《中国康复理论与实践》

《中国康复理论与实践》 ›› 2019, Vol. 25 ›› Issue (12): 1370-1373.doi: 10.3969/j.issn.1006-9771.2019.12.002

• 专题 • 上一篇    下一篇

距腓前韧带损伤患者不同时期康复的疗效比较

董继革1, 刘金龙2, 罗丽华1, 孔得宇1, 钟琦1   

  1. 1.中国中医科学院望京医院康复治疗中心，北京市 100102
    2.固安县中医院医务处，河北廊坊市 065500
  • 收稿日期:2019-01-31 修回日期:2019-06-06 出版日期:2019-12-25 发布日期:2019-12-26
  • 通讯作者: 董继革，E-mail: yishengd2010@sina.com E-mail:yishengd2010@sina.com
  • 作者简介:董继革(1967-)，女，汉族，北京市人，硕士，主任治疗师，硕士生导师，主要研究方向：康复治疗学临床及科研教学。

Effect of Rehabilitation on Patients with Anterior Talofibular Ligament Injury at Different Stages

DONG Ji-ge1, LIU Jin-long2, LUO Li-hua1, KONG De-yu1, ZHONG Qi1   

  1. 1.Rehabilitation Center of Wangjing Hospital, Chinese Academy of Traditional Chinese Medicine, Beijing 100102, China
    2.Medical Office of Gu’an County Traditional Chinese Medicine Hospital, Langfang, Hebei 065500, China
  • Received:2019-01-31 Revised:2019-06-06 Published:2019-12-25 Online:2019-12-26
  • Contact: DONG Ji-ge, E-mail: yishengd2010@sina.com E-mail:yishengd2010@sina.com

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摘要： 目的 探讨距腓前韧带损伤后保守治疗的患者在不同时期开始康复训练的临床疗效差异。 方法 回顾性分析2017年10月至2018年10月本院收治的距腓前韧带损伤的患者58例，根据损伤后开始康复治疗的时间，将患者分成6周组(n = 29)和12周组(n = 29)，分别于康复前，康复2周、4周和8周后应用视觉模拟评分(VAS)和美国足踝外科协会(AOFAS)踝-后足功能评分系统对踝关节功能进行评分。 结果 康复2周、4周和8周后，两组VAS评分和AOFAS评分均显著改善(|t| > 4.137, P < 0.001)；6周组VAS评分明显低于12周组(|t| > 3.110, P < 0.01)，AOFAS评分明显高于12周组(|t| > 3.016, P < 0.01)。 结论 距腓前韧带损伤保守治疗患者在6周内进行康复治疗效果更佳。

关键词: 距腓前韧带损伤, 康复, 介入时间

Abstract: Objective To compare the clinical efficacy of rehabilitation training at different stages on patients with anterior talofibular ligament injury after conservative treatment. Methods From October 2017 to October 2018, 58 patients with anterior talofibular ligament injury were divided into six-week rehabilitation group (n = 29) and twelve-week rehabilitation group (n = 29), according to the time they began rehabilitation after injury. Visual Analogue Score (VAS) and American Orthopaedic Foot & Ankle Society (AOFAS) ankle-hindfoot function scoring system were used to evaluate ankle function before rehabilitation, and two weeks, four weeks and eight weeks after rehabilitation, respectively. Results Two weeks, four weeks and eight weeks after rehabilitation, the scores of VAS and AOFAS improved in both groups (|t| > 4.137, P < 0.001), the scores of VAS were lower (|t| > 3.110, P < 0.01), and the scores of AOFAS were higher (|t| > 3.016, P < 0.01) in the six-week rehabilitation group than in the twelve-week rehabilitation group. Conclusion It is suggested to begin rehabilitation within six weeks for patients with anterior talofibular ligament injury after conservative treatment.

Key words: anterior talofibular ligament injury, rehabilitation, intervention time

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