足踝外科电子杂志2024,Vol.11Issue(2) :12-17.

反重力跑台在踝关节镜下外侧韧带修补术后早期应用的临床疗效

The clinical effect of the early application of anti-gravity treadmill in the lateral ligament repair under ankle arthroscopy

陈涛 顾雪平 宁迩玉 马魁 郝跃峰
足踝外科电子杂志2024,Vol.11Issue(2) :12-17.

反重力跑台在踝关节镜下外侧韧带修补术后早期应用的临床疗效

The clinical effect of the early application of anti-gravity treadmill in the lateral ligament repair under ankle arthroscopy

陈涛 1顾雪平 1宁迩玉 1马魁 1郝跃峰1
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作者信息

  • 1. 南京医科大学附属苏州医院骨科与运动医学中心,江苏苏州 215000
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摘要

目的 分析早期应用反重力跑台对踝关节镜下外侧韧带修补术后患者功能恢复的影响.方法 纳入2020年8月至2023年8月在南京医科大学附属苏州医院骨科与运动医学中心行踝关节外侧韧带修补术的患者36例为研究对象,使用随机数表法分为研究组和对照组,各18例.对照组术后采用常规训练,研究组术后采用常规训练联合反重力跑台训练.术后6个月,对比两组患者的疼痛评分、功能评分、平衡功能及踝关节肌力恢复情况.结果 术后6个月,研究组疼痛评分、踝关节星状偏移测试(star excursion balance test,SEBT)差值及踝关节外翻、跖屈肌力缺失均低于对照组,踝关节Kofoed评分高于对照组,差异有统计学意义(P<0.05).结论 踝关节韧带修补术后早期应用反重力跑台进行训练,可以缓解患者疼痛,提高患者下肢运动功能及平衡功能,有助于患者外翻及跖屈肌力恢复.

Abstract

Objective To analyze the effect of early application of anti-gravity treadmill on the functional recovery of patients after arthroscopic lateral ligament repair of the ankle joint.Methods 36 patients who underwent lateral ankle ligament repair in the Department of Orthopedics and Sports Medicine,The Affiliated Suzhou Hospital of Nanjing Medical University from August 2020 to August 2023 were randomly divided into a study group and a control group,with 18 patients in each group.The control group received routine training after surgery,while the study group received routine training combined with anti-gravity treadmill training.Six months after surgery,the pain scores,functional scores,balance function,and ankle muscle strength recovery were compared between the two groups.Results Six months after surgery,the pain score,the difference value of star excursion balance test(SEBT),ankle valgus and plantar flexion muscle loss of the study group were lower than those of the control group,and the ankle Kofoed score was higher than that of the control group,with statistical significance(P<0.05).Conclusion Early application of anti-gravity treadmill training after ankle joint ligament repair can release pain,improve lower limb motor function and balance function,and help patients recover eversion and plantar flexion muscle strength.

关键词

踝关节韧带修补/反重力跑台/等速肌力/平衡功能

Key words

ankle joint ligament repair/anti-gravity treadmill/isokinetic muscle strength/balance function

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出版年

2024
足踝外科电子杂志

足踝外科电子杂志

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