摘要
目的回顾分析规范化康复治疗方案对踝关节不稳术后患者的临床疗效。方法回顾分析2015年1月至2017年6月门诊规范化康复治疗的36例踝关节不稳关节镜术后患者,对患者治疗前后的疼痛VAS评分、关节活动度、berg平衡量表评分、AOFAS踝-后足评分量表进行评估,并对患者的恢复运动状况进行长期电话随访。结果 32例患者获得随访,13例患者获得治疗前后完整功能评估数据。康复就诊时间<术后12周的患者14例,>术后12周的患者32例。22例在术后6～18个月时恢复运动,10例恢复至术前运动水平。13例获得康复治疗前后完整评估的患者治疗后静息VAS(0.38±0.74)分、活动VAS评分(2.38±1.82)分较治疗前的(1.77±2.36)分、(4.46±2.73)分明显降低,差异有统计学意义(P<0.05);睡眠VAS评分治疗前后差异无统计学意义(P>0.05)。治疗后踝关节跖屈、背屈、内翻主被动活动度均明显改善,差异有统计学意义(P<0.05);而外翻的主被动活动度治疗前后差异无统计学意义。治疗后小腿围度差值(1.53±1.22)分较治疗前(2.15±0.99)分明显降低,差异有统计学意义(P<0.05)。治疗后踝关节跖屈、背屈、内翻、外翻肌力均获显著改善(P<0.05)。康复治疗后Berg平衡量表评分(52.08±6.09)分,与治疗前评分(43.54±13.70)分差异无统计学意义(P>0.05)。AOFAS踝-后足评分量表评分(81.38±10.03)分,高于治疗前(60.12±17.84)分,差异具有统计学意义(P<0.05)。结论规范化康复治疗方案是门诊综合治疗踝关节不稳术后患者的有效方法。
Objective To retrospectively study the clinical effect of standardized rehabilitation on postoperative patients with ankle instability.Methods From January2015to June2017,36patients with ankle instability who underwent arthroscopic surgery were observed.The VAS score,joint range of motion,Berg Balance Scale score and AOFAS ankle-hind foot scale were evaluated before and after treatment.The recovery of ankle instability was followed up by telephone for a long time.Results A total of32patients were followed up,and13patients obtained the complete functional evaluation data before and after treatment.There were14patients who came for rehabilitation less than12weeks after operation,and32patients were more than12weeks after operation.22cases resumed exercise at6-18months after operation,and10cases recovered to the level of preoperative movement.The resting VAS(0.38±0.74)and active VAS scores(2.38±1.82)were significantly lower than those before treatment[(1.77±2.36),(4.46±2.73)]in13patients with complete evaluation before and after rehabilitation(P<0.05);and there was no significant difference in sleep VAS scores before and after treatment(P>0.05).After treatment,ankle flexion,dorsiflexion,varus active and passive range of motion were significantly improved,and the difference was statistically significant(P<0.05).There was no significant difference in the active and passive activities of eversion before and after treatment.After treatment,the difference of leg circumference(1.53±1.22)was significantly lower than that before treatment(2.15±0.99),and the difference was statistically significant(P<0.05).After treatment,the plantar flexion,dorsolflexion,hallux valgus and hallux valgus of ankle joint were significantly improved.(P<0.05).There was no significant difference in the score of Berg Balance Scale[(52.08±6.09)vs(43.54±13.70)]between the two groups(P>0.05).The score of AOFAS ankle-hind foot scale was higher than that before treatment[(81.38±10.03)vs(60.12±17.84)],and the difference was statistically signifi
作者
刘莎莎
姜鑫
叶济灵
蔡斌
LIU Shasha;JIANG Xin;YE Jiling;CAI Bin(The Ninth People's Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai 200001, China)
出处
《足踝外科电子杂志》
2018年第3期37-40,共4页
Electronic Journal of Foot and Ankle Surgery
基金
上海市卫生计生系统重要薄弱学科建设计划(2015ZB0404)
上海交通大学医工交叉研究基金(YG2015MS08)
奉贤区临床诊疗中心建设计划(fxlczlzx-a-201706)
关键词
慢性踝关节不稳
关节镜
康复治疗
Chronic ankle instability
Arthroscopy
Rehabilitation
