平衡功能强化训练配合机械动力牵拉在踝关节骨折术后患者康复治疗中的应用效果  

Effect of Balance Function Strengthening Training Combined with Mechanical Dynamic Pulling in the Rehabilitation of Patients after Ankle Fracture

作　　者：侯军华 HOU Junhua(Department of Orthopedics,The Second People's Hospital of Boxing County,Binzhou 256500,China)

机构地区：[1]山东省博兴县第二人民医院骨科,山东滨州256504

出　　处：《反射疗法与康复医学》2024年第16期59-62,共4页Reflexology And Rehabilitation Medicine

摘　　要：目的探讨平衡功能强化训练配合机械动力牵拉在踝关节骨折术后患者康复治疗中的应用效果。方法选取我院2020年1月—2022年1月收治的98例踝关节骨折术后患者为研究对象,按照随机数字表法将其分为对照组与观察组,每组49例。对照组术后采用常规康复练习治疗,观察组在对照组基础上采用平衡功能强化训练配合机械动力牵拉进行康复治疗。对比两组患者的踝关节功能、关节肿痛及生活质量。结果治疗后,两组Baird-Jackson踝关节评分系统评分、足踝能力评估量表评分、美国足踝外科医师协会踝-后跟评分均较治疗前升高,且观察组高于对照组,差异有统计学意义(P<0.05);两组踝关节周径短于治疗前,疼痛视觉模拟(VAS)评分低于治疗前,且观察组踝关节周径短于对照组,VAS评分低于对照组,差异有统计学意义(P<0.05);两组生活质量综合评定问卷-74各个维度评分均较治疗前升高,且观察组高于对照组,差异有统计学意义(P<0.05)。结论平衡功能强化训练配合机械动力牵拉能使踝关节骨折术后患者的关节肿痛感降低,促进踝关节功能加速恢复,从而改善患者的生活质量。Objective To study the effect of balance function strengthening training combined with mechanical dynamic pulling in rehabilitation of patients after ankle fracture.Methods A total of 98 postoperative patients with ankle fracture admitted to our hospital from January 2020 to January 2022 were selected as the study objects,and were divided into a control group and an observation group according to random number table method,with 49 cases in each group.The control group received routine rehabilitation exercises treatment after operation,and the observation group received balance function strengthening training and mechanical dynamic pulling based on the control group.Ankle joint function,joint swelling pain and quality of life were compared between the two groups.Results After treatment,Baird-Jackson Ankle scoring system score,Foot and ankle Ability Assessment Scale score and American Association of Foot and Ankle Surgeons ankle-heel score in the two groups were higher than before treatment,and the observation group was higher than control group,the differences were statistically significant(P<0.05);the ankle circumference of the two groups was shorter than before treatment,and the pain Visual Analogue Scale(VAS)score was lower than before treatment,and the ankle circumference of the observation group was shorter than that of the control group,and the VAS score was lower than that of the control group,the differences were statistically significant(P<0.05);the scores of all dimensions of Generic Quality of Life Inventory-74 in both groups were higher than before treatment,and the observation group was higher than the control group,the differences were statistically significant(P<0.05).Conclusion Balance function strengthening training combined with mechanical dynamic pulling can reduce the pain of ankle joint swelling and accelerate the recovery of ankle joint function,thus improving the quality of life of patients.

关 键 词：踝关节骨折 手术 平衡功能强化训练 机械动力牵拉 踝关节功能 

分 类 号：R683[医药卫生—骨科学]