小腿三头肌离心收缩对踝关节外侧副韧带损伤术后恢复的影响分析  

Analysis of the effect of eccentric contraction of triceps surae muscle on postoperative recovery of lateral collateral ligament injury of ankle joint

作　　者：李少迪 董钊钊[1] 范兆雷 张静[1] Li Shaodi;Dong Zhaozhao;Fan Zhaolei;Zhang Jing(Department of Rehabilitation,the Third Hospital of Hebei Medical University,Shijiazhuang 050051,China)

机构地区：[1]河北医科大学第三医院康复科,河北石家庄050051

出　　处：《足踝外科电子杂志》2023年第1期28-32,共5页Electronic Journal of Foot and Ankle Surgery

基　　金：河北省卫生健康委科研基金项目(20210050)。

摘　　要：目的本文主要分析小腿三头肌离心收缩训练对踝关节外侧副韧带损伤术后患者疼痛、稳定性及步态的影响。方法从2020年9月至2021年12月河北医科大学第三医院门诊收治的踝关节外侧副韧带损伤患者中选取80例作为研究对象,按照随机原则平均分配为两组,每组40例。两组患者均采用基础的康复治疗手段,实验组基于一般康复治疗方法增加了针对小腿三头肌力量的练习。治疗中,采用视觉模拟评分法(visual analogue scale,VAS)评分判断患者踝关节的疼痛程度,记录分析患者的踝关节肌力,用Berg平衡量表评估踝关节韧带的稳定性,记录美国足踝外科协会(American Orthopaedic Foot and Ankle Society,AOFAS)踝与后足评分,通过Footscan足底压力评分法研究患者的压力变化情况和步频。结果治疗后,两组患者的VAS评分均有所改善,且实验组患者的改善程度优于对照组(P<0.05);患者的踝关节肌力增强(P<0.05);AOFAS评分有所改善(P<0.05);踝关节周围韧带的稳定性增强(P<0.05);行走时患者损伤部位的足压力峰值和负荷值均相对提高(P<0.05),患者的足跟落地期减少、全足支撑期增加(P<0.05),踝关节平衡功能得到改善(P<0.05)。结论小腿三头肌肌力增强后,踝关节外侧副韧带损伤患者的预后良好,其稳定性和步态均有所改善。Objective This article mainly analyzes the effects of calf triceps centrifugal contraction training on pain,stability and gait of patients with lateral ankle collateral ligament injury.Methods From September 2020 to December 2021,a total of 80 patients were enrolled in the outpatient department of the Third Hospital of Hebei Medical University,and they were equally assigned according to the random principle,with 40 patients in each group.Basic rehabilitation treatment was used for each group of patients,and the experimental group increased exercises targeting the strength of the calf triceps muscle based on the general rehabilitation treatment.During the treatment of all patients,visual analogue scale(VAS)score was used to determine the degree of ankle pain,recorded and analyzed the patient's ankle muscle strength,Berg balance scale was used to evaluate the stability of ankle ligaments,the American Orthopaedic Foot and Ankle Society(AOFAS)ankle-hindfoot score was investigated,and the changes in pressure and stride frequency were studied by the Footscan plantal pressure score.Results After treatment,VAS scores of both groups were improved,and the improvement degree of experimental group was better than that of control group(P<0.05);Ankle muscle strength was enhanced(P<0.05);AOFAS score was improved(P<0.05);The stability of ligaments around the ankle joint was enhanced(P<0.05);The peak value of foot pressure and load at the injured site of patients before and after marching were relatively increased(P<0.05),the heel landing period of patients was reduced,the whole foot support period was increased(P<0.05),and the ankle balance function was improved(P<0.05).Conclusion After the enhancement of triceps muscle strength,the prognosis of the patients with lateral ankle collateral ligament injury is good,and the stability and gait are improved.This evaluation method has certain guiding significance for clinical treatment.

关 键 词：踝关节外侧副韧带损伤 小腿三头肌 离心收缩 步态分析 稳定性 

分 类 号：R686.5[医药卫生—骨科学]