可调踝足矫形器联合功能训练在改善颅脑损伤患者踝关节功能中的应用研究

Application research of adjustable ankle-foot orthosis combined with functional training in the improvement of the function of ankle joint in patients with traumatic brain injury

目的:探讨可调踝足矫形器联合功能训练在改善颅脑损伤患者踝关节功能中的应用效果。方法:以2022年2-12月在江滨医院治疗的60例颅脑损伤患者为研究对象,随机分为观察组和对照组。观察组中男性20例,女性10例,平均年龄(39.10±10.98)岁;对照组中男性17例,女性13例,平均年龄(36.80±10.55)岁。对照组患者按康复治疗流程进行常规功能训练,观察组患者在常规功能训练的基础上使用可调踝足矫形器。比较两组患者的下肢跖屈肌痉挛程度和踝关节跖屈、内翻角度指标。结果:治疗8周后,观察组患者下肢跖屈肌痉挛程度(改良Ashworth痉挛量表)评分低于对照组,踝关节跖屈、内翻角度均小于对照组,差异均有统计学意义(均P<0.01)。结论:应用可调踝足矫形器联合功能训练可改善颅脑损伤患者踝关节功能。

Objective:To investigate the application effect of adjustable ankle foot orthosis combined with functional training in improving the function of ankle joint in patients with traumatic brain injury.Methods:A total of 60 patients with traumatic brain injury admitted to Jiangbin Hospital from February to December 2022 were selected as the research objects and randomly divided into an observation group and a control group.In the observation group there were 20 males and 10 females,and the average age was(39.10±10.98)years;and in the control group there were 17 males and 13 females,and the average age was(36.80±10.55)years.The patients in the control group underwent the routine functional training according to the rehabilitation treatment process,and patients in the observation group were given an adjustable ankle-foot orthosis on the bases of routine functional training.The indexes of lower limb plantar flexor muscle spasm,ankle plantar flexion and varus angle were compared between the two groups.Results:After 8 weeks of treatment,the lower limb plantar flexor muscle spasm(modified Ashworth spasm scale)scores in the observation group were lower than those in the control group,and the ankle plantar flexion and varus angle in the observation group were smaller than those in the control group,and the difference was statistically significant(P<0.01).Conclusion:Application of combination of adjustable ankle foot orthosis with functional training can improve ankle joint function in patients with traumatic brain injury.