Abstract
Effect of swing adjustable foot rehabilitation robot on functional exercise compliance and motor function recovery after ankle fracture surgery
  
DOI:
EN KeyWords: Adjustable swing foot rehabilitation robot  Rehabilitation exercise  Ankle fracture  Ankle joint function  Complication
Fund Project:衡水市科技计划项目(2020014048Z)
作者单位
肖洪岩 衡水市第二人民医院河北 衡水 053000 
邓瑞晨 衡水市第二人民医院河北 衡水 053000 
魏新运 衡水市第二人民医院河北 衡水 053000 
杨伟胤 衡水市第二人民医院河北 衡水 053000 
谢云港 衡水市中医医院河北 衡水 053000 
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EN Abstract:
  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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