骨质疏松症的疗效

目的：明确承重运动疗法对脑卒中患者骨质疏松症的疗效。方法：选择2011年1月-2013年10月我院收治的脑卒中合并骨质疏松症患者174例，随机分为承重运动治疗组1（56例，承重运动40min/d）、承重运动治疗组2（58例，承重运动80min/d）与对照组（60例，常规治疗），干预8个月。治疗前、后用双能X线骨密度仪检查患者股骨颈骨密度值（BMD），视觉模拟评分法（VAS法）评估患者腰背痛症状。结果：每日行80min承重运动疗法的患者股骨颈BMD较治疗前明显提升，腰背痛症状明显改善；每日行40min承重运动及常规治疗不能提升股骨颈BMD并缓解腰背痛症状。结论：承重运动训练需达到一定时间才能对脑卒中患者的骨质疏松症产生治疗作用。

Therapeutic Effect of Weight Bearing Exercise on Stroke Patients with Osteoporosis

Objective：To confirm the therapeutic effect of weight-bearing exercise on bone mineral density and low back pain in stroke patients with Osteoporosis .Methods：174 stroke patients with osteoporosis ,who were treated in Shanghai yangzhi rehabilitation hospital during January 2011 and October 2013 ,were randomly divided into control group （n=60 ,conventional therapy） ,weight-bearing exercise group 1（n=56 ,weight-bearing exercise of moderate in-tensity for 40 minutes daily）and weight-bearing exercise group 2（n=58 ,weight-bearing exercise of moderate intensity for 80 minutes daily） .All patients were treated with weight bearing exercise for 8 months .The BMD of all patients were measured by Dual energy X-ray absorptiometry and the assessment of low back pain was done by Visual Analog Scale （VAS） before and after treatment .Results：Both the BMD and symptom of patients treated with weight-bearing exercise for 80 minutes daily improved significantly .Neither the BMD nor the symptom of low back pain in both con-ventional therapy patients and 40 minutes weight-bearing exercise patients was improved .Conclusion：Weight bearing exercise had no obvious effect either on the increasing of bone mineral density in femoral neck or lightening the symp-tom of low back pain unless it continues for enough time .