| 肖洪岩,邓瑞晨,魏新运,杨伟胤,谢云港.摆幅可调型足部康复机器人对踝关节骨折术后功能锻炼依从性及运动功能恢复的影响[J].中国康复,2024,39(2):99-104 |
| 摆幅可调型足部康复机器人对踝关节骨折术后功能锻炼依从性及运动功能恢复的影响 |
| Effect of swing adjustable foot rehabilitation robot on functional exercise compliance and motor function recovery after ankle fracture surgery |
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| DOI： |
| 中文关键词: 摆幅可调型足部康复机器人 康复锻炼 踝关节骨折 踝关节功能 并发症 |
| 英文关键词: Adjustable swing foot rehabilitation robot Rehabilitation exercise Ankle fracture Ankle joint function Complication |
| 基金项目:衡水市科技计划项目（2020014048Z） |
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| 中文摘要: |
| 目的：分析摆幅可调型足部康复机器人对踝关节骨折术后功能锻炼依从性及运动功能恢复的影响。方法：选定本院2021年2月～2023年2月就诊的120例踝关节骨折患者进行研究，根据术后康复治疗方法的不同将其分为对照组和观察组2组，各60例，对照组给予常规康复治疗，观察组在对照组基础上给予摆幅可调型足部康复机器人治疗；2组均在治疗4周后进行效果评价，比较2组在功能锻炼依从性、踝关节功能优良率、美国矫形外科足踝协会（AOFAS）踝-后足评分、Olerud-Molander踝关节骨折评分系统、步行相关参数、下肢肌电标准化积分肌电、并发症总发生率的差异。结果：治疗后，观察组功能锻炼依从性、踝关节功能优良率均高于对照组（P＜0.05）。2组治疗后AOFAS评分、Olerud-Molander评分、标准化单支撑期时长、步速、步宽、步长、比目鱼肌、腓肠肌内侧、腓肠肌外侧、腓骨长肌、胫骨前肌标准化积分肌电均较治疗前明显提高（P＜0.05）。观察组治疗后AOFAS评分、Olerud-Molander评分均高于对照组（P＜0.05）。观察组治疗后标准化单支撑期时长、步速、步长均高于对照组（P＜0.05），观察组治疗后步宽低于对照组（P＜0.05）。观察组治疗后比目鱼肌、腓肠肌内侧、腓肠肌外侧、腓骨长肌、胫骨前肌标准化积分肌电均高于对照组（P＜0.05）。观察组并发症总发生率低于对照组（P＜0.05）。结论：踝关节骨折患者应用摆幅可调型足部康复机器人展开康复治疗，可有效提高康复功能锻炼依从性及踝关节功能优良率，改善肌肉活动，维持步速、运动等动态平衡，降低并发症发生率。 |
| 英文摘要: |
| Objective: To analyze the effect of swing adjustable foot rehabilitation robot on functional exercise compliance and motor function recovery after ankle fracture surgery. Methods: A total of 120 patients with ankle fracture treated in our hospital from February 2021 to February 2023 were selected for the study. According to different postoperative rehabilitation treatment methods, they were divided into control group and observation group, with 60 cases in each group. The control group was given routine rehabilitation treatment, and the observation group was given foot rehabilitation robot treatment with adjustable swing on the basis of the control group. Effects of both groups were evaluated 4 weeks after treatment. Differences in functional exercise compliance, excellent ankle function rate, AOFAS ankle-hind foot score, Olerud-Molander ankle fracture score system, walk-related parameters, standardized lower limb myoelectric score, and total complication rate were compared between the two groups. Statistical methods were used to analyze the difference. Results: The compliance of functional exercise (95.00%) and the excellent and good rate of ankle joint function in observation group were higher than those in control group (P<0.05). After treatment, AOFAS score, Olerud-Molander score, standardized single support period length, step speed, step width, step length, soleus muscle, medial gastrocnemius muscle, lateral gastrocnemius muscle, peroneus longus muscle and tibialis anterior muscle all increased as compared with those before treatment (P<0.05). After treatment, AOFAS score and Olerud-Molander score in observation group were higher than those in control group (P<0.05). After treatment, the standardized single support period duration, step speed and step length of the observation group were increased as compared with those of the control group (P<0.05), and the step width of the observation group was reduced as compared with that of the control group (P<0.05). After treatment, the standardized integrated EMG of soleus muscle, medial gastrocnemius muscle, lateral gastrocnemius muscle, peroneus longus muscle and tibialis anterior muscle in observation group were increased as compared with those in the control group (P<0.05). The total incidence of complications in the observation group was lower than that in the control group (P<0.05). Conclusion: On the basis of routine rehabilitation treatment for ankle fracture patients, the treatment of foot rehabilitation robot with adjustable swing can effectively improve the compliance of rehabilitation function exercise and the excellent and good rate of ankle function, improve muscle activity, maintain dynamic balance such as pace and movement, and reduce the incidence of complications. The effect is significant and has certain reference value. |
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