蹬踏训练联合常规康复训练对踝关节周围骨折术后功能恢复的影响  

Impact of treadmill training combined with conventional rehabilitation training on functional recovery after ankle fracture surgery

作　　者：马晓东[1] 张鑫[1] 张晓芳[1] 敬竹子 陈罗西[1] 郜娟[1] 鲜明[2] Ma Xiaodong;Zhang Xin;Zhang Xiaofang;Jing Zhuzi;Chen Luoxi;Gao Juan;Xian Ming(Department of Rehabilitation,Sichuan Province Orthopedic Hospital,Chengdu 610041,China;Department of Orthopedics,Affiliated Sports Hospital of Chengdu Sport University,Chengdu 610041,China)

机构地区：[1]四川省骨科医院康复科,成都610041 [2]成都体育学院附属体育医院正骨科,成都610041

出　　处：《保健医学研究与实践》2024年第8期16-21,44,共7页Health Medicine Research and Practice

基　　金：四川省科技计划项目(2021YFS0067)。

摘　　要：目的 探讨蹬踏训练联合常规康复训练对踝关节周围骨折术后功能恢复的影响,以期为踝关节周围骨折患者术后功能恢复方案的选择提供参考。方法 选取2023年1—12月四川省骨科医院收治的102例踝关节周围骨折术后功能障碍患者作为研究对象,采用随机数字表法分为常规组和蹬踏组,每组51例。常规组患者接受常规康复训练,蹬踏组患者在常规组基础上联用蹬踏训练进行干预。比较2组患者的临床疗效,治疗前后的踝关节活动度、踝关节功能及疼痛评分、本体感觉功能和日常生活能力。结果 蹬踏组患者的治疗总有效率为94.12%(48/51),高于常规组的80.39%(41/51),差异有统计学意义(χ^(2)=4.320,P=0.038)。治疗前,2组患者踝关节跖屈角度、背伸角度和活动范围比较,差异均无统计学意义(P>0.05);治疗后,2组患者踝关节跖屈角度、背伸角度和活动范围均大于治疗前,且蹬踏组均大于常规组,差异均有统计学意义(P<0.05)。治疗前,2组患者的踝关节功能及视觉模拟评分法(VAS)评分比较,差异均无统计学意义(P>0.05);治疗后,2组患者的踝关节功能评分均高于治疗前且蹬踏组高于常规组,VAS评分均低于治疗前且蹬踏组低于常规组,差异均有统计学意义(P<0.05)。治疗前,2组患者总稳定指数(SI)、平均轨迹误差(ATE)及测试所需时间比较,差异均无统计学意义(P>0.05);治疗后,蹬踏组患者SI、ATE均低于常规组,测试所需时间短于常规组,差异均有统计学意义(P<0.05)。治疗前,2组患者的Barthel指数评分比较,差异无统计学意义(P>0.05);治疗后,2组患者的Barthel指数评分均高于治疗前,且蹬踏组高于常规组,差异均有统计学意义(P<0.05)。结论 蹬踏训练联合常规康复训练能有效促进踝关节骨折术后功能障碍患者的康复,缓解疼痛感,提升关节活动度和日常生活能力,具有临床应用价值。Objective To explore the impact of treadmill training combined with conventional rehabilitation training on the functional recovery after ankle fracture surgery,aiming to provide a reference for the selection of postoperative functional recovery programs for patients with ankle fractures.Methods Overall,102 patients with postoperative functional disorders after ankle fracture surgery treated in Sichuan Province Orthopedic Hospital from January to December 2023 were selected as the study participants and randomly assigned to the conventional group and the treadmill group,with 51 cases in each group.Patients in the conventional group received conventional rehabilitation training,while patients in the treadmill group additional treadmill training on the basis of the conventional group.The clinical efficacy of the two groups was compared,as well as the range of motion of the ankle joint,ankle joint function and pain scores,proprioceptive function,and activities of daily living before and after treatment.Results The overall response rate of treatment in the treadmill group was significantly higher than that in the conventional group[94.12%(48/51)vs.80.39%(41/51);χ^(2)=4.320,P=0.038].Before treatment,no statistically significant difference was observed in the plantar flexion angle,dorsal extension angle,and range of motion of the ankle joint between the two groups(P>0.05);after treatment,the plantar flexion angle,dorsal extension angle,and range of motion of the ankle joint in both groups were greater than before treatment,and the treadmill group was greater than the conventional group,with statistically significant differences(P<0.05).Before treatment,no significant differences were noted in ankle joint function and visual analog scale(VAS)scores between the two groups(P>0.05);after treatment,the ankle joint function scores in both groups were higher than before treatment,and the treadmill group was higher than the conventional group,VAS scores were lower than before treatment,and the treadmill group was lower than t

关 键 词：踝关节周围骨折 术后功能障碍 常规康复训练 蹬踏训练 踝关节活动度 踝关节功能评分 日常生活能力 

分 类 号：R683.42[医药卫生—骨科学]