Spinal Loads during Post-Operative Physiotherapeutic Exercises
Spinal Loads during Post-Operative Physiotherapeutic Exercises
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DOI：
10.1371/journal.pone.0102005
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发表时间：
2014-07-07
期刊：
影响因子：
3.7
通讯作者：
Bergmann, Georg
中科院分区：
文献类型：
--
作者：
Rohlmann, Antonius;Schwachmeyer, Verena;Bergmann, Georg
脊柱手术后，进行物理治疗练习，以实现快速恢复正常生活。治疗的一个重要目的是恢复肌肉力量，但众所周知，肌肉力量会使脊柱负荷增加到潜在的危险水平。目前还不清楚哪些运动导致脊柱受力高，从而危及手术结果。在11项物理治疗运动中，测量了5例患者的椎体置换负荷，这些物理治疗运动包括仰卧位、俯卧位、侧卧位或四肢着地（双手和膝盖跪地）。测量以下运动对椎体置换的低合力：仰卧位时抬起一条直腿，侧卧位时腿外展，四足位时伸直一条腿，四足位时挖空背部。从生物力学的角度来看，这些练习可以在手术后不久进行。在以下过程中测量与行走相似甚至更大的植入力：抬起双腿，仰卧位抬起骨盆，伸直单臂，同时或不同时伸直对侧腿，以及伸直背部。这些练习不应该在脊柱手术后不久进行。
After spinal surgery, physiotherapeutic exercises are performed to achieve a rapid return to normal life. One important aim of treatment is to regain muscle strength, but it is known that muscle forces increase the spinal loads to potentially hazardous levels. It has not yet been clarified which exercises cause high spinal forces and thus endanger the surgical outcome. The loads on vertebral body replacements were measured in 5 patients during eleven physiotherapeutic exercises, performed in the supine, prone, or lateral position or on all fours (kneeling on the hands and knees). Low resultant forces on the vertebral body replacement were measured for the following exercises: lifting one straight leg in the supine position, abduction of the leg in the lateral position, outstretching one leg in the all-fours position, and hollowing the back in the all-fours position. From the biomechanical point of view, these exercises can be performed shortly after surgery. Implant forces similar or even greater than those for walking were measured during: lifting both legs, lifting the pelvis in the supine position, outstretching one arm with or without simultaneously outstretching the contralateral leg in the all-fours position, and arching the back in the all-fours position. These exercises should not be performed shortly after spine surgery.