踝关节动态松动术改善脑卒中患者足下垂的效果

Effect of Dynamic Ankle Joint Loosening on Foot Drop Improvement in Stroke Patients

目的探讨踝关节动态关节松动术应用于脑卒中后足下垂患者中的效果.方法选取2020年6月—2021年6月就诊于山西省针灸医院康复科的70例脑卒中后足下垂患者为研究对象,采用随机数字表法将其分为研究组和对照组,每组35例.对照组采用常规康复治疗,研究组在此基础上采用踝关节动态关节松动术,比较两组患者的干预效果.结果治疗前,两组的踝关节主动背屈关节活动度比较,差异无统计学意义(P>0.05);治疗后,研究组的踝关节主动背屈关节活动度为(12.64±4.01)°,大于对照组的(9.93±3.22)°,差异有统计学意义(P<0.05).治疗前,两组的主动踝背屈肌力和闭目站立得分比较,组间差异无统计学意义(P>0.05);治疗后,研究组的主动踝背屈肌力为(4.07±1.75)级,闭目站立得分为(3.67±1.94)分,均高于对照组的(2.74±1.32)级、(2.93±1.52)分,组间差异有统计学意义(P<0.05).结论踝关节动态关节松动术能有效增加脑卒中足下垂患者的踝关节主动活动度,改善其踝背屈肌力,并提高其闭目站立平衡功能,值得临床推广使用.

Objective To investigate the effect of dynamic ankle joint loosening in patients with foot drop after stroke.Methods 70 patients with post-stroke foot drop admitted to the Rehabilitation Department of Shanxi Acupuncture Hospital from June 2020 to June 2021 were selected as the study objects and were divided into a study group and a control group by random number table method,with 35 cases in each group.The control group was treated with routine rehabilitation treatment,and the study group was treated with dynamic ankle joint loosening on the basis of this.The intervention effects of the two groups were compared.Results Before treatment,there was no significant difference in active dorsiflexion motion between the two groups(P>0.05);after treatment,the active dorsiflexion motion of ankle joint in the study group was(12.64±4.01)°,which was greater than(9.93±3.22)°in the control group,and the difference was statistically significant(P<0.05).Before treatment,there were no significant differences in active dorsiflexion muscle strength and standing score with closed eyes between the two groups(P>0.05);after treatment,the active dorsiflexion muscle strength of the study group was(4.07±1.75)grades,and the standing score with closed eyes was(3.67±1.94)points,which were higher than(2.74±1.32)grades and(2.93±1.52)points of the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion Dynamic ankle joint loosening can effectively increase the active ankle motion of stroke patients with foot drop,improve the dorsiflexion muscle strength of the ankle,and improve the standing balance function with closed eyes,which is worthy of clinical application.