评估布巴内斯瓦尔三级医院老年人跌倒相关手腕骨折的可能预测因素

Snigdha Singh, N. Panda, A. Naik, M. Pandey
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摘要

腕部骨折是老年人常见的伤害之一,如果不进行适当的治疗和恢复,会导致生活质量下降和功能受损。前庭功能不对称、足底感觉下降、姿势不稳定和功能障碍等因素与老年人跌倒相关的手腕骨折更为常见。由于腕部骨折被认为是未来骨折发生率的一个指标,尤其是髋部骨折,因此可以及时采取改善平衡、内耳平衡系统功能、足部感觉等预防措施,并有助于腕部骨折患者的康复。探讨与腕部稳定训练(WT)相比,多感觉训练(MST)对老年人跌倒相关腕部骨折患者体位(肌肉力量)、前庭功能、振动感知、触觉和功能能力的影响。本研究采用实验研究设计,对130例腕部骨折患者进行随访,88例随机接受多感觉训练,42例接受腕部稳定训练。训练时间为12周,由物理治疗师指导4次,两组都进行家庭练习。训练前后测量包括头摇测试(HST)、semes - weinstein单丝测试(SWM)、振动感知测试、10米步行测试(10MWT)、五次坐立测试(FTSTS)、活动特定平衡信心(ABC)和头晕障碍量表(DHI)。两组间FTSTS、ABC、DHI差异均有统计学意义。与腕关节稳定训练相比,MST对HST的改善更有帮助(p=0.001)。多感觉训练对腕部骨折患者前庭功能有较好的改善作用。它可以作为骨折治疗后的常规训练干预。可以采用稳健的样本量来推广其有效性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Evaluating probable predictors for fall related wrist fracture among the elderly population in a tertiary care hospital, Bhubaneswar
Wrist fractures are one among the common injuries of the elderly leading to reduced quality of life and impaired functionality, if not treated and restored adequately. Factors like asymmetry of vestibular function, decreased plantar sensation, unstable posture and functional disability have been more commonly associated with fall related wrist fractures among the geriatric population. Since wrist fractures are considered as an indicator for fracture incidence in the future specially for hip fractures, preventive measures like improving balance, function of the balance system in the inner ear and feeling in people’s feet can be timely adopted which in addition might be helpful in rehabilitation of patients with fractured wrist.To determine effect of multi sensory training (MST) on posture (muscle strength), vestibular function, vibration perception, tactile sensation and functional ability compared to wrist stabilization training (WT) among elderly with fall related wrist fractures.Experimental research design was adopted for the study among the 130 follow up cases of wrist fracture where 88 participants were randomized to Multi Sensory Training and 42 received Wrist stabilization Training. The training period was 12 weeks, with 4 supervised sessions by a physiotherapist and home exercises for both groups. Pre and post training measurements included Head Shake Test (HST), Semmes–Weinstein Monofilaments (SWM), Vibration perception Test, 10m Walk Test (10MWT), Five Times Sit to Stand Test (FTSTS), Activities Specific Balance Confidence (ABC) and Dizziness Handicap Inventory Scales (DHI). FTSTS, ABC, DHI were found to be statistically significant between the 2 groups. In contrast to wrist stabilization training, MST was more helpful in improving HST (p=0.001). Vestibular function among the cases of wrist fracture was better with Multi Sensory Training. It may be applied as a routine training intervention post fracture treatment. A robust sample size can be taken up to generalize its effectiveness.
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