Effect of core stabilization exercise with unstable support surface on rehabilitation of patients with osteoporotic vertebral fracture_West China Medical Journal

Authors：

LIANG Tingying ¹ ,  GUO Ganghua ²

1. Department of Musculoskeletal Pain Rehabilitation, the Fifth Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan 450052, P. R. China;
2. Department of Rehabilitation Medicine, the Fifth Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan 450052, P. R. China;

Corresponding?author：

GUO Ganghua, Email: ggh_jr@163.com

Keywords：

Osteoporosis; Vertebral fracture; Core stabilization exercise with unstable support surface; Stability; Gait

DOI：

10.7507/1002-0179.202103115

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Objective To analyze the effect of core stabilization exercise with unstable support surface on rehabilitation of patients with osteoporotic vertebral fracture.Methods From January 2018 to January 2020, 66 patients with osteoporotic vertebral fractures in the Fifth Affiliated Hospital of Zhengzhou University were selected as the research objects. All patients were treated with percutaneous vertebroplasty. After operation, they were randomly divided into intervention group and control group by random number table method, with 33 cases in each group. Both groups were given routine rehabilitation intervention after operation, while the intervention group was given core stabilization exercise with unstable support surface at the same time. The vertebral height, shape, stability and gait of the two groups were compared 1 day before operation and 1 day after rehabilitation training.Results There was no significant difference in gender, age, injured vertebral body, course of osteoporosis, years of education and marital status between the two groups (P>0.05). Before surgery, there was no statistically significant difference in the height ratio of the front edge of the injured vertebra, middle height ratio of the injured vertebra, back convex Cobb angle, track length when eyes were open, track length when eyes were closed, Romberg rate, track length per unit time when eyes were open, track length per unit time when eyes were closed, Romberg rate per unit time, deviation of the center of gravity on X-axis when eyes were open, deviation of the center of gravity on X-axis when eyes were closed, deviation of the center of gravity on Y-axis when eyes were open, deviation of the center of gravity on Y-axis when eyes were closed, stride length, step frequency or comfortable pace between the two groups (P>0.05). After training, the height ratio of the front edge of the injured vertebra [(79.26±12.15)% vs. (72.26±13.36)%], middle height ratio of the injured vertebra [(82.11±10.26)% vs. (75.64±9.56)%], back convex Cobb angle [(9.87±7.10) vs. (14.41±2.36)°], track length when eyes were closed [(1856.29±457.16) vs. (2358.48±786.45) mm], Romberg rate [(1.32±0.29)% vs. (1.87±0.54)%], track length per unit time when eyes were closed [(33.45±3.26) vs. (41.55±4.69) mm], Romberg rate per unit time [(1.41±0.30)% vs. (1.95±0.77)%], deviation of the center of gravity on X-axis when eyes were open [(11.06±1.36) vs. (16.54±2.22) mm], deviation of the center of gravity on X-axis when eyes were closed [(11.15±0.96) vs. (23.31±3.06) mm], deviation of the center of gravity on Y-axis when eyes were open [(12.57±1.84) vs. (15.56±2.06) mm], deviation of the center of gravity on Y-axis when eyes were closed [(15.69±2.05) vs. (18.96±3.56) mm], stride length [(0.57±0.12) vs. (0.49±0.10) m], step frequency [(1.09±0.29) vs. (0.94±0.20) step/s] and comfortable pace [(0.35±0.12) vs. (0.29±0.10) m/s] of the intervention group were better than those of the control group (P<0.05). There was no significant difference in the track length when eyes were open or track length per unit time when eyes were open between the two groups (P>0.05).Conclusion In patients with osteoporotic vertebral body fractures, core stabilization exercise with unstable support surface on the basis of conventional rehabilitation interventions after surgery can effectively restore the height and shape of the vertebral body, and improve the stability and gait to a certain extent.

Citation： LIANG Tingying, GUO Ganghua. Effect of core stabilization exercise with unstable support surface on rehabilitation of patients with osteoporotic vertebral fracture. West China Medical Journal, 2021, 36(8): 1056-1061. doi: 10.7507/1002-0179.202103115 Copy

1.	Funayama T, Noguchi H, Mataki K, et al. A novel unidirectional porous β-tricalcium phosphate grafting impregnated with bone marrow blood collected from unfractured vertebral bodies for non-union of osteoporotic vertebral fracture: a preliminary case report. J Orthop Case Rep, 2020, 9(6): 50-53.
2.	Funao H, Isogai N, Sasao Y, et al. Vertebroplasty with posterior spinal fusion for osteoporotic vertebral fracture using computer-assisted rod contouring system: a new minimally invasive technique. Int J Surg Case Rep, 2020, 72: 301-305.
3.	李楠, 樊春雷, 王利剛, 等. 核心穩定性訓練聯合認知行為療法對慢性非特異性腰痛患者療效觀察. 實用醫院臨床雜志, 2021, 18(1): 60-64.
4.	Atsushi I, Tomohiro K. Acute adaptation of sensory dependence for postural control induced immediately after balance exercises on unstable support surfaces. J Jpn Petrol Inst, 2019, 25(1): 1055-1058.
5.	朱曉鳳. 不同頻率全身振動訓練對老年人平衡和核心穩定性的影響. 中國康復理論與實踐, 2020, 26(3): 291-294.
6.	顧軍, 孫小明, 陳海軍, 等. SPECT-CT、MRI診斷骨質疏松性椎體壓縮性骨折疼痛責任椎體的準確性比較. 中國CT和MRI雜志, 2021, 19(1): 169-171.
7.	趙春香, 王瑞剛, 張巖, 等. 核心穩定性訓練治療缺血性腦卒中偏癱88例療效觀察. 安徽醫藥, 2020, 24(1): 17-20.
8.	范蕓, 莊任, 徐景, 等. 全方位密集運動訓練聯合核心穩定性訓練在神經內科老年缺血性腦卒中患者早期康復治療中的應用效果研究. 實用心腦肺血管病雜志, 2020, 28(8): 83-88.
9.	劉永芳, 齊林, 張曉菁, 等. 高壓氧聯合核心穩定性訓練治療恢復期腦卒中患者的療效觀察. 中華物理醫學與康復雜志, 2020, 42(2): 143-145.
10.	Oishi Y, Nakamura E, Murase M, et al. Presence or absence of adjacent vertebral fractures has no effect on long-term global alignment and quality of life in patients with osteoporotic vertebral fractures treated with balloon kyphoplasty. J Orthop Sci, 2020, 25(6): 931-937.
11.	楊順, 路坦. 骨鈣素、骨特異性堿性磷酸酶、胰島素樣生長因子1水平對脛骨骨折患者術后骨折愈合情況的預測價值分析. 河南大學學報(醫學版), 2020, 39(3): 204-206.
12.	Kato S, Terada N, Niwa O. Surgical treatment of osteoporotic vertebral fracture associated with diffuse idiopathic skeletal hyperostosis along with comparative assessment of the levels of affected vertebra or anterior column reconstruction. Spine Surg Relat Res, 2019, 4(1): 57-63.
13.	陳巖, 王煒. 核心穩定性訓練對全髖關節置換術后患者功能恢復的影響. 中國臨床醫生雜志, 2020, 48(2): 245-247.
14.	郝川. 不穩定支撐面軀干穩定性訓練對腦卒中偏癱早期患者平衡功能和步行能力的影響. 中國康復醫學雜志, 2018, 33(1): 72-75.
15.	Kim YW, Kim NY, Chang WH, et al. Comparison of the therapeutic effects of a sling exercise and a traditional stabilizing exercise for clinical lumbar spinal instability. J Sport Rehabil, 2018, 27(1): 47-54.
16.	黃露露, 王安萍, 陳婷婷, 等. 核心穩定性訓練結合深層肌肉刺激對腰椎間盤突出癥患者術后功能恢復的影響. 護理實踐與研究, 2020, 17(7): 81-83.
17.	李秀明, 縱亞, 謝青, 等. 脊柱核心穩定性訓練對單側慢性非特異性腰痛遠期治療效果的研究. 中國康復, 2020, 35(7): 357-361.
18.	劉洪舉, 邱智, 朱思剛, 等. 不穩定支撐面核心穩定性訓練對胸腰段骨折伴不完全性脊髓損傷患者步行和靜態平衡能力的影響. 中華物理醫學與康復雜志, 2020, 42(8): 716-721.
19.	肖麗萍, 尹德銘, 伍惠賢. 視頻互動式橋式運動腰背肌訓練操對腰椎退行性疾病患者功能恢復的影響. 護理實踐與研究, 2020, 17(8): 157-159.
20.	張坤木, 李長輝, 陳彥, 等. 俞募推拿聯合平板支撐治療腰椎間盤突出癥康復期臨床療效觀察. 現代中醫臨床, 2020, 27(5): 14-18.
21.	徐冬晨, 王紅星, 王彤. 大鼠部分重量支撐平板訓練新模型在不完全性脊髓損傷運動功能改善中的應用. 中國康復醫學雜志, 2010, 25(8): 721-724.
22.	Promsri A, Haid T, Federolf P. Complexity, composition, and control of bipedal balancing movements as the postural control system adapts to unstable support surfaces or altered feet positions. Neuroscience, 2020, 430: 113-124.
23.	Pohl T, Brauner T, Wearing S, et al. Limb movement, coordination and muscle activity during a cross-coordination movement on a stable and unstable surface. Gait Posture, 2020, 81: 131-137.

1. Funayama T, Noguchi H, Mataki K, et al. A novel unidirectional porous β-tricalcium phosphate grafting impregnated with bone marrow blood collected from unfractured vertebral bodies for non-union of osteoporotic vertebral fracture: a preliminary case report. J Orthop Case Rep, 2020, 9(6): 50-53.
2. Funao H, Isogai N, Sasao Y, et al. Vertebroplasty with posterior spinal fusion for osteoporotic vertebral fracture using computer-assisted rod contouring system: a new minimally invasive technique. Int J Surg Case Rep, 2020, 72: 301-305.
3. 李楠, 樊春雷, 王利剛, 等. 核心穩定性訓練聯合認知行為療法對慢性非特異性腰痛患者療效觀察. 實用醫院臨床雜志, 2021, 18(1): 60-64.
4. Atsushi I, Tomohiro K. Acute adaptation of sensory dependence for postural control induced immediately after balance exercises on unstable support surfaces. J Jpn Petrol Inst, 2019, 25(1): 1055-1058.
5. 朱曉鳳. 不同頻率全身振動訓練對老年人平衡和核心穩定性的影響. 中國康復理論與實踐, 2020, 26(3): 291-294.
6. 顧軍, 孫小明, 陳海軍, 等. SPECT-CT、MRI診斷骨質疏松性椎體壓縮性骨折疼痛責任椎體的準確性比較. 中國CT和MRI雜志, 2021, 19(1): 169-171.
7. 趙春香, 王瑞剛, 張巖, 等. 核心穩定性訓練治療缺血性腦卒中偏癱88例療效觀察. 安徽醫藥, 2020, 24(1): 17-20.
8. 范蕓, 莊任, 徐景, 等. 全方位密集運動訓練聯合核心穩定性訓練在神經內科老年缺血性腦卒中患者早期康復治療中的應用效果研究. 實用心腦肺血管病雜志, 2020, 28(8): 83-88.
9. 劉永芳, 齊林, 張曉菁, 等. 高壓氧聯合核心穩定性訓練治療恢復期腦卒中患者的療效觀察. 中華物理醫學與康復雜志, 2020, 42(2): 143-145.
10. Oishi Y, Nakamura E, Murase M, et al. Presence or absence of adjacent vertebral fractures has no effect on long-term global alignment and quality of life in patients with osteoporotic vertebral fractures treated with balloon kyphoplasty. J Orthop Sci, 2020, 25(6): 931-937.
11. 楊順, 路坦. 骨鈣素、骨特異性堿性磷酸酶、胰島素樣生長因子1水平對脛骨骨折患者術后骨折愈合情況的預測價值分析. 河南大學學報(醫學版), 2020, 39(3): 204-206.
12. Kato S, Terada N, Niwa O. Surgical treatment of osteoporotic vertebral fracture associated with diffuse idiopathic skeletal hyperostosis along with comparative assessment of the levels of affected vertebra or anterior column reconstruction. Spine Surg Relat Res, 2019, 4(1): 57-63.
13. 陳巖, 王煒. 核心穩定性訓練對全髖關節置換術后患者功能恢復的影響. 中國臨床醫生雜志, 2020, 48(2): 245-247.
14. 郝川. 不穩定支撐面軀干穩定性訓練對腦卒中偏癱早期患者平衡功能和步行能力的影響. 中國康復醫學雜志, 2018, 33(1): 72-75.
15. Kim YW, Kim NY, Chang WH, et al. Comparison of the therapeutic effects of a sling exercise and a traditional stabilizing exercise for clinical lumbar spinal instability. J Sport Rehabil, 2018, 27(1): 47-54.
16. 黃露露, 王安萍, 陳婷婷, 等. 核心穩定性訓練結合深層肌肉刺激對腰椎間盤突出癥患者術后功能恢復的影響. 護理實踐與研究, 2020, 17(7): 81-83.
17. 李秀明, 縱亞, 謝青, 等. 脊柱核心穩定性訓練對單側慢性非特異性腰痛遠期治療效果的研究. 中國康復, 2020, 35(7): 357-361.
18. 劉洪舉, 邱智, 朱思剛, 等. 不穩定支撐面核心穩定性訓練對胸腰段骨折伴不完全性脊髓損傷患者步行和靜態平衡能力的影響. 中華物理醫學與康復雜志, 2020, 42(8): 716-721.
19. 肖麗萍, 尹德銘, 伍惠賢. 視頻互動式橋式運動腰背肌訓練操對腰椎退行性疾病患者功能恢復的影響. 護理實踐與研究, 2020, 17(8): 157-159.
20. 張坤木, 李長輝, 陳彥, 等. 俞募推拿聯合平板支撐治療腰椎間盤突出癥康復期臨床療效觀察. 現代中醫臨床, 2020, 27(5): 14-18.
21. 徐冬晨, 王紅星, 王彤. 大鼠部分重量支撐平板訓練新模型在不完全性脊髓損傷運動功能改善中的應用. 中國康復醫學雜志, 2010, 25(8): 721-724.
22. Promsri A, Haid T, Federolf P. Complexity, composition, and control of bipedal balancing movements as the postural control system adapts to unstable support surfaces or altered feet positions. Neuroscience, 2020, 430: 113-124.
23. Pohl T, Brauner T, Wearing S, et al. Limb movement, coordination and muscle activity during a cross-coordination movement on a stable and unstable surface. Gait Posture, 2020, 81: 131-137.

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Effect of core stabilization exercise with unstable support surface on rehabilitation of patients with osteoporotic vertebral fracture

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