CAJ | 학술논문

目的观察系统康复训练对跟骨骨折患者术后患足功能恢复的促进作用,并同时研究Footscan足底压力分析仪对患者康复疗效的评定价值.方法共选取62例单侧跟骨骨折患者,经手术治疗后将其随机分为康复组与对照组.康复组患者于术后早期介入系统、规范、全程康复治疗,对照组则遵医嘱进行功能训练.分别于术后3个月、6个月时应用Footscan足底压力分析系统对其进行检测.所得数据采用自身配对比较法进行分析.结果术后3个月时,2组病例患足在站立相各时期接触时间、足底平均压力及压力时间积分与健足比较,差异均有统计学意义(P<0.05);在术后6个月时,发现康复组健、患足间上述指标差异无统计学意义(P>0.05),而对照组健、患足间上述指标差异仍有统计学意义(P<0.05).结论早期康复训练可显著促进跟骨骨折患者患足运动功能恢复,进一步提高术后疗效;Footscan足底压力分析系统可对跟骨骨折患者术后康复疗效进行客观评定.
목적 관찰계통강복훈련대근골골절환자술후환족공능회복적촉진작용,병동시연구Footscan족저압력분석의대환자강복료효적평정개치.방법 공선취62례단측근골골절환자,경수술치료후장기수궤분위강복조여대조조.강복조환자우술후조기개입계통、규범、전정강복치료,대조조칙준의촉진행공능훈련.분별우술후3개월、6개월시응용Footscan족저압력분석계통대기진행검측.소득수거채용자신배대비교법진행분석.결과 술후3개월시,2조병례환족재참립상각시기접촉시간、족저평균압력급압력시간적분여건족비교,차이균유통계학의의(P<0.05);재술후6개월시,발현강복조건、환족간상술지표차이무통계학의의(P>0.05),이대조조건、환족간상술지표차이잉유통계학의의(P<0.05).결론 조기강복훈련가현저촉진근골골절환자환족운동공능회복,진일보제고술후료효;Footscan족저압력분석계통가대근골골절환자술후강복료효진행객관평정.
Objective To evaluate the effects of post-operation rehabilitation treatment of patients with calcaneus fracture by dynamic plantar pressure analysis,and assess the value of the Footscan system.Methods Sixty-two patients with unilateral calcaneus fracture were randomly divided into a rehabilitation group and a control group.The patients in the rehabilitation group were given early,systemic standard rehabilitation treatment,while those in the control group took functional exercise following the doctors'advice.At 3 months and 6 months after operation,the plantar pressure distribution of the patients in both groups was analyzed with the Footscan system,respectively.Results After 3 months of treatment.there was statistically significant difference between the injured and the uninjured sides in both groups,with regard to the contact time,average plantar pressure and pressure-time integrals at different phases of gait.However,there was no significant difference between the injured and the uninjured sides after 6 months in rehabilitation group.But in control group,there was still statistically significant difference between the two sides with regard to the above parameters.Conclusion Early rehabilitation treatment could significantly improve the function outcome of patients with calcaneus fracture.Footscan System can objectively evaluate the recovery of the calcaneous fracture.