摘要
目的观察JAS踝关节训练器联合综合康复对创伤性踝关节僵硬患者的康复影响。方法选取因骨折术后造成踝关节僵硬患者40倒，随机分为综合康复组和JAS组，各20例。两组均予物理因子、功能训练、关节松动术等综合康复疗法，JAS组在此基础上采用JAS踝关节训练器治疗。分别于治疗前、治疗10周后对患者进行AOFAS踝一后足评分和踝关节主动活动度（AROM）评定。结果两组患者治疗10周后，踝关节AROM和AOFAS踝-后足评分均较治疗前提高，差异有统计学意义（P〈0．05），且JAS组患者踝关节AROM、AOFAS踝-后足评分比综合康复组有更明显的改善，差异有统计学意义（P〈0．05）。结论JAS踝关节训练器联合综合康复能够有效改善创伤性踝关节僵硬，促进踝关节功能恢童。
Objective To evaluate JAS Ankle orthosis （ a static progressive stretch orthosis ） combined with comprehensive rehabilitation for the treatment of post-traumatic ankle stiffness. Methods Forty patients who had post-traumatic ankle stiffness were randomly allocated to the comprehensive rehabilitation group of 20 cases and the JAS group of 20 cases. Two group were treated with physical factors, joint mobilization, rehabilitation function training and so on .On this basis, the JAS group were treated with JAS Ankle orthosis. AOFAS Ankle Hindfoot Scale and active ankle joint mobility （ AROM ） were evaluated of two groups after 10 weeks of rehabilitation treatment. Results AOFAS Ankle Hindfoot Scale and active ankle joint mobility （ AROM ） of two groups were improved significantly after treatment （ 10 weeks ） as compared with those before treatment （ P〈0.05 ） . AOFAS Ankle Hindfoot Scale and active ankle joint mobility （ AROM ） of JAS group were significantly better than comprehensive rehabilitation group （ P〈0.05 ） .Conclusion JAS Ankle orthosis combined with joint mobilization has significant promoting effect for patients with ankle stiffness after ankle fracture surgery, which can recover ankle function better.
出处
《浙江临床医学》
2017年第11期2098-2100,共3页
Zhejiang Clinical Medical Journal
关键词
踝关节僵硬
JAS
综合康复
康复
Ankle joint stiffiness Comprehensive Rehabilitation JAS Rehabilitation
