CAJ | 학술논문

背景:传统跟腱断裂修复术后石膏固定时间长,效果不佳,存在较多的术后并发症.目的:探讨跟腱断裂修复后早期应用等速训练仪进行康复训练的安全性和有效性.方法:纳入2007 09/2009-09于青岛市立医院东区就诊的跟腱断裂患者11例,其中9例在跟腱修复4周后应用Isomed-2000等速训练仪进行康复训练,时间共8周.评价指标包括Arner-Lindholm评分、踝关节活动范围、屈伸肌峰力矩值等.结果与结论:随访3～12个月,平均6个月.患者Arner-Lindholm评分优良率为88.9%,踝关节活动范围、屈伸肌峰力矩值等指标均较等速训练前显著改善(P<0.05),无感染和再断裂病例.结果提示跟腱断裂修复后4周应用等速训练仪行等速康复训练是安全和有效的,可为跟腱断裂后早期活动提供参考数据.
배경:전통근건단렬수복술후석고고정시간장,효과불가,존재교다적술후병발증.목적:탐토근건단렬수복후조기응용등속훈련의진행강복훈련적안전성화유효성.방법:납입2007 09/2009-09우청도시립의원동구취진적근건단렬환자11례,기중9례재근건수복4주후응용Isomed-2000등속훈련의진행강복훈련,시간공8주.평개지표포괄Arner-Lindholm평분、과관절활동범위、굴신기봉력구치등.결과여결론:수방3～12개월,평균6개월.환자Arner-Lindholm평분우량솔위88.9%,과관절활동범위、굴신기봉력구치등지표균교등속훈련전현저개선(P<0.05),무감염화재단렬병례.결과제시근건단렬수복후4주응용등속훈련의행등속강복훈련시안전화유효적,가위근건단렬후조기활동제공삼고수거.
BACKGROUND: Traditional repair for Achilles tendon rupture has disadvantages of long cast immobilization times, poor outcomes and many complications.OBJECTIVE: To explore the safety and efficacy of early isokinetic rehabilitation training for patients after repair of Achilles tendon ruptures.METHODS: A total of 11 patients with Achilles tendon ruptures received treatments at the Department of Orthopedics, East District of Qingdao Municipal Hospital, from September 2007 to September 2009, were included. Nine of them underwent 8-week isokinetic exercises by using lsomed-2000 at 4 weeks after tendon repair. The evaluative indicators included Arner-Lindholm score, the ankle range of motion, and extensor-flexor peak torque.RESULTS AND CONCLUSION: The follow-up averaged 6 months, ranging from 3 to 12 months. The excellent and good rate of Arner-Lindholm score was 88.9%. The results showed a significant improvement in the ankle range of motion and extensor-flexor peak torque (P < 0.05). There were no infection or re-rupture cases. It is indicated that early isokinetic rehabilitation is safe and effective for patients with Achilles tendon ruptures at 4 weeks postoperatively. It provides evidence for early rehabilitation in patients with Achilles tendon ruptures.