小关节松动训练法在踝关节僵硬康复治疗中疗效观察  

Effectiveness of facet joint mobilization training in the treatment of ankle joint stiffness

作　　者：祁昌杰 王兰香 蒲荣 杨冰[1] 池成海 杨济华 乔艺杰 赵晨钰 彭伟[2] Qi Changjie;Wang Lanxiang;Pu Rong(Department of Rehabilitation Medicine,the 8th Medical Center of Chinese PLA General Hospital,Beijing 100093,China)

机构地区：[1]解放军总医院第八医学中心康复医学科,北京100091 [2]解放军第三军医大学(陆军军医大学)

出　　处：《中华保健医学杂志》2021年第4期376-378,共3页Chinese Journal of Health Care and Medicine

基　　金：解放军第三军医大学创伤烧伤与复合伤国家重点实验室基金项目(SKLKF202021)。

摘　　要：目的观察小关节松动训练法在踝关节僵硬康复治疗中的疗效。方法选择2018年1月~2020年6月解放军总医院第八医学中心康复医学科接诊的79例踝关节僵硬患者,随机数表法分为观察组和对照组,对照组采用常规超声治疗,观察组则在此基础上给予小关节松动训练综合治疗。分别观察两组患者的治疗效果,关节活动情况采用踝-后足评分系统(AOFAS)评估,以及治疗后疼痛视觉模拟评分法(VAS)和汉密尔顿焦虑量表(HAMA)评分比较。结果AOFAS踝-后足评分比较,观察组与对照组分别为(81.73±5.99)和(74.79±5.49)分,治疗后两组比较,差异有统计学意义(P<0.05)。关节功能评分(ROM)比较,观察组患者关节ROM背伸(35.25±7.42)、跖屈(45.25±8.16)与对照组患者关节ROM背伸(27.05±11.68)、跖屈(38.85±10.79),差异有统计学意义(P<0.05)。观察组VAS评分及HAMA焦虑评分低于对照组,差异有统计学意义(P<0.05)。结论小关节松动训练在踝关节僵硬的康复治疗中疗效显著,安全可靠,值得推广。Objective To observe the effectiveness of the training method of facet joint mobilization in the rehabilitation treatment of ankle joint stiffness.Methods 79 patients with ankle joint stiffness treated by the Department of Rehabilitation Medicine of the eighth Medical Center from January 2018 to June 2020 were randomly divided into observation group and control group.The control group was treated with conventional ultrasound,and the observation group was treated with the combination therapy of facet joint mobilization training.The therapeutic effects of the two groups of patients were observed,while the excellent rate of joint mobility after treatment was observed.Results The therapeutic effect of conventional ultrasound combined with facet joint mobilization training was better,comparison between groups of patients AOFAS score,the observation group and the control group were 81.73±5.99&74.79±5.49,(P<0.05).After treatment,comparison between groups of patients in the treatment of joint function score,the observation group ROM score of dorsiflexion and plantar flexion were 35.25±7.42&45.25±8.16,and the control group ROM score of dorsiflexion and plantar flexion were 27.05±11.68&38.85±10.79,(P<0.05),the difference was statistically significant.The VAS score and HAMA score of anxiety of the observation group were significantly lower than the control group,the difference was statistically significant(P<0.05).Conclusion The clinical effect of facet joint mobilization training is significant,safe and reliable in the rehabilitation treatment of ankle joint stiffness,which is worth promoting.

关 键 词：小关节松动 踝关节僵硬 康复治疗 

分 类 号：R49[医药卫生—康复医学]