通讯作者: 朱敏, 13757188755@163.com

DOI：10.12201/bmr.202409.00014

Observation on the effect of muscle energy technique in postoperative rehabilitation of ankle fracture

• 摘要：【】 目的 观察肌肉能量技术在踝关节骨折术后康复中的临床疗效。方法 选取手术治疗的98例踝关节骨折患者,根据术后康复治疗方案分为观察组和对照组,每组49例。对照组术后行常规康复训练治疗,观察组术后行肌肉能量技术治疗,比较两组临床疗效、踝关节VAS疼痛评分、踝关节主动活动度、骨代谢指标(BGP、BALP、β-CTX)。结果 观察组AOFAS评分与对照组比较明显升高,VAS疼痛评分与对照组比较明显下降,差异均有统计学意义(P＜0.05)。两组踝关节主动跖屈、背伸活动度比较,观察组均优于对照组(P＜0.05)。观察组BGP、BALP值较对照组明显上升,β-CTX值较对照组明显下降,AOFAS评分优良率(89.79％,44/49)明显高于对照组(71.42％,35/49),差异均有统计学意义(P＜0.05)。结论? 肌肉能量技术可有效缓解踝关节骨折术后关节疼痛,调节骨代谢指标,改善踝关节功能,符合目前主流加速康复外科理念。

   

  Abstract: Objective To observe the clinical efficacy of muscle energy technology in the rehabilitation of ankle fracture surgery. Methods A total of 98 patients with ankle fractures were selected for surgical treatment, and were divided into observation group and control group according to the postoperative rehabilitation treatment plan, with 49 cases in each group. The control group underwent routine rehabilitation training after surgery, and the observation group underwent muscle energy technology treatment after surgery, and the clinical efficacy, ankle VAS pain score, ankle active range of motion, and bone metabolism indexes (BGP, BALP, β-CTX) were compared between the two groups. Results Compared with the control group, the AOFAS score in the observation group was significantly increased, and the VAS pain score was significantly decreased compared with the control group, and the differences were statistically significant (P<0.05). The active plantar flexion and dorsal extension range of motion of the ankle joint in the two groups were better than those in the control group (P<0.05). Compared with the control group, the BGP and BALP values in the observation group were significantly higher than those in the control group, and the β-CTX values were significantly lower than those in the control group, and the excellent rate of AOFAS score (89.79%, 44/49) was significantly higher than that in the control group (71.42%, 35/49), and the differences were statistically significant (P<0.05). Conclusion Muscle energy technology can effectively alleviate joint pain, regulate bone metabolism indexes, and improve ankle function after ankle fracture, which is in line with the current mainstream concept of accelerated recovery surgery.

  提交时间：2024-09-10

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• 序号	提交日期	编号	操作
  1	2024-08-06	bmr.202409.00014V1	下载

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