Osteoporotic vertebral compression fractures (OVCFs) are common in elderly patients with reduced bone density. Pain and loss of function after fractures have a serious impact on the patient's activities of daily living and quality of life. Management of patients with early OVCFs who choose non-surgical treatment is necessary to prevent complications, relieve pain, and improve functional status. This paper focuses on the development of OVCFs non-surgical management in many aspects, which may provide reference for the rapid recovery of OVCFs patients in the process of non-surgical management.
目的:了解汶川地震老年傷員存在的身體結構與功能受損程度及活動、參與能力受限程度,明確其康復護理需求。方法:方便抽樣的方法選取研究對象,采用自行設計的調查表由康復醫師在征得其同意后對其完成資料的收集。結果:共選取研究對象40名。傷員存在多系統多器官的結構和功能受損,存在呼吸道感染者4例(10%),截肢者2例(5%),顱腦損傷導致癱瘓者1例(2.5%),骨折者28例(70%)。傷后早期即出現運動功能的下降,26例(65%)患者存在關節活動受限,26例(65%)肌力下降。疼痛是需要解決的一個重要問題,19例(47.5%)患者存在不同程度的疼痛問題。傷后老年傷員日常活動生活能力下降,生活能基本自理者僅13例(32.5%);參與能力受限也是一個不容忽視的問題,職業能力受限者36例(90%),休閑娛樂能力受限者33例(82.5%),社交能力受限者25例(62.5%)。結論:老年傷員的康復現狀不容樂觀,應該引起重視,康復治療需要及早進行。
目的:了解汶川地震后截肢患者存在的功能障礙及康復需求情況。方法:選取我院骨科2008 年5 月12 日至2008 年6 月1 日收治的19 例截肢患者為研究對象,采用自行設計的調查表,由康復醫師在征得研究對象同意的情況下完成資料的收集。結果:63.2%的患者存在肌力下降,36.8%的患者生活需要幫助,其中生活依賴明顯占31.6%,完全依賴占5.3 ％,幾乎所有患者存在參與功能障礙。 結論:大多數截肢患者存在不同程度的功能障礙,應該引起高度重視其康復鍛煉。
Objective To explore the clinical significance of systemic rehabilitation training on knee functional recovery after anterior cruciate ligament (ACL) reconstruction. Methods Patients who underwent arthroscopic knee ACL reconstruction and met the inclusion criteria were included from January 2015 to October 2016. A 4-phase, 16-week systemic rehabilitation training was given individually according to surgical conditions, sports and other factors. Visual Analogue Scale (VAS), knee range of motion (ROM), knee circumference, and 10-meter walking time were measured before surgery, and 3, 6, and 12 months after surgery. At the same time, the function and stability of the knee joint were graded by Lysholm score, Holden walking score, International Knee Documentation Committee (IKDC) score, and KT-1000 test. The postoperative one-year scores were compared with the other side, and the patient satisfaction was evaluated one year after surgery. Results All patients were followed up for at least one year. The VAS pain score, ROM, knee circumference, 10-meter walking time, Lysholm score, Holden score, IKDC score, and KT-1000 of all patients were significantly better than their preoperative levels (P<0.05), and there was no significant difference in joint function from the contralateral side (P>0.05). No serious complications such as infection occurred. Conclusion Systemic rehabilitation exercises can help patients with well-restored knee joint function after ACL reconstruction.