Footscan足底压力分析系统对跟骨骨折患者术后康复疗效的评定  

The efficacy of post-operation rehabilitation treatment of calcaneus fracture as evaluated by Footscan system

作　　者：陈占法[1] 李西成[1] 赵海涛[1] 韩长伶[1] 张奇[1] 陈伟[1] 张英泽[1] 

机构地区：[1]河北医科大学第三医院创伤急救中心,石家庄050051

出　　处：《中华物理医学与康复杂志》2008年第3期181-184,共4页Chinese Journal of Physical Medicine and Rehabilitation

基　　金：河北省科技攻关项目（05276403D-16）

摘　　要：目的观察系统康复训练对跟骨骨折患者术后患足功能恢复的促进作用，并同时研究Footscan足底压力分析仪对患者康复疗效的评定价值。方法共选取62例单侧跟骨骨折患者，经手术治疗后将其随机分为康复组与对照组。康复组患者于术后早期介入系统、规范、全程康复治疗，对照组则遵医嘱进行功能训练。分别于术后3个月、6个月时应用Footscan足底压力分析系统对其进行检测。所得数据采用自身配对比较法进行分析。结果术后3个月时，2组病例患足在站立相各时期接触时间、足底平均压力及压力时间积分与健足比较，差异均有统计学意义（P〈0．05）；在术后6个月时，发现康复组健、患足间上述指标差异无统计学意义（P〉0．05），而对照组健、患足间上述指标差异仍有统计学意义（P〈0．05）。结论早期康复训练可显著促进跟骨骨折患者患足运动功能恢复，进一步提高术后疗效；Footscan足底压力分析系统可对跟骨骨折患者术后康复疗效进行客观评定。Objective To evaluate the effects of post-operation rehabilitation treatment of patients with calcaneus fracture by dynamic plantar pressure analysis, and assess the value of the Footscan system. Methods Sixty-two patients with unilateral ealcaneus fracture were randomly divided into a rehabilitation group and a control group. The patients in the rehabilitation group were given early, systemic standard rehabilitation treatment, while those in the control group took functional exercise following the doctors＇ advice. At 3 months and 6 months after operation, the plantar pressure distribution of the patients in both groups was analyzed with the Footscan system, respectively. Results After 3 months of treatment, there was statistically significant difference between the injured and the uninjured sides in both groups, with regard to the contact time, average plantar pressure and pressure-time integrals at different phases of gait. However, there was no significant difference between the injured and the uninjured sides after 6 months in rehabilitation group. But in control group, there was still statistically significant difference between the two sides with regard to the above parameters. Conclusion Early rehabilitation treatment could significantly improve the function outcome of patients with ealcaneus fracture. Footscan System can objectively evaluate the recovery of the calcaneous fracture.

关 键 词：跟骨骨折 足底压力 步态 康复训练 

分 类 号：R687.3[医药卫生—骨科学] R49[医药卫生—外科学]