| 陈斌,董宝焕,罗小权,胡国炯,姚加佳.平衡板运动控制训练对踝关节损伤修复术后康复效果的观察[J].中国康复,2025,40(1):21-26 |
| 平衡板运动控制训练对踝关节损伤修复术后康复效果的观察 |
| Rehabilitation efficacy of balance board exercise control training for ankle injury |
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| DOI：10.3870/zgkf.2025.01.004 |
| 中文关键词: 踝关节损伤 平衡板运动控制训练 平衡能力 踝关节功能 肌力 运动感觉阈值 |
| 英文关键词: ankle joint injury balance board motion control training balance ability ankle joint function muscle strength motor sensory threshold |
| 基金项目:国家临床重点专科建设项目(Z155080000004)；上海市康复医学重中之重研究中心项目(2023ZZ02027) |
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| 中文摘要: |
| 目的：研究平衡板运动控制训练用于踝关节损伤修复术后康复治疗的效果。方法：选取我院接诊的踝关节损伤修复术后患者80例，随机分为对照组和研究组各40例。对照组患者接受常规康复训练，研究组患者接受常规康复训练和平衡板运动控制训练，2组均干预3周。比较2组患者干预前后患侧下肢平衡控制能力、患侧踝关节肌群肌力、运动感觉、运动功能及患者生活质量。结果：干预3周后，2组患侧下肢前方移动距离、后内侧移动距离、后外侧移动距离和总移动距离均大于干预前（P＜0.001），且研究组大于对照组（P＜0.001）；2组患者在60°/s和180°/s测试速度下患侧踝关节等速向心收缩跖屈肌群、背屈肌群相对峰值力矩均大于干预前（P＜0.001），且研究组大于对照组（P＜0.001）；2组患侧踝关节跖屈、背屈动作的运动感觉阈值均下降（P＜0.001），且研究组比对照组低（P＜0.001）；2组患侧足踝功能量表（FAAM）评分、中文版世界卫生组织生存质量测定量表简表（WHOQOL-BREF）评分高于干预前（P＜0.001），且研究组比对照组高（P＜0.001）。结论：在踝关节损伤术后患者中开展平衡板运动控制训练可有效增强患者患侧下肢平衡控制能力，改善患侧踝关节肌群肌力、踝关节功能以及踝关节运动感觉阈值，并对提升生活质量有积极意义。 |
| 英文摘要: |
| Objective: Based on the balance ability and ankle function, to explore the rehabilitation effect of balance board exercise control training for patients with ankle injury. Methods：A total of 80 patients with ankle joint injury treated with operation in our hospital were selected and divided into control group (40 patients receiving routine rehabilitation training) and study group (40 patients receiving routine rehabilitation training + Physio Space balance board motor control training) according to the principle of randomized control. The intervention lasted for 3 weeks. Balance control ability, muscle strength, ankle function, ankle motion sensation and quality of life of the affected lower limbs were compared between the two groups. Results：After 3 weeks of intervention, the anterior score, posteromedia score, posterolateral score and total score of the affected lower limbs in both groups were higher than before intervention, and those in the study group were higher than those in the control group (P<0.001). After 3 weeks of intervention, the relative peak torque of the plantar flexor and dorsiflexor of the affected ankle at the test speed of 60°/s and 180°/s was greater than before intervention, and that in the study group was greater than in the control group (P<0.001). After 3 weeks of intervention, the motor sensory thresholds of the affected ankle flexion and dorsiflexion decreased in both groups, and those in the study group were lower than those in the control group (P<0.001). After 3 weeks of intervention, the foot and ankle ability measure (FAAM) score and score of the Chinese version of the World Health Organization Quality of life brief scale (WHOQOL-BREF) were higher than those before intervention, and those in the study group were higher than in the control group (P<0.001). Conclusion：Exercise control of balance board in patients with ankle injury can effectively improve the balance control ability of the affected lower extremity, optimize the muscle strength, ankle function and ankle motion sensory threshold of the affected ankle muscle group, and has positive significance for improving the quality of life. |
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