骨折后关节功能障碍的康复

Rehabilitation for Restricted Range of Motion after Fractrues

目的:观察骨折后关节功能障碍的后期康复效果。方法:骨折已愈合、外固定已解除但后遗关节功能障碍的患者70例,分为康复治疗组和对照组。康复治疗以关节松动术为主,加软组织按摩、音频电疗等,而对照组为随访术后3个月以上未经康复治疗者。关节的活动范围用测角计测量。结果:康复组患者治疗后ROM和对照组相比有显著增加(P<0.001),病程≤3个月的早期康复者的关节活动恢复程度比>3个月的晚期康复者有明显提高(P<0.001)。结论:关节松动术是一种治疗关节功能障碍的实用有效的技术,骨折后应尽早开始康复治疗。

Objective: To determine the effectiveness of joint mobilization techniques for fractrues in the mobilization period. Methods: Seventy cases of joint disorder, healed sufficiertly, with removal of external fixation, were divided into rehabititation group (60 cases, 65 joints) or control group (10 cases). Joint mobilization technique combined with massage on soft tissue, audio frequency eleotrotherapy and others was adopted in the rehabilitation group. The patients in the control group were not treated with rehabilitation for more than three months after operation. Joint range of motion (ROM) was measured by goniometer. Results: ROM of the rehabilitation was significantly higher than the control group (P<0.001), and that of the early rehabilitation treated patients (≤3 months post-fracture) was significantly higher than late ones (>3 months, P<0.001). Conclusion: Joint mobilizaton is a useful and effective approach in orthopedic rehabilitation.