Impact of treadmill training combined with conventional rehabilitation training on functional recovery after ankle fracture surgery
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 re-covery 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 addi-tional 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 signifi-cantly higher than that in the conventional group[94.12％(48/51)vs.80.39％(41/51);x2=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);af-ter 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 the conventional group,with statistically significant differences(P＜0.05).Before treatment,no significant difference was found in the total stability index(SI),average trajectory error(ATE),and test time required between the two groups(P＞0.05);after treatment,the SI and ATE in the treadmill group were significantly lower than in the conventional group,and the test time required was significantly shorter than in the conventional group(P＜0.05).Before treatment,there was no statistically significant difference in the Barthel index scores between the two groups(P＞0.05);after treatment,the Bar-thel index scores in both groups were higher than before treatment,and the treadmill group was higher than the conventional group,with statistically significant differences(P＜0.05).Conclusion Treadmill training combined with conventional re-habilitation training can effectively promote the recovery of patients with postoperative functional disorders after ankle frac-ture,alleviate pain,promote joint mobility,and strengthen activities of daily living,which has clinical application value.
Ankle fracturePostoperative dysfunctionConventional rehabilitation trainingTreadmill trainingAnkle range of motionAnkle function scoreActivities of daily living
万方数据
维普
