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| Unstable Support Surface Core Stability Training in Postoperative Rehabilitation of Thoracolumbar Compression Fractures in the Elderly |
| LUO Jingjing, YANG Fengjie, ZHENG Juan, et al |
| Xiantao First People's Hospital, Hubei Xiantao 433000, China |
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Abstract Objective: To explore the application value of unstable support surface core stabilization training in postoperative rehabilitation of thoracolumbar compression fractures in the elderly. Methods: One hundred and five elderly postoperative patients with thoracolumbar compression fractures treated in our hospital from January 2019 to February 2022 were selected, and the patients were divided into observation group (n=52) and control group (n=53) using simple random sampling method, and the observation group was given core stabilization training on unstable support surfaces, and the control group was given conventional rehabilitation interventions, and the two groups were observed before and after interventions of Japanese Orthopaedic Association (Japanese The Japanese Orthopaedic Association (JOA) thoracolumbar spine score, Barthel Index (BI) score, gait and static balance parameters, and complications were observed before and after the intervention. Results: After the intervention, the JOA score and BI score of the observation group were (24.40 ± 1.41) and (58.21 ± 5.03) respectively, which were significantly higher than those of the control group (20.02±1.28)and(49.94±5.88)(P<0.05). After the intervention, the stride length, stride frequency and comfortable stride speed of the observation group were (0.56 ± 0.16) m, (1.08 ± 0.26) steps / s and (0.34 ± 0.10) m / s respectively, which were significantly higher than those of the control group(0.50±0.13)m,(0.98±0.22)steps / s,(0.25±0.11)m/s (P<0.05). In the observation group, the trajectory length of closed eye, trajectory length per unit time of closed eye, deviation of center of gravity of open eye X-axis movement, deviation of center of gravity of closed eye X-axis movement, deviation of center of gravity of open eye Y-axis movement, and deviation of center of gravity of closed eye Y-axis movement were (1860.60±335.54) mm, (32.21±5.83) mm, (11.50±2.12) mm, ( (11.89±3.65) mm, (12.12±1.99) mm and (15.10±3.31) mm, which were significantly lower than the control group (2100.10±365.12) mm, (36.65±6.04) mm, (15.59±1.92) mm, (20.10±5.01) mm, (16.60±2.03) mm and (19.14±3.01) mm, respectively. (19.14±3.01)mm (p<0.05). Conclusion: Unstable support surface core stability training has good application value in postoperative rehabilitation of thoracolumbar compression fractures in the elderly, which helps patients recover the function of thoracolumbar spine, improve postural control and daily living activities.
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2023, Vol. 29 
