摘要
目的探讨系统康复锻炼对慢性踝关节外侧不稳患者距腓前韧带重建-踝关节镜术的康复效果。方法选取四川大学华西医院2017年1月至2019年1月收治的慢性踝关节外侧不稳行距腓前韧带重建-踝关节镜术治疗的患者74例,依据随机数表法将其分为观察组和对照组,每组各37例。对照组患者术后采用常规功能锻炼,观察组患者术后采用系统康复锻炼。比较两组患者康复前后美国矫形外科足踝协会(American Orthopaedic Foot&Ankle Society,AOFAS)踝-后足评分、踝关节主动关节位置觉(joint position sense active,JPSA)、踝关节被动关节位置觉(joint position sense passive,JPSP)和踝关节“运动觉”(kinaesthesia,KT)变化。结果康复后,两组患者AOFAS踝-后足评分均高于康复前(均P<0.05),且观察组患者AOFAS踝-后足评分显著高于对照组(t=7.228,P<0.05)。康复后,两组患者JPSA、JPSP和KT均显著低于康复前(均P<0.05),且观察组患者以上指标均显著低于对照组(t=8.355、7.960、9.193,均P<0.05)。结论系统康复锻炼对行距腓前韧带重建-踝关节镜术的慢性踝关节外侧不稳患者康复效果良好,值得临床借鉴。
Objective To explore the rehabilitation effect of systematic rehabilitation exercise on patients with chronic lateral ankle instability after anterior talofibular ligament reconstruction-ankle arthroscopy.Method 74 patients with chronic lateral ankle instability treated by anterior talofibular ligament reconstruction-ankle arthroscopy admitted to West China Hospital of Sichuan University from January 2017 to January 2019 were randomly divided into observation group(37 cases)and control group(37 cases).Control group was given routine functional exercises,while observation group was given systematic rehabilitation exercise.The changes of American Orthopaedic Foot&Ankle Society(AOFAS)ankle-hind foot score,ankle joint position sense active(JPSA),ankle joint position sense passive(JPSP)and ankle"kinaesthesia"(KT)before and after rehabilitation were compared between the two groups.Result After rehabilitation,AOFAS ankle-hind foot score in both groups were higher than those before rehabilitation(all P<0.05);AOFAS ankle-hind foot score in observation group was higher than that in control group(t=7.228,P<0.05).After rehabilitation,JPSA,JPSP and KT in the two groups were lower than those before rehabilitation(all P<0.05),and the above indicators of observation group were significantly lower than those of control group(t=8.355,7.960,9.193,all P<0.05).Conclusion Systematic rehabilitation exercise has a good effect on patients with chronic lateral ankle instability after anterior talofibular ligament reconstruction-ankle arthroscopy,which is worthy of clinical reference.
作者
彭琪
王琴
宁宁
PENG Qi;WANG Qin;NING Ning(Department of Orthopaedics,West China Hospital,Sichuan University,Chengdu 610041,China)
出处
《中国医学前沿杂志（电子版）》
2020年第2期107-110,共4页
Chinese Journal of the Frontiers of Medical Science(Electronic Version)
关键词
系统康复锻炼
慢性踝关节外侧不稳
距腓前韧带重建
踝关节镜术
康复效果
Systematic rehabilitation exercise
Chronic lateral instability of ankle
Anterior talofibular ligament reconstruction
Ankle arthroscopy
Rehabilitation effect
