| 徐仁杰,张玉鑫,施加加.小腿三头肌低强度离心收缩与跟腱牵伸训练治疗跟腱挛缩的疗效对比研究[J].中国康复,2021,36(2):102-105 |
| 小腿三头肌低强度离心收缩与跟腱牵伸训练治疗跟腱挛缩的疗效对比研究 |
| A comparative study on the curative effects of low-intensity eccentric contraction of calf triceps muscle and Achilles tendon stretch training on Achilles tendon contracture |
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| DOI： |
| 中文关键词: 离心收缩 跟腱 挛缩 牵伸 康复 |
| 英文关键词: eccentric contraction Achilles tendon contracture stretching rehabilitation |
| 基金项目:九院基础研究助推计划（JYZZ078） |
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| 中文摘要: |
| 目的：对比常规康复基础上分别辅以小腿三头肌低强度离心收缩训练或跟腱牵伸训练对制动引起的跟腱挛缩的影响。方法：选取踝关节骨折后制动引起跟腱挛缩的患者40例，随机将患者分为牵伸组和离心组，每组20例。2组均接受常规康复治疗，牵伸组在常规治疗基础上增加站斜板训练，离心组在常规治疗基础上增加小腿三头肌低强度离心收缩训练。比较治疗前和治疗8周后,2组患者的踝关节背伸活动度（ROM）、美国矫形外科足踝协会踝 后足评分（AOFAS）、疼痛视觉模拟评分（VAS）和闭眼单腿站立时间。结果：治疗后，2组患者踝关节背伸活动度、AOFAS评分、闭眼单腿站立时间较治疗前均明显提高（均P＜0.05），VAS评分均降低（均P＜0.05）。离心组的踝关节背伸活动度、AOFAS评分和闭眼单腿站立时间均较牵伸组提高更明显（均P＜0.05），2组治疗后VAS评分比较差异无统计学意义。结论：常规康复方案辅以小腿三头肌低强度离心收缩训练治疗制动引起的跟腱挛缩疗效优于辅以跟腱牵伸训练。 |
| 英文摘要: |
| Objective: To compare the effects of conventional rehabilitation training respectively supplemented with eccentric contraction training of calf triceps or Achilles tendon stretch training on Achilles tendon contracture caused by immobilizing. Methods: Forty patients with Achilles tendon contracture caused by immobilizing were selected, and divided into a stretching group and a centrifugal group by random number table method, with 20 people in each group. Both groups received conventional rehabilitation treatment. The slanting plate training was added to the stretching group on the basis of conventional treatment, and the low-intensity eccentric contraction training of the calf triceps was added to the centrifugal group on the basis of conventional treatment. Before and after 8 weeks of treatment, the ankle's dorsiflexion range of motion (ROM), American Orthopedic Foot and Ankle Society Score (AOFAS), Pain's visual analogue score (VAS) and the duration of standing on one leg with eyes closed were compared between the two groups. Results: After treatment, the ankles dorsiflexion ROM, AOFAS score, and the duration of standing on one leg with eyes closed in the two groups were significantly increased, and the VAS score decreased (all P<0.05). The ankle's dorsiflexion ROM, AOFAS score and the duration of standing on one leg with eyes closed in the centrifugal group were more significantly improved than those in the stretching group (all P<0.05). There was no statistically significant difference in VAS score between the two groups. Conclusion: Routine rehabilitation training supplemented by low-intensity eccentric contraction training of calf triceps to treat Achilles tendon contracture caused by immobilizing is more effective than that supplemented by stretching training. |
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