小关节松动术在踝关节僵硬康复治疗中的应用观察.pdfVIP

对照组从治疗前的54.40±9.40上升到75.80±9.25，治疗前组间差异无显著性， 治疗后组间差异有显著性。 4.实验组VAS评分从治疗前的8.11±0.56降至0.73±0.48，对照组VAS评 分分从治疗前的7.90±1.09降至2.03±0.92，治疗前组间差异无显著性，治疗 后组间差异有显著性。 5.实验组Barthel指数从治疗前的65.83±14.89上升至92.50±5.50，对照 组从治疗前的66.87±9.09上升到82.00±8.60，治疗前组间差异无显著性，治 疗后组间差异有显著性。 结论： 1.胫距关节松动训练配合足部距下关节、距跟舟关节等关节的关节松动训练 在踝关节僵硬康复中疗效优于单纯的胫距关节松动训练。 2.足部距下关节、距跟舟关节等小关节松动训练在促进踝关节僵硬康复中， 疗效确切，安全有效。在康复治疗过程中未发现明显并发症，操作方便，持续易 行，对于胫腓骨下端骨折、踝关节、足部及附近的骨折术后康复促进功能恢复有 着较高的应用价值。 关键词：踝关节僵硬；距下关节；距跟舟关节；关节松动训练；临床疗效 万方数据 Abstract Objective: Observe the smalljoint looseness in anklejoint stiffness clinical curative effect ofrehabilitation treatment ,Determinethe feet, distance and subtalarjoint loose boat of joints and joint training in promoting the treatment of ankle joint function rehabilitationefficacyandsafety. Methods: Using random Numbers table, the experimental methods, such as blind method(blind),Theorthopaedichospitalrehabilitationdepartmentofsichuanprovince and ankle treated patients with a diagnosis of ankle joint stiffness were randomly dividedintotwogroups,Twogroupsoftreatmentincludetraditionalthermaltherapyof traditional Chinesemedicine therapy, cupping. The experimental groupuses the loose joint training ,Afterthejoint loosening and foot subtalarjoint, with boat loosejoints, suchasjoint training;Thecontrolgroupadoptsloosejoint training,Aftertheloosejoint training ,Two groups of patients (age, gender, duration, location) are basically identical ,Score before treatment has no obvious difference （57.17 ±13.31 ） experimentalgroup,controlgroup 54.5 17.75) professionaldiseaseswithreference （ ±