[1]宝金才 张秀花 王志 王峰 苏彬.不同肌力训练方法对踝关节创伤性关节炎功能恢复的影响[J].中国中医骨伤科杂志,2018,26(05):23-26.
　BAO Jincai ZHANG Xiuhua WANG Zhi WANG Feng SU Bin.Effects of Different Strength Training Methods on Function Recovery of Ankle Traumatic Arthritis[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2018,26(05):23-26.
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不同肌力训练方法对踝关节创伤性关节炎功能恢复的影响()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第26卷
期数:
2018年05期
页码:
23-26
栏目:
临床研究
出版日期:
2018-05-02

文章信息/Info

Title:
Effects of Different Strength Training Methods on Function Recovery of Ankle Traumatic Arthritis
文章编号:
1005-0205(2018)05-0023-04
作者:
宝金才1 张秀花1 王志2 王峰3 苏彬3
1无锡同仁康复医院骨与关节工伤康复科(江苏 无锡,214151) 2无锡同仁康复医院心肺康复科 3无锡同仁康复医院康复治疗部
Author(s):
BAO Jincai1 ZHANG Xiuhua1 WANG Zhi1 WANG Feng1 SU Bin1
1Wuxi Tongren Rehabilitation Hospital,Wuxi 214151,Jiangsu China.
关键词:
BTE Primus RS训练;  踝关节创伤性关节炎;  三维步态分析
Keywords:
Keywords: BTE Primus RS training;  ankle traumatic arthritis;  three-dimensional gait analysis
分类号:
R684.3
文献标志码:
A
摘要:
目的:分析不同肌力训练方法对踝关节创伤性关节炎功能恢复的影响。方法:回顾性分析2015年7月至2017年8月本院收治的踝关节创伤性关节炎患者60例为研究对象,按治疗方式不同将其分为A组(30例,行BTE Primus RS训练)、B组(30例,行常规肌力训练),均连续治疗2个月,比较两组疗效优良率,采用疼痛视觉模拟评分(VAS)、美国矫形足踝协会(AOFAS)评分评估其疼痛度、踝关节功能,测定两组训练前后踝关节主动关节活动度(AROM)、背屈肌力、跖屈肌力及三维步态参数(步长、步速、步频、患足廓清地面最大距离),并观察并发症。结果:A组疗效优良率93.33%高于B组73.33%,差异有统计学意义(P<0.05); A组训练1个月、2个月后VAS评分明显低于B组,而AOFAS评分均高于B组,差异有统计学意义(P<0.05); 训练后两组AROM及背屈、跖屈最大肌力均增加,且A组上述指标增加幅度较B组大,差异有统计学意义(P<0.01); 训练后A组步长、步速、步频、患足廓清地面最大距离均大于B组,差异有统计学意义(P<0.01); 两组均未见严重并发症。结论:BTE Primus RS训练可有效改善踝关节创伤性关节炎患者踝关节功能、关节活动度、肌力,降低疼痛度,提高其步行能力,且安全可靠,值得在临床推广应用。
Abstract:
Abstract Objective:To analyze the effects of different strength training methods for function recovery of ankle traumatic arthritis.Methods:All 60 cases with ankle traumatic arthritis treated in our hospital from July 2015 to August 2017 were selected and retrospectively analyzed and were divided into the A group(n=30,BTE Primus RS training)and the B group(n=30,routine training)according to different treatment methods.The two groups were given the continuous treatment for 2 months.The patients were followed up for 1 year,and the excellent and good rate of the two groups was compared,and the pain visual analogue scale(VAS)score and American Orthopedic Foot and Ankle Society(AOFAS)score were used to assess the pain degree and the ankle joint function,and the ankle joint active range of motion(AROM)and dorsiflexion and plantar flexion muscle strength and three-dimensional gait parameters(step length,step speed,pace frequency,the maximum distance of foot ground clearance)were measured in the two groups before and after training,and the complications were observed.Results:The excellent and good rate of the A group was higher than that of the B group(93.33% vs 73.33%)(P<0.05).After 1 month and 2 months training,the VAS score of the A group was significantly lower than that of the B group while the AOFAS score was higher than that of the B group(P<0.05).The AROM and the maximal muscle strength of dorsiflexion and plantar flexion were increased after training,and the increasing degree of the above indexes in the A group was higher than that in the B group(P<0.01).The step length,step speed,pace frequency and the maximum distance of foot ground clearance after training in the A group were higher than those in the B group(P<0.01).There were no serious complications in the two groups.Conclusion:BTE Primus RS training can effectively improve the ankle joint function,joint mobility and muscle strength in patients with ankle traumatic arthritis and reduce pain degree and improve its walking ability with safety and reliability,therefore it is worthy for clinical promotion and practice.

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备注/Memo

备注/Memo:
基金项目:无锡市医院管理中心2015年度医学科研重点研究 项目(YGZXZ1527)
更新日期/Last Update: 2018-05-02