减重靴步行训练联合系统化足踝锻炼器训炼对踝关节骨折患者术后疼痛程度及关节功能恢复的影响

Effect of Weight Reduction Boot Walking Training Combined with Systematic Foot and Ankle Training on Postoperative Pain Degree and Joint Function Recovery of Patients with Ankle Fracture

目的:探讨减重靴步行训练联合系统化足踝锻炼器训练对踝关节骨折患者术后疼痛程度及关节功能恢复的影响。方法:选取2021年11月-2023年9月东昌府区中医院收治的80例踝关节骨折术后患者为研究对象,按随机数字表法分为对照组与观察组,各40例。对照组给予系统化足踝锻炼器训练干预,观察组在对照组基础上联合减重靴步行训练干预,均持续干预8周。比较两组患者的疼痛程度、踝关节功能、平衡能力及生活质量。结果:干预后,观察组视觉模拟评分法评分为(2.45±0.98)分,低于对照组的(3.12±1.05)分,美国矫形外科足踝协会评分为(85.12±4.15)分,高于对照组的(76.89±3.82)分,Berg平衡量表评分为(45.82±2.97)分,高于对照组的(37.11±2.75)分,生活质量综合评定问卷-74中各维度评分均高于对照组,差异均有统计学意义(P<0.05)。结论:减重靴步行训练联合系统化足踝锻炼器训练可提高踝关节骨折患者术后的平衡功能,减轻痛感,修复其踝关节功能,提高生活质量,干预效果显著,具有应用价值。

Objective:To explore the effects of weight reduction boot walking training combined with systematic foot and ankle training on postoperative pain and joint function recovery of patients with ankle fracture.Methods:A total of 80 postoperative patients with ankle fractures admitted to Hospital of Traditional Chinese Medicine of Dongchangfu District from November 2021 to September 2023 were selected as the research subjects,and were divided into a control group and an observation group according to random number table method,with 40 cases in each group.The control group was given systematic foot and ankle training intervention,and the observation group was combined with weight-loss boots walking training intervention on the basis of the control group,and the intervention lasted for 8 weeks.The pain degree,ankle function,balance and quality of life were compared between the two groups.Results:After intervention,the visual analogue scale score of the observation group was(2.45±0.98)points,lower than(3.12±1.05)points of the control group,the American Orthopaedic Foot and Ankle Society score was(85.12±4.15)points,higher than the(76.89±3.82)points of the control group,the Berg Balance Scale score was(45.82±2.97)points,higher than(37.11±2.75)points of the control group,and the generic quality of life inventory-74 scores in all dimensions were higher than those of the control group,the differences were statistically significant(P<0.05).Conclusion:Weight reduction boot walking training combined with systematic foot and ankle training can improve the balance function of ankle fracture patients after surgery,alleviate pain,repair their ankle function and improve quality of life.The intervention effect is significant and has application value.