Study On The Effect Of Balance Training Rehabilitation Nursing On Sitting Balance Ability Of Patients With Disused Lower Limb Joint Contracture

Objective: To study the effect of balance training rehabilitation nursing on the balance ability of patients with disused lower limb joint contracture.Method: Eighty patients with lower extremity joint contractures and different degrees of sitting imbalance were selected and divided into experimental group and control group by random number table method and arranged in different wards.The control group(n=40)performed routine rehabilitation training(placement of good limbs,massage,active and passive exercise training),the experimental group(n=40 performed balance training rehabilitation nursing on the basis of the control group(relaxation training,micro-vibration therapy,balance training).Application:The virtual situation interactive training system(BioMaster)measures the knee flexion and extension activity(ROM),the motor function scale evaluates the lower limb motor function,the balance function detection and training system(B-PHY)checks the patient’s static open-eye sitting position balance ability.The intervention is expected to be 8 weeks,a total of 80 successful cases were collected during the intervention period,40 cases in each group.Result: Before the intervention,the two groups of patients had varying degrees of knee and hip flexion and extension activities,lower extremity motor dysfunction,and static open-eye sitting imbalance performance(static open-eye sitting position pressure center of gravity distribution area deviates or does not pass through the center of gravity area in the support surface A,The center of gravity of the sitting pressure increases to the left or right or back and forth,the amplitude of the swing motion increases,the length of the swing motion trajectory increases,and the orthopedic area within the area covered by the swing motion trajectory expands(both P> 0.05).After 8 weeks of intervention,the active knee flexion and extension ROM within the painless area of the two groups was significantly expanded,the amount of flexion and extension of the lower limbs increased,the function of seat movement control was enhanced,and the area of support for sitting in the lower limbs was significantly increased.The amplitude of the left and right and front and back swing amplitude,the length of the trajectory of the swing of the center of gravity of the sitting position is shortened,the orthopedic area in the area covered by the trajectory of the center of gravity of the sitting pressure is significantly reduced,and the trajectory of the center of gravity of the seat pressure is concentrated in the area A and recovered from other areas The number of patients in area A increased(experimental group: all P<0.001,control group: all P<0.05),and the difference between the measured values of the experimental group after intervention was significantly higher than that of the control group(P<0.01).Conclusion: In clinic,balance training rehabilitation nursing can effectively improve the degree of joint flexion contracture,Significantly expand the knee flexion and extension range of motion and the amount of flexion and extension exercise,reflexively enhance the control function of the sitting position of the lower limbs,expand the effective contact area between the sitting surface of the lower limbs and the supporting surface,significantly reduce the swing of the center of gravity of the sitting position to the left-right and back-forth,shorten the swing The length of the amplitude motion trajectory,reducing the orthopaedic area within the area covered by the amplitude motion trajectory,promoting the center of gravity to move to the left and right and the front and back amplitude motion trajectory in a unit time to the area A of the center of gravity area,forcing the pressure center of gravity to fall on the support surface Inside,restore and improve the stability of sitting upright,effectively improve the patient’s ability to balance sitting position.