背景:骨矿物质密度(BMD)降低是烧伤后的常见病,并伴有严重的并发症,这将是全球性的健康问题。此外,平衡可以进一步恶化由于烧伤并发症。因此,本研究旨在分析2个月气功训练对标准物理治疗方案对热烧伤后骨密度和平衡控制的累加效应。
方法:110名参与者(75名男性和35名女性),年龄25-50岁,深二度和三度热烧伤影响躯干和下肢,和30-45%的总身体表面积(TBSA),随机分为两组,每组55人。A组有气功训练及其标准理疗方案,对照组(B组)只有标准的理疗方案。八个星期,干预措施每周使用四次.骨密度(BMD),腰椎的T评分,总体稳定指数(OSI),在干预前和干预8周后评估动态稳定性极限(DLOS).
结果:双向混合MANOVA表明BMD显着增加,T-score,和DLOS,与对照组相比,治疗八周后气功训练组的OSI显着下降。两组BMD均有显著改善,T-得分,DLOS,和OSI治疗后与基线相比。治疗8周后气功训练组的赞成有统计学意义(P<0.001)。
结论:在躯干和小腿修复二度和三度热烧伤的患者中,气功训练活动结合标准物理治疗方案2个月比单独的标准物理治疗方案更有助于增加骨密度和改善平衡控制。
Decreased bone mineral density (BMD) is a common condition after a burn with significant complications that would be a global health problem. Also, balance can further worsen due to burning complications. Therefore, this study aims to analyze the additive effects of selected Qigong training exercises for 2 months to the standard physiotherapy regimen on bone mineral density and balance control post-thermal burn injuries.
110 participants (75 males and 35 females), aged 25-50, with deep second and third-degree thermal burns affecting the trunk and lower extremities, and a total body surface area (TBSA) of 30-45%, allocated randomly into two equal groups of 55. Group A has Qigong training along with its standard physiotherapy regimen, and the control group (Group B) has only a standard physiotherapy regimen. For eight weeks, the interventions were used four times a week. The bone mineral density (BMD), T-score of the lumbar spine, the overall stability index (OSI), and the dynamic limits of stability (DLOS) were assessed pre-intervention and after eight weeks of intervention.
A two-way mixed MANOVA showed that there was a significant increase in BMD, T-score, and DLOS and a significant decrease in OSI in a favor of the Qigong training group after eight weeks of treatment compared with that of the control group. Both groups showed a significant improvement in BMD, T- score, DLOS, and OSI post-treatment compared with that at the baseline. There were statistical significances in the favor of the Qigong training group after eight weeks of treatment (P < 0.001).
In patients with repaired second and third-degree thermal burns of the trunk and lower legs, Qigong training activities combined with a standard physiotherapy regimen for 2 months were more helpful in increasing bone mineral density and improving balance control than the standard physiotherapy regimen alone.