摘要
目的观察关节松动手法联合递进式目标康复锻炼对踝关节骨折术后患者步行能力及平衡功能的影响。方法选取2022年8月至2024年6月于我院接受踝关节手术治疗的103例患者为研究对象,依据随机数字表法分为常规组52例、联合组51例。比较两组临床疗效,视觉模拟评分(VAS)、AOFAS评分、Baird-Jackson踝关节评分、踝关节背伸及跖屈活动度、Berg平衡量表(BBS)、Tinetti平衡与步态量表(POMA)、生活质量评定问卷(GQOLI-74)评分及并发症发生率。结果联合组有效率为96.08%,高于常规组的84.62%(P<0.05);治疗后两组VAS评分均逐渐降低,且联合组低于常规组(P<0.05);治疗后联合组背伸、跖屈角度大于常规组,Baird-Jackson、POMA、AOFAS、BBS评分高于常规组(P<0.05);治疗后联合组各项GQOLI-74评分均高于常规组(P<0.05);联合组并发症发生率3.92%与常规组7.69%比较差异无统计学意义(P>0.05)。结论关节松动手法联合递进式目标康复锻炼能缓解患者踝关节骨折术后疼痛程度,促进踝关节功能恢复,改善步行及平衡能力,提升生活质量。
Objective To observe the effects of joint mobilization techniques combined with progressive goal-oriented rehabilitation exercises on walking ability and balance function in patients after ankle fracture surgery.Methods A total of 103 patients who underwent ankle surgery in our hospital from August 2022 to June 2024 were selected as the research objects.According to the random number table method,they were divided into a conventional group(52 case)and a combined group(51 case).The clinical efficacy,Visual Analogue Scale(VAS),American Orthopedic Foot and Ankle Society(AOFAS)score,Baird-Jackson ankle score,ankle dorsiflexion and plantar flexion activity,Berg Balance Scale(BBS),Tinetti Postural Assessment and Mobility Assessment(POMA),General Quality of Life Inventory-74(GQOLI-74)score and incidence of complications were compared between the two groups.Results The total effective rate in the combined group was 96.08%,which was higher than that in the conventional group(84.62%)(P<0.05).After treatment,the VAS scores of the two groups decreased gradually,and the combined group was lower than the conventional group(P<0.05).After treatment,the angle of dorsal extension and plantar flexion in the combined group was greater than that in the conventional group,and the scores of Baird-Jackson,POMA,AOFAS and BBS were higher than those in the conventional group(P<0.05).After treatment,the scores of various GQOLI-74 items of the combined group were higher than those of the conventional group(P<0.05).There was no statistically significant difference in the incidence of complications between the combined group(3.92%)and the conventional group(7.69%)(P>0.05).Conclusions Joint mobilization techniques combined with progressive goal-oriented rehabilitation exercise can relieve the pain degree of patients after ankle fracture,promote the recovery of ankle joint function,improve walking and balance ability,and improve the quality of life.
作者
王静茹
孙洁
李连起
刘兰兰
Wang Jingru;Sun Jie;Li Lianqi;Liu Lanlan(Department of Rehabilitation and Pain,988th Hospital,Joint Logistic Support Force of the People’s Liberation Army of China,Zhengzhou,Henan 450007,China)
出处
《青岛医药卫生》
2025年第5期364-369,共6页
Qingdao Medical Journal
关键词
踝关节骨折
关节松动手法
递进式目标康复锻炼
步行能力
平衡功能
ankle joint fracture
joint mobilization technique
progressive goal-oriented rehabilitation exercise
walking ability
balance function
