摘要
目的:探讨足踝锻炼器联合功能康复训练在踝关节骨折中的临床效果。方法:采用信封抽签法将2022年5月至2023年10月我院收治的86例踝关节骨折术后患者分为对照组(接受功能康复训练干预,43例)和观察组(接受功能康复训练联合足踝锻炼器干预,43例)。观察两组干预前后的踝关节活动角度、不同状态下踝关节疼痛程度、踝关节功能及生活质量综合评定问卷-74(GQOLI-74)评分的变化情况。结果:干预后,两组背伸活动角度、跖屈活动角度扩大,且观察组高于对照组(P<0.05)。干预后,两组静息、运动状态下视觉模拟评分法(VAS)评分均下降,且观察组低于对照组(P<0.05)。干预后,两组美国矫形足踝协会踝-后足评分系统(AOFAS)评分、Mazur踝关节功能评分及GQOLI-74各维度评分均升高,且观察组高于对照组(P<0.05)。结论:足踝锻炼器联合功能康复训练应用于踝关节骨折患者,可有效减轻术后疼痛,扩大踝关节活动角度,提高踝关节功能,改善患者的生活质量。
Objective:To explore the clinical effect of ankle exerciser combined with functional rehabilitation training in ankle fracture.Methods:By envelope lottery method,86 patients with ankle fracture treated in our hospital from May 2022 to October 2023 were divided into control group(received functional rehabilitation training intervention,43 cases)and observation group(received functional rehabilitation training combined with ankle exerciser intervention,43 cases).The changes of ankle joint activity angle,ankle joint pain degree under different conditions,ankle joint function and quality of life comprehensive assessment questionnaire-74(GQOLI-74)score before and after intervention were observed in two groups.Results:After intervention,the angle of dorsiflexion activity,angle of plantar flexion activity in two groups expanded,and observation group were higher than those of control group(P<0.05).After intervention,the scores of visual analogue scale(VAS)in the resting and motion state in two groups decreased,and observation group were lower than those of control group(P<0.05).After intervention,the American Orthopaedic Foot and Ankle Society(AOFAS)score,Mazur ankle function score and each dimension of GQOLI-74 scores in two groups increased,and observation group were higher than those of control group(P<0.05).Conclusion:The application of ankle exerciser combined with functional rehabilitation training in patients with ankle fracture,which can effectively reduce postoperative pain,expand the angle of ankle joint activity,improve ankle joint function and improve the quality of life of patients.
作者
宋振君
周宁
闫家玲
SONG Zhen-jun;ZHOU Ning;YAN Jia-ling(Department of Trauma and Hand and Foot Surgery,Shandong Provincial Third Hospital,Jinan,Shandong,250031,China)
出处
《现代生物医学进展》
2025年第3期496-502,542,共8页
Progress in Modern Biomedicine
关键词
足踝锻炼器
功能康复训练
踝关节骨折
踝关节功能
生活质量
Ankle exerciser
Functional rehabilitation training
Ankle fracture
Ankle joint function
Quality of life
