肌肉能量技术在踝关节骨折术后康复中的疗效

The effect of muscle energy technology in postoperative rehabilitation of ankle fracture

目的探讨肌肉能量技术在踝关节骨折术后康复中的临床疗效。方法选取2021年3月至2023年10月于杭州市萧山区中医院接受手术治疗的98例踝关节骨折患者,根据术后康复治疗方案差异分为观察组和对照组,每组49例。对照组患者行常规康复训练治疗,观察组患者行肌肉能量技术治疗,比较两组患者的临床疗效、美国足踝外科学会(American Orthopaedic Foot and Ankle Society,AOFAS)评分、踝关节视觉模拟评分法(visual analogue scale,VAS)评分、踝关节主动活动度、骨代谢指标[骨钙素(osteocalcin,OCN)、骨碱性磷酸酶(bone-specific alkaline phosphatase,BALP)和β-Ⅰ型胶原C端肽(C-terminal telopeptide of typeβ-Ⅰcollagen,β-CTX)]。结果与对照组比较,观察组患者的AOFAS评分显著升高,VAS评分显著下降(P<0.01);两组患者的踝关节主动跖屈、背伸活动度比较,观察组均优于对照组(P<0.01);观察组患者的OCN、BALP较对照组明显上升(P<0.01),β-CTX较对照组明显下降(P<0.01),AOFAS评分优良率明显高于对照组(P<0.05)。结论肌肉能量技术可有效缓解踝关节骨折术后关节疼痛,调节骨代谢指标,改善踝关节功能。

Objective To observe the clinical efficacy of muscle energy technology in the rehabilitation of ankle fracture surgery.Methods From March 2021 to October 2023,98 patients with ankle fracture who underwent surgical treatment in Hangzhou Xiaoshan District Hospital of Traditional Chinese Medicine were selected.According to the difference of rehabilitation program after surgery,they were divided into observation group and control group,with 49 cases in each group.The control group was treated with routine rehabilitation training,and observation group was treated with muscle energy technology.The clinical efficacy,American Orthopaedic Foot and Ankle Society(AOFAS)score,ankle pain visual analogue scale(VAS)score,ankle active range of motion,and bone metabolism indexes[osteocalcin(OCN),bone-specific alkaline phosphatase(BALP),C-terminal telopeptide of typeβ-Ⅰcollagen(β-CTX)]were compared between two groups.Results Compared with control group,AOFAS score significantly increased and VAS score significantly decreased in observation group(P<0.01).The active plantar flexion and dorsal extension range of motion of ankle joint in observation group were better than those in control group(P<0.01).Compared with control group,the values of OCN and BALP in observation group increased significantly(P<0.01),the value ofβ-CTX decreased significantly(P<0.01),and the excellent rate of AOFAS score was higher than that in control group(P<0.05).Conclusion Muscle energy technology can effectively relieve joint pain after ankle fracture surgery,regulate bone metabolism indicators,and improve ankle function.