强化髋周肌力训练对踝关节骨折患者平衡及步态功能的影响

The effects of intensive hip muscle strength training on balance and gait function in patients with ankle fracture

目的探讨髋周肌力训练对踝关节骨折患者平衡及步态功能的影响。方法纳入2021年3月至2022年3月踝关节骨折患者48例。采用随机数字表法分为观察组和对照组各24例。对照组患者接受常规踝关节骨折康复治疗,包括恢复关节活动度、踝关节肌力训练、平衡和步态训练及物理因子治疗;观察组加用等速髋周肌力训练,共治疗6周。结果干预后两组患者髋关节外展和伸展等速相对峰力矩、Tinetti评分、平衡仪指标、步态指标(患侧髋关节活动度、患侧步长、步态周期、步速)均较干预前改善(P<0.05),且观察组(除步态周期)明显优于对照组(P<0.05),观察组步态周期干预前后差值即进步效果优于对照组(P<0.05)。结论强化髋周肌力训练可进一步改善踝关节骨折患者平衡及步态功能。

Objective To investigate the effect of intensive hip muscle strength training on balance and gait function in patients with ankle fracture.Methods Forty-eight patients with ankle fracture from March 2021 to March 2022 were randomly divided into an observation group and a control group,24 in each group.The control group received routine rehabilitation treatment for ankle fracture,including recovery of joint range of motion,ankle muscle strength training,balance and gait training and physical factor treatment.Isokinetic hip muscle strength training was further added to the observation group.The treatment time was 6 weeks.Results After treatment,the relative peak moment of isokinetic hip abduction and extension,Tinetti score,balance instrument index and gait index(range of motion of the affected hip,length of the affected side,gait cycle and gait speed)of the two groups were improved when compared to those before treatment(P<0.05),and the observation group(except for the gait cycle)was better than the control group(P<0.05).The difference of gait cycle before and after intervention,that is,the process effect,in the observation group was better than that in the control group(P<0.05).Conclusions Intensive hip muscle strength training can further improve the balance and gait function of patients with ankle fracture.