Abstract
Evaluation of rehabilitation effects of multimodal therapy on patients with lumbar spinal stenosis by ICF-RS
  
DOI:10.3870/zgkf.2024.12.006
EN KeyWords: lumbar spinal stenosis  PLIF  multimodal therapy  ICF-RS  rehabilitation
Fund Project:河北省自然科学基金资助项目(H2021108006)
作者单位
朱行通 华北理工大学护理与康复学院河北 唐山 063000 
巩浩然 华北医疗健康集团邢台总医院河北 邢台 054000 
吴占勇 1.华北理工大学护理与康复学院河北 唐山 0630002.华北医疗健康集团邢台总医院河北 邢台 054000 
马建青 华北医疗健康集团邢台总医院河北 邢台 054000 
胡业华 华北医疗健康集团邢台总医院河北 邢台 054000 
莫秀芳 华北理工大学护理与康复学院河北 唐山 063000 
赵晓博 华北医疗健康集团邢台总医院河北 邢台 054000 
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EN Abstract:
  Objective: ICF rehabilitation combination (ICF-RS) was used to evaluate the functional status of posterior lumbar interbody fusion (PLIF) patients with lumbar spinal stenosis (LSS). The rehabilitation effect of multimodal therapy was analyzed. Methods: A total of 76 patients with LSS who underwent PLIF were selected and randomly divided into an observation group and a control group, with 38 patients in each group. The control group was treated with conventional rehabilitation therapy, and the observation group was treated with multimodal therapy. Before and after 3 months of intervention, the patients’ functional improvement was assessed by ICF-RS. Results: The categories in which 76 patients had significant functional impairment were, in order: b130 energy and drive functioning, d240 controlling stress and other psychological needs, d640 doing household chores, d230 carrying out daily routines, d570 caring for one’s health, d660 helping others, d850 gainful employment, d920 recreation and leisure, b134 sleep functioning, and b152 emotional functioning, b280 pain perception, b455 exercise tolerance, b710 joint mobility, b730 muscle strength functioning, d410 changing basic body postures, and d415 maintaining a body posture totaling 16. After 3 months of intervention, the scores of 16 categories in both groups were lower than those before intervention (P<0.05), and the scores of 16 categories in the observation group were lower than those in the control group (P<0.05). Conclusion: Multimodal therapy has obvious rehabilitation effect on LSS patients undergoing PLIF.
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