水中平板运动结合常规康复训练在踝关节骨折内固定术后患者功能恢复中的效果(1)
【摘要】 目的：探究水中平板结合常规康复训练对踝关节骨折内固定术后患者功能恢复的效果。方法：选取笔者所在医院2013年2月-2017年2月收治的56例踝关节骨折患者，利用随机数表法分为试验组和对照组。对照组28例行常规恢复训练，试验组28例再加用水中平板运动训练。对比术后6、12周两组患者的膝关节主动活动度(AROM)、踝关节屈伸峰力矩(PT)及Baird-Jackson踝关节评分。结果：AROM、PT、Baird-JackSon踝关节评分三项指标，两组患者术后12周较术后6周均有改善，差异有统计学意义(P<0.05)，在术后12周，试验组指标明显优于对照组，差异有统计学意义(P<0.05)。结论：水中平板运动结合常规康复训练在踝关节骨折内固定术后患者功能恢复中的效果明显，值得临床推广。
【关键词】 水中平板运动； 康复训练； 踝关节骨折； 效果
doi：10.14033/j.cnki.cfmr.2017.29.011 文献标识码 B 文章編号 1674-6805(2017)29-0022-02
Effect of Water Table Exercise Combined with Routine Rehabilitation Training on Functional Recovery of Patients with Ankle Fracture after Internal Fixation/HUANG Cai-feng，HUANG Yu-gui，ZHANG Rong-bin.//Chinese and Foreign Medical Research，2017，15(29)：22-23
【Abstract】 Objective：To investigate the effect of water plate combined with routine rehabilitation training on functional recovery of patients with internal fixation of ankle fractures.Method：From February 2013 to February 2017，in our hospital 56 cases of ankle joint fracture patients，were randomly divided into experimental group and control group.In the control group，28 cases were treated with routine rehabilitation training，while the experimental group(n=28) were treated with water treadmill exercise training.At 6 weeks and 12 weeks after operation，the two groups of patients with knee joint active(AROM)，ankle flexion torque(PT) and Baird-Jackson ankle joint scoring were observed.Result：The three indicators，the two groups of patients improved after 12 weeks better than
6 weeks(P<0.05)，after 12 weeks，the index of experimental group was significantly better than the control group (P<0.05).Conclusion：The effect of treadmill exercise training combined with routine rehabilitation training in patients with ankle joint fracture after internal fixation is effective，which is worthy of clinical promotion.
【Key words】 Water table exercise； Rehabilitation training； Ankle fracture； Effect
First-author’s address：The Fifth Hospital Affiliated to Zhongshan University，Zhuhai 519000，China
踝关节的损伤是骨科发生率较高的损伤，而踝关节骨折属于关节内骨折，故一般治疗手段采取切开复位后内固定。对于踝关节骨折的治疗的重点在于术后的功能恢复训练，然而对于早期是采取负重训练还是石膏外固定业，界还存在不同的观点[1-2]。本文旨在探究水中平板运动结合常规康复训练在踝关节骨折内固定术后患者功能恢复中疗效。
1 资料与方法
1.1 一般资料
选取笔者所在医院2013年2月-2017年2月收治的56例踝关节骨折患者，患者均为行骨折内固定术后5～6周。采用随机数表法将患者随机分为两组。其中对照组28例，男18例，女10例，年龄16～70岁，平均(44.2±2.3)岁；左踝骨折16例，右踝骨折12例；单纯型外踝骨折10例，单纯型内踝骨折8例，双踝骨折6例，三踝骨折4例。试验组28例，男20例，女8例，年龄18～71岁，平均(45.3±2.1)岁；左踝骨折17例，右踝骨折11例；单纯型外踝骨折9例，单纯型内踝骨折9例，双踝骨折5例，三踝骨折5例。所有患者均无影响进行康复训练的疾病，如癫痫、中风、阿尔兹海默症及精神障碍，均无严重的心、脑、肾、肺器官功能障碍，均无严重的心血管疾病，均无恶性肿瘤、出血倾向及皮肤病。所有患者及其家属均签署了知情同意书。两组患者一般情况比较，差异无统计学意义(P>0.05)。, http://www.100md.com(黄彩凤 黄裕桂 张荣斌)
【关键词】 水中平板运动； 康复训练； 踝关节骨折； 效果
doi：10.14033/j.cnki.cfmr.2017.29.011 文献标识码 B 文章編号 1674-6805(2017)29-0022-02
Effect of Water Table Exercise Combined with Routine Rehabilitation Training on Functional Recovery of Patients with Ankle Fracture after Internal Fixation/HUANG Cai-feng，HUANG Yu-gui，ZHANG Rong-bin.//Chinese and Foreign Medical Research，2017，15(29)：22-23
【Abstract】 Objective：To investigate the effect of water plate combined with routine rehabilitation training on functional recovery of patients with internal fixation of ankle fractures.Method：From February 2013 to February 2017，in our hospital 56 cases of ankle joint fracture patients，were randomly divided into experimental group and control group.In the control group，28 cases were treated with routine rehabilitation training，while the experimental group(n=28) were treated with water treadmill exercise training.At 6 weeks and 12 weeks after operation，the two groups of patients with knee joint active(AROM)，ankle flexion torque(PT) and Baird-Jackson ankle joint scoring were observed.Result：The three indicators，the two groups of patients improved after 12 weeks better than
6 weeks(P<0.05)，after 12 weeks，the index of experimental group was significantly better than the control group (P<0.05).Conclusion：The effect of treadmill exercise training combined with routine rehabilitation training in patients with ankle joint fracture after internal fixation is effective，which is worthy of clinical promotion.
【Key words】 Water table exercise； Rehabilitation training； Ankle fracture； Effect
First-author’s address：The Fifth Hospital Affiliated to Zhongshan University，Zhuhai 519000，China
踝关节的损伤是骨科发生率较高的损伤，而踝关节骨折属于关节内骨折，故一般治疗手段采取切开复位后内固定。对于踝关节骨折的治疗的重点在于术后的功能恢复训练，然而对于早期是采取负重训练还是石膏外固定业，界还存在不同的观点[1-2]。本文旨在探究水中平板运动结合常规康复训练在踝关节骨折内固定术后患者功能恢复中疗效。
1 资料与方法
1.1 一般资料
选取笔者所在医院2013年2月-2017年2月收治的56例踝关节骨折患者，患者均为行骨折内固定术后5～6周。采用随机数表法将患者随机分为两组。其中对照组28例，男18例，女10例，年龄16～70岁，平均(44.2±2.3)岁；左踝骨折16例，右踝骨折12例；单纯型外踝骨折10例，单纯型内踝骨折8例，双踝骨折6例，三踝骨折4例。试验组28例，男20例，女8例，年龄18～71岁，平均(45.3±2.1)岁；左踝骨折17例，右踝骨折11例；单纯型外踝骨折9例，单纯型内踝骨折9例，双踝骨折5例，三踝骨折5例。所有患者均无影响进行康复训练的疾病，如癫痫、中风、阿尔兹海默症及精神障碍，均无严重的心、脑、肾、肺器官功能障碍，均无严重的心血管疾病，均无恶性肿瘤、出血倾向及皮肤病。所有患者及其家属均签署了知情同意书。两组患者一般情况比较，差异无统计学意义(P>0.05)。, http://www.100md.com(黄彩凤 黄裕桂 张荣斌)