Application research of steady training of spinal core on the rehabilitation nursing of thoracolumbar vertebral fracture patients

Abstract

Objective To explore and analyze the application effect of steady training of spinal core on the rehabilitation nursing of thoracolumbar vertebral fracture patients. Methods A total of 30 thoracolumbar vertebral fracture patients received from January, 2014 to December, 2015 in our hospital were selected. The patients were divided into control group and experimental group by random number table method. Functional training of lumbar spinal cord muscle was conducted to the control group. Steady training of spinal core with the combination of functional training of lumbar spinal cord muscle was conducted to the observation group. Follow-up visit was lasted for 12 weeks to observe and record the low back pain JOA score and Oswestry dysfunction index of patients before treatment, 4 weeks, 8 weeks and 12 weeks after treatment, and compare the curative effect of patients in both groups after 12 weeks. Results The difference of ODI of patients in both groups before treatment had no statistical significance(P>0.05). After repeated variance analysis, multi-point-in-time and inter-group multi-point-in-time comparison of patients in both groups before and after treatment, the difference had statistical significance(P 0.05). After repeated variance analysis, multi-point-in-time and inter-group multi-point-in-time comparison of patients in both groups before and after treatment was significant, which had statistical significance(P<0.05). With the treatment going on, the JOA score of patients in both groups was significantly improved, but the improvement level of JOA score for the patients of observation group was obviously superior to the control group, which had statistical significance(P<0.05). After rank sum test, the difference of curative effect of patients in both groups was significant, which had statistical significance(u=5.32, P<0.05). The total effective rate of observation group was obviously superior to control group, and the difference had statistical significance. Conclusion Steady training of spinal core is helpful to relieve the pain for thoracolumbar vertebral fracture patients and significantly improve spinal function, so as to promote the treatment effect. Key words: Thoracolumbar fractures; Rehabilitation nursing; Core stability training