症状性Ⅱ型足副舟骨切除术后两种康复锻炼方法比较  

Comparison of two rehabilitation exercise protocols after resection of symptomatic type Ⅱ accessory navicular bone

作　　者：李霞[1] 李大河 张开亮 LI Xia;LI Da-he;ZHANG Kai-liang(Physical Education Institute,Taishan College,Tai'an 271000,China;Department of Orthopae-dics,Tai'an District,No.960 Hospital of PLA,Tai'an271000,China)

机构地区：[1]泰山学院体育学院,山东泰安271000 [2]解放军第960医院泰安院区,山东泰安271000

出　　处：《中国矫形外科杂志》2021年第17期1609-1611,共3页Orthopedic Journal of China

摘　　要：[目的]比较运动员症状性Ⅱ型足副舟骨切除术后两种康复锻炼方法的近期结果。[方法]2017年6月-2020年6月采用改良Kinder手术治疗足副舟骨运动员患者38例,术后随机将患者分为两组,复合组19例采用Groud-Up足踝功能锻炼+伸展锻炼,单纯组19例采用单纯伸展锻炼,比较两组近期临床效果。[结果]所有患者均随访6个月以上,末次随访时,复合组在VAS评分、AOFAS评分、Maryland评分、肌电图MUPs(uV)、单足跳远对称指数(symmetrical index,SI)、单足提踵SI和3000 m跑SI均显著优于单纯组(P<0.05)。[结论]副舟骨切除术后的运动员患者采用复合康复锻炼可显著改善足部功能。[Objective] To compare the short-term outcomes of two rehabilitation exercise protocols for resection of symptomatic type Ⅱ accessory navicular bone in athletes. [Methods] From June 2017 to June 2020, 38 athletes underwent modified Kinder procedure for symptomatic type Ⅱ accessory navicular bone. After the operation, the patients were randomly divided into two groups. Of them, 19 patients in the compound group received Groud-Up ankle functional exercise combined with stretching work out, while the remaining 19 patients in the simple group used stretching exercises only. The short-term clinical outcomes were compared between the two groups. [Results] All patients were followed up for more than 6 months. At the last follow-up, the compound group was significantly superior to the simple group in term of VAS, AOFAS and Maryland scores, as well as electromyogram(EMG) motor unit parameters(MUPs), single foot long jump symmetrical index(SI), single foot heel raise SI and 3 000 m running SI(P<0.05). [Conclusion] Appling the compound rehabilitation exercises after resection of symptomatic type Ⅱ accessory navicular bone does significantly improve functional recovery and sports performance in athletes.

关 键 词：症状性Ⅱ型足副舟骨 运动员 康复 功能锻炼 

分 类 号：R687[医药卫生—骨科学]