Application effect of diversified health-promoting models on rehabilitation exercises for cervical spondylotic myelopathy

• Published in: Technology and health care Vol. 32; no. 2; pp. 705 - 718
• Main Authors: Lin, Bi-Hua, Zhong, Gui-Qin, Meng, Xiao-Hong, Han, Hai-E, Hu, Xue-Qin, Lin, Jing-Jing, Zhong, Shi-Chai, Lin, Yan-Juan
• Format: Journal Article
• Language: English
• Published: London, England SAGE Publications 01.01.2024; Sage Publications Ltd
• Subjects: Central nervous system diseases; Cervical Vertebrae - surgery; Effectiveness; Exercise Therapy; Grip strength; Health promotion; Humans; Neurosurgery; Orthopedics; Quality of Life; Rehabilitation; Self-efficacy; Spinal cord; Spinal Cord Diseases - etiology; Spinal Cord Diseases - surgery; Spondylosis - complications; Spondylosis - surgery; Statistical analysis; Treatment Outcome; Vertebrae; Diversified; publicity and education; rehabilitation exercise; health-promoting; cervical spondylotic myelopathy
• ISSN: 0928-7329; 1878-7401; 1878-7401
• DOI: 10.3233/THC-230056

BACKGROUND: With improving living standards, the incidence of cervical spondylotic myelopathy (CSM) has become increasingly high. OBJECTIVE: The study aims to explore the effect of diversified health-promoting models on rehabilitation exercises in patients with CSM after an operation. METHOD: This was a randomized controlled trial, wherein 107 patients with CSM treated by neurosurgery were selected as the subjects. Of those, 52 patients in the control group adopted the conventional health-promoting model, while the remaining 55 patients in the intervention group adopted diversified health-promoting models. The effect of rehabilitation exercises in the two groups was evaluated according to the self-efficacy rehabilitation outcome scale, grip strength measurement of the affected limb, and Barthel index. RESULTS: At Day 3 post-operation and before discharge, the self-efficacy management of rehabilitation exercises in the intervention group was better than that of the control group ( P < 0.05). The grip strength measurement of the affected limb, Japanese Orthopedic Association score of the cervical vertebra, and Barthel index of the two groups at Day 3 post-operation were lower than before the intervention and were not statistically significant ( P > 0.05). However, these three items before discharge were improved when compared with those of before intervention and were statistically significant ( P < 0.05). CONCLUSION: Postoperative rehabilitation exercises guided by the diversified health-promoting models for patients with CSM can improve the patients’ self-efficacy management ability in rehabilitation exercises, help improve grip strength, and promote the recovery of cervical vertebra function, thereby improving the patients’ quality of life.