Rehabilitation effect of core muscle group training based on the concept of enhanced recovery after surgery on the patients with lumbar disc herniation
LI Hui1 ZHU Xiaoxiao1 JIANG Liping1 YAN Yalan1 ZHANG Gengbiao2
1.Department of Orthopedics,Guangdong 999 Brain Hospital,Guangdong Province,Guangzhou 510510,China;
2.Rehabilitation Training Center,Guangdong 999 Brain Hospital,Guangdong Province,Guangzhou 510510,China
Abstract：Objective To explore the effect of core muscle training based on the concept of enhanced recovery after surgery (ERAS) on the rehabilitation of patients with lumbar disc herniation.Methods A total of 160 patients with lumbar disc herniation admitted to Guangdong 999 Brain Hospital from February to December 2019 were selected as the research objects,they were divided into control group and observation group according to random number table method,with 80 cases in each group.The control group used routine nursing care,and the observation group used core muscle training under the ERAS concept on this basis.The postoperative complication rate,compliance with functional exercise and recovery of lumbar spine function were compared between the two groups.Results The postoperative complication rate of the observation group was lower than that of the control group,and the difference was statistically significant (P＜0.05).At discharge and 3 months after discharge,the observation group′s functional exercise compliance score was higher than that of the control group,and the Oswestry disabilitv index (ODI) score was lower than that of the control group,the differences were statistically significant (P＜0.05).There were no statistically significances between the functional exercise compliance scores and ODI scores of the two groups before intervention (P＞0.05).Conclusion The core muscle group training based on the ERAS concept can effectively reduce the incidence of postoperative complications in patients with lumbar disc herniation,improve patients′ functional exercise compliance,and promote the recovery of lumbar spine function.
李慧；朱霄霄； 蒋利平；严雅兰； 张耿标. 基于加速康复外科理念的核心肌群训练对腰椎间盘突出症患者康复效果的影响[J]. 中国当代医药, 2022, 29(3): 183-186.
LI Hui；ZHU Xiaoxiao；JIANG Liping； YAN Yalan；ZHANG Gengbiao. Rehabilitation effect of core muscle group training based on the concept of enhanced recovery after surgery on the patients with lumbar disc herniation. 中国当代医药, 2022, 29(3): 183-186.
Du W，Li H，Omisore OM，et al.Co-contraction characteristics of lumbar muscles in patients with lumbar disc herniation during different types of movement[J].Biomed Eng Online，2018，17（1）：8.
[3]
Laasik R，Lankinen P，Kivimaki M，et al.Return to work after lumbar disc herniation surgery：an occupational cohort study[J].Acta Orthopaedica，2021，92（1）：638-643.
Jeong JK，Kim YI，Kim E，et al.Effectiveness and safety of acupotomy for treating back and/or leg pain in patients with lumbar disc herniation：A study protocol for a multicenter，randomized，controlled，clinical trial[J].Medicine（Baltimore），2018，97（34）：e11951.
Bork H，Gottfried T，Greitemann B.Rehabilitation after Hip Arthroplasty-Between Fast-Track Surgery and Orthogeriatrics[J].Rehabilitation（Stuttg），2021，60（3）：204-217.
京公网安备 11010502046607号