基于髋关节策略的运动控制训练对踝关节损伤后行走功能恢复的影响

IF 1.9 Q2 ORTHOPEDICS Joint diseases and related surgery Pub Date : 2024-01-01 Epub Date: 2023-06-30 DOI:10.52312/jdrs.2023.1277
Na Liu, Ming Zhang, Shi-Ming Feng, Ying-Li Bi, Hong-Wei Zhai, Qing Meng
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引用次数: 0

摘要

研究目的研究旨在探讨基于髋关节策略的运动控制训练对踝关节损伤后步行功能恢复的影响以及康复计划的优化:研究中,在2021年9月至2022年9月期间,将62例踝关节损伤患者随机分为观察组(n=30;男24例,女6例;平均年龄:41.9±8.5岁;范围:28至56岁)和对照组(n=32;男26例,女6例;平均年龄:42.0±9.3岁;范围:27至55岁)。两组患者均接受常规康复训练,包括常规药物和康复治疗。观察组则额外接受基于髋部策略的运动控制训练,包括髋部肌肉力量训练、髋关节稳定性控制训练、平衡测试和训练系统训练以及三维步态分析系统训练,为期六周。所有患者在治疗前后均接受了平衡功能参数(运动长度和运动椭圆面积)、Berg 平衡量表、定时起立行走测试和三维步态分析系统(步长和步频)的评估:治疗前,两组的评价指标无明显差异(P>0.05)。治疗后,两组的评价指标均明显优于治疗前(P结论:基于髋关节策略的运动控制训练能有效提高髋关节的运动控制能力:基于髋关节策略的运动控制训练能明显改善踝关节损伤患者的行走功能恢复。
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Effect of hip strategy-based motion control training on walking function restoration after ankle joint injury.

Objectives: The study aimed to explore the effect of hip strategybased motion control training on the recovery of walking function after ankle injury and the optimization of the rehabilitation program.

Patients and methods: In the study, 62 patients with ankle injuries were randomly divided into the observation group (n=30; 24 males, 6 females; mean age: 41.9±8.5 years; range, 28 to 56 years) and the control group (n=32; 26 males, 6 females; mean age: 42.0±9.3 years; range, 27 to 55 years) between September 2021 and September 2022. Both groups were treated using routine rehabilitation training, including conventional drug and rehabilitation treatment. The observation group additionally received hip strategy-based motion control training, which included hip muscle strength training, hip joint stability control training, balance testing and training system training, and three-dimensional gait analysis system training for six weeks. All patients were evaluated before and after the treatment using the balance function parameters (motion length and motion ellipse area), Berg Balance Scale, the timed up-and-go test, and three-dimensional gait analysis system (step length and step frequency).

Results: There was no significant difference in the evaluation indexes between the two groups before treatment (p>0.05). After treatment, the evaluation indexes of the two groups were significantly better than those before treatment (p<0.05), and all the indexes in the observation group were significantly better than those in the control group (p<0.05).

Conclusion: Hip strategy-based motion control training could significantly improve the recovery of walking function in patients with ankle injuries.

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