定制化矫形器对慢性踝关节不稳的康复效果研究

Rehabilitation Effects of Customized Orthoses in Patients With Chronic Ankle Instability

目的研究定制化矫形器在慢性踝关节不稳中的康复效果及对患者疼痛、踝-后足功能的影响。方法试验开展时间:2018年12月—2020年12月,试验资料:80例慢性踝关节不稳患者,应用随机数表法分组:对照组(40例)、试验组(40例),对照组给予常规康复训练,试验组佩戴定制化矫形器进行康复训练,对两组疼痛评分、踝-后足功能恢复质量、康复效果进行比较。结果治疗前对照组与试验组患者的视觉模拟评分(visual analogue scale,VAS)对比差异无统计学意义(P>0.05);治疗后试验组患者的负重VAS评分、行走VAS评分均明显低于对照组,差异有统计学意义(P<0.05)。治疗前两组踝-后足系统(ankle hindfoot scale,AOFAS)评分对比差异无统计学意义(P>0.05);治疗后试验组患者的踝-后足系统(ankle hindfoot scale,AOFAS)评分中疼痛、功能、足部对线均高于对照组,差异有统计学意义(P<0.05)。治疗前两组患者的平衡指数对比差异无统计学意义(P>0.05);治疗后试验组左右平衡指数、前后平衡指数、总平衡指数均低于对照组,差异有统计学意义(P<0.05)。结论慢性踝关节不稳在康复治疗的过程中配合定制化矫形器可有效缓解疼痛,提升踝-后足的功能恢复,效果较好,推广价值高,值得临床进一步推广与借鉴。

Objective To study the rehabilitation effect of customized orthosis in chronic ankle instability and its influence on patients’pain and ankle-hindfoot function.Methods Experiment development time:December 2018 to December 2020,experimental data:a total of 80 patients with chronic ankle instability.The random number table method was used for grouping:the control group(40 cases)and the experimental group(40 cases),the control group was given routine rehabilitation training,and the experimental group was given customized orthoses for rehabilitation training.The pain score,anklehindfoot function recovery quality and rehabilitation effect were compared.Results There was no significant difference in the visual analogue scale(VAS)between the control group and the experimental group before treatment(P>0.05);after treatment,the weightbearing VAS and walking VAS scores of the experimental group were significantly lower than those of the control group,the difference was statistically significant(P<0.05).There was no significant difference in the ankle hindfoot scale(AOFAS)score between the two groups before treatment(P>0.05),after treatment,the pain,function and foot alignment of the patients in the experimental group were higher than those in the control group in the ankle hindfoot scale(AOFAS)score,and the difference was statistically significant(P<0.05).There was no significant difference in the balance index between the two groups before treatment(P>0.05).After treatment,the left and right balance index,front and rear balance index and total balance index of the experimental group were lower than those of the control group,and the difference was statistically significant(P<0.05).Conclusion Chronic ankle instability can effectively relieve pain and improve the functional recovery of the ankle-hind foot in the process of rehabilitation treatment with a customized orthosis.The effect is good,and the promotion value is high.It is worthy of further clinical promotion and reference.