基于微视频的回授法在踝关节骨折术后康复训练指导中的应用  

Application of feedback method based on micro-video in rehabilitation training guidance after ankle fracture

作　　者：祁媛媛 戴小洁 蒋丹 马晓青 王娜娜 Qi Yuanyuan;Dai Xiaojie;Jiang Dan;Ma Xiaoqing;Wang Nana(Department of Trauma MicroSurgery,Huaian 82nd Hospital,Huaian 223001,China)

机构地区：[1]淮安八十二医院创伤显微外科,江苏淮安223001

出　　处：《足踝外科电子杂志》2024年第3期36-39,53,共5页Electronic Journal of Foot and Ankle Surgery

摘　　要：目的探讨基于微视频的回授法在踝关节骨折术后康复训练指导中的应用。方法选择淮安八十二医院2022年1月至2024年5月收治的踝关节骨折患者86例,以随机数字表法分组。对照组(n=43)以常规康复训练指导,观察组(n=43)以基于微视频的回授法指导。比较两组康复训练动作规范率,评估干预前后足踝功能及活动度,并评估患者步行与平衡能力。结果干预后,观察组屈髋屈膝规范率93.02%、踝泵运动规范率97.67%、股四头肌等长收缩规范率97.67%、足趾主动活动规范率95.35%、直腿抬高规范率93.02%,均较对照组60.47%、65.12%、76.74%、69.77%、67.44%更高;观察组足踝功能优良率93.02%,较对照组76.74%高;干预后,观察组足踝伸展、屈曲、旋前、旋后活动度更高;Tinetti平衡与步态量表(Tinetti performance-oriented mobility assessment,Tinetti POMA)评分、Berg平衡量表(Berg balance scale,BBS)评分均更高,差异均有统计学意义(P<0.05)。结论在踝关节骨折术后康复训练中予以微视频回授法指导能提高动作规范率,改善足踝功能及活动度,并可提高步行与平衡能力。Objective To explore the application of microvideo-based feedback method in rehabilitation training guidance after ankle fracture.Methods A total of 86 patients with ankle joint fracture admitted to Huaian 82nd Hospital from January 2022 to May 2024 were randomly grouped.The control group(n=43)received routine rehabilitation instruction,while the observation group(n=43)received feedback instruction based on micro-video.The standard movement rate of the two groups was compared,the ankle function and mobility were assessed before and after the intervention,and the walking and balance ability were assessed.Results After intervention,the standard rate of hip and knee flexion,ankle pump,quadriceps contraction,toe movement and straight leg elevation in the observation group was 93.02%,97.67%,95.35%and 93.02%respectively,which were higher than 60.47%,65.12%,76.74%,69.77%and 67.44%.The excellent and good rate of foot and ankle function in the observation group was 93.02%,which was higher than that 76.74%.After intervention,ankle extension,flexion,pronation and supination activity were higher in the observation group.Tinetti performance-oriented mobility assessment score and Berg balance scale score were higher(P<0.05).Conclusion In the rehabilitation training after ankle fracture,micro-video feedback can improve the standard rate of movement,ankle function and mobility,and improve walking and balance ability.

关 键 词：微视频 回授法 踝关节骨折 康复训练指导 足踝功能 平衡 

分 类 号：R473.6[医药卫生—护理学]