摘要
目的探究路径化康复功能训练措施对部队训练跟腱断裂的恢复效果。方法回顾性分析2015年1月—2016年12月间解放军第101医院收治的8 0例部队训练导致的跟腱断裂患者的恢复效果。按照康复训练方式的不同,将其分为观察组和对照组,各40例。对照组采用常规训练措施对患者进行康复训练,观察组在对照组的基础上结合路径化康复功能训练措施对患者进行康复训练。康复8周后,记录2组患者康复过程中不良事件的发生情况,对2组患者的恢复优良率和患者的康复满意度进行分析,记录并观察2组患者患侧峰力矩体质量比,踝关节活动角度和峰力矩比的变化情况,对2组患者的患者峰力矩和总做功评分进行比较。结果观察组患者的恢复优良率、康复满意度高于对照组,不良事件的发生率低于对照组,差异均有统计学意义(P<0.05);观察组患者的患侧峰力矩体质量比,踝关节活动角度,峰力矩比,峰力矩和总做功评分均高于对照组,差异均有统计学意义(P<0.05)。结论路径化康复功能训练措施能够有效降低跟腱断裂患者术后不良事件的发生,促进患者踝关节功能的恢复,有效提高患者的康复速度和生活质量。
ObjectiveTo explore the effect of the pathway rehabilitation function training on Achilles tendon ruptures in the perioperative period caused by military training. MethodsEighty cases of Achilles tendon ruptures caused by military training and treated in our hospital between January 2015 and December 2016 were retrospectively analyzed. According to rehabilitation training methods, they were divided into the observation group and control group. The control group received rehabilitation training with routine training measures while the observation group was additionally subjected to the pathway rehabilitation function training. After 8 weeks of rehabilitation, adverse events in the two groups of patients during rehabilitation were recorded. The rate of recovery and the rate of satisfaction in the two groups of patients were analyzed. The changes in the lateral peak torque to body mass ratio, angles of ankle joint activity and peak torque ratios were recorded and compared between the two groups. ResultsIn the observation group, the rate of good recovery and the rate of satisfaction were higher than those of the control group, while the incidence of adverse events was lower, and the difference was statistically significant（P〈0.05）. The total scores of lateral peak torque to body mass ratio, angles of ankle joint activity, peak torque ratios, peak torque and total work were higher than in the control group, and the difference was statistically significant（P〈0.05）. ConclusionPathway rehabilitation training can effectively reduce the incidence of postoperative adverse events, promote the recovery of ankle function, accelerate rehabilitation and improve the quality of life of patients with Achilles tendon rupture.
作者
肖安菊
顾晓刚
王赟
XIAO Anju;GU Xiaogang;WANG Yun(Department of Rehabilitation Medicine,The 101st Hospital of PLA,Wuxi Jiangsu 214100,China)
出处
《空军医学杂志》
2018年第5期299-302,共4页
Medical Journal of Air Force
关键词
跟腱断裂
路径化
功能训练
Achilles tendon rupture
pathway
functional training
