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腰背部核心肌力训练对骨质疏松症患者平衡功能及骨密度的干预效果

Clinical effect of core muscle strength training on patients with osteoporosis

  • 摘要:
    目的 探讨核心肌力训练对骨质疏松症患者平衡功能与骨代谢的影响。
    方法 纳入2018年6月至2020年6月于上海徐汇区枫林街道社区卫生服务中心就诊的骨质疏松症患者60例,随机分成核心肌力组(n=30)与常规组(n=30)。常规组仅实施药物疗法,核心肌力组在药物疗法的基础上实施核心肌力练习。比较2组干预前、干预第3个月和干预第6个月的Berg平衡功能量表(Berg balance scale,BBS)评分,计时起立步行测验(timed up and go test,TUGT)结果及干预第6个月的骨密度(bone mineral density,BMD)、血清Ⅰ型前胶原氨基末端前肽(procollagen typeⅠN-terminal propetide,PⅠNP)和Ⅰ型胶原C-末端肽交联(C-terminal telopeptide of typeⅠcollagen,β-CTX)的含量。
    结果 干预第3个月和第6个月后,核心肌力组BBS评分分别为(52.38±5.12)分和(54.25±4.13)分,TUGT结果分别为(8.28±1.57)s和(7.56±1.08)s,常规组BBS评分分别为(50.65±4.94)分和(51.27±2.50)分,TUGT结果分别为(8.59±1.24)s和(8.36±1.01)s,2组差异有统计学意义(P < 0.05)。干预后第6个月,核心肌力组BMD和血清PⅠNP含量显著大于常规组(P < 0.05),而血清β-CTX小于常规组(P < 0.05)。
    结论 核心肌力训练可以提高骨质疏松症患者的平衡能力,缓解骨量丢失,改善骨代谢水平,为治疗骨质疏松症提供了新思路。

     

    Abstract:
    Objective To explore the effect of core muscle strength training on the balance function and bone metabolism of patients with osteoporosis.
    Methods From June 2018 to June 2020, 60 patients with osteoporosis admitted to the Community Health Service Center of Fenglin Street, Xuhui District, Shanghai, were randomly divided into core muscle strength group (n=30) and conventional group (n=30). The conventional group was given only anti-osteoporosis medicine therapy, and the core strength group was given core strength training based on medication. The Berg balance scale (BBS) score, the Timed up and go test (TUGT) result, and bone mineral density (BMD) were compared between the two groups before treatment, at the 3rd and 6th months after treatment. BMD, serum procollagen typeⅠN-terminal propetide (PINP), and C-terminal telopeptide of typeⅠcollagen (β-CTX) content were compared between the two groups at the 6th month after treatment.
    Results At the 3rd and 6th months after treatment, the BBS score was (52.38±5.12) point and (54.25±4.13) point in the core strength group, and (50.65±4.94) point and (51.27±2.50) point in the conventional group. At the 3rd and 6th months after treatment, the TUGT result was (8.28±1.57) s and (7.56±1.08) s in the core strength group, and (8.59±1.24) s and (8.36±1.01) s in the conventional group. There were significant differences in BBS scores and TUGT results between the two groups (P < 0.05). At the 6th month after treatment, the BMD and serum PINP content in the core strength group were significantly higher than those in the conventional group (P < 0.05), while the serum β-CTX content was significantly lower than that in the conventional group (P < 0.05).
    Conclusions Core strength training can improve the balance function of patients with osteoporosis, relieve bone loss, improve bone metabolism, and provide new ideas for the treatment of osteoporosis.

     

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