| 孙建梅,杨国君,杨勇.改良动态反馈训练模式在踝关节骨折术后康复期的应用.骨科,2019,10(1): 54-58. |
| 改良动态反馈训练模式在踝关节骨折术后康复期的应用 |
| Postoperative rehabilitation of ankle fractures with modified dynamic feedback training mode |
| 投稿时间：2018-01-25 |
| DOI：10.3969/j.issn.1674-8573.2019.01.010 |
| 中文关键词: 踝关节骨折 康复 改良动态反馈 训练研究 |
| 英文关键词: Ankle fracture surgery Rehabilitation Modified dynamic feedback Training and research |
| 基金项目:内蒙古医科大学2017年科技百万工程联合项目［YKD2017KJBW（LH）026］ |
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| 中文摘要: |
| 目的 研究踝关节骨折病人术后康复期采用改良动态反馈训练模式的踝关节功能恢复情况。方法 选取内蒙古医科大学附属医院2015年1月至2016年2月收治的初次踝关节骨折病人76例，其中男45例，女31例；年龄为（46.9±11.7）岁（18~63岁）；踝关节骨折：左侧39例，右侧36例，双侧1例。按随机数字表法分为观察组和对照组，各38例。观察组采用改良动态反馈训练模式，对照组采用常规自理训练模式。术后2、6个月采用Tinetti平衡与步态量表、Berg平衡量表评估两组步行能力和平衡功能。术后6个月采用Olerud-Molander踝关节骨折功能评分和美国足踝外科医师协会（American Orthopaedic Foot and Ankle Society, AOFAS）踝与后足功能评分系统评估两组病人踝关节功能。结果 术后2个月，两组Tinetti评分、Berg评分比较，差异均无统计学意义（P均＞0.05）；术后6个月，两组Tinetti评分、Berg评分比较，观察组均显著优于对照组，差异均有统计学意义（P均＜0.05）。术后6个月，观察组Olerud-Molander评分优良率为34.21%（13/38），与对照组的23.68%（9/38）比较，差异有统计学意义（P＜0.05）；观察组AOFAS评分优良率为28.95%（11/38），与对照组的21.05%（8/38）比较，差异有统计学意义（P＜0.05）。结论 踝关节骨折病人术后康复期采用改良动态反馈训练模式，能有效指导病人康复训练进程，显著促进病人训练依从性，强化训练效果，对促进踝关节骨折病人术后功能恢复有着重要的作用。 |
| 英文摘要: |
| Objective To explore the effect of modified dynamic feedback training mode on the function recovery after ankle fracture surgery. Methods Seventy-six patients with first ankle fracture admitted to our hospital from January 2015 to February 2016 were selected, including 45 males and 31 females, aged (46.9±11.7) years (18-63 years). There were 39 cases of ankle fracture on the left side, 36 cases on the right side, and 1 case of bilateral ankle fracture. By the random number table method, the patients were divided into observation group and control group, 38 cases in each group. The observation group received the modified dynamic feedback training mode, and the control group was given the conventional self-care training mode. Tinetti balance and gait scale and Berg balance scale were used to evaluate the walking ability and balance function of the two groups at 2nd and 6th month after operation. The Olerud and Molander ankle function and AOFAS ankle function at 6th month after surgery were also compared between two groups. Olerud-Molander ankle fracture functional score and American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hind foot functional score were used to assess the ankle function of two groups at 6th month after operation. Results At 2nd month after operation, there was no significant difference in Tinetti score and Berg score between the two groups (P＞0.05). At 6th month after operation, the Tinetti score and Berg score in the observation group were significantly better than those in the control group (P＜0.05). The excellent and good rate of Olerud-Molander score in the observation group was 34.21% (13/38), and 23.68% (9/38) in the control group with the difference being statistically significant (P＜0.05). The excellent and good rate of AOFAS score in the observation group was 28.95% (11/38), and 21.05% (8/38) in the control group with the difference being statistically significant (P＜0.05). Conclusion The modified dynamic feedback training mode can effectively guide the rehabilitation training process of patients with ankle fracture, significantly promote the training compliance of patients, strengthen the training effect, and play an important role in promoting the functional recovery of patients with ankle fracture after operation. |
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