Department of Rehabilitation Medicine, Wonkwang University College of Medicine and Institute of Wonkwang Medical Science, Iksan, Republic of Korea.
Department of Orthopedic Medicine, Wonkwang University College of Medicine and Institute of Wonkwang Medical Science, Iksan, Republic of Korea.
Biomed Res Int. 2021 Jan 28;2021:6695096. doi: 10.1155/2021/6695096. eCollection 2021.
We investigated the therapeutic effect of a postoperative hospital-based systemic rehabilitation protocol on ankle function in chronic ankle instability (CAI) patients. Thirty-five patients who underwent a modified Broström procedure for CAI were recruited in this prospective randomized controlled trial. Fifty-minute sessions of hospital-based rehabilitation were performed three times weekly for 12 weeks in the intervention group. Education-based rehabilitation was conducted at home in the control group. The outcomes were evaluated at baseline (T0), 12 weeks (T1), and 16 weeks (T2). The primary outcome was the foot and ankle outcome score (FAOS). Ankle motor strength and spatiotemporal gait metrics were assessed as secondary outcomes. There were significant time and group interaction effects on the pain, symptoms, activities of daily living, sports activities, and quality of life (QOL) domains of the FAOS ( < 0.05, all). The patients in the intervention group showed larger improvements in all domains of the FAOS than did the control group at both T1 and T2 ( < 0.05, all). The time and group interaction effects on invertor and evertor strength were also significant ( = 0.047 and = 0.044). Invertor and evertor strength improved significantly more in the intervention group than in the control group at T1 and T2 ( < 0.05, all). The preferred walking velocity, cadence, step length on the affected side, and double stance phase duration tended to improve over time. Postoperative hospital-based rehabilitation helped improve CAI pain, symptoms, independence in activities of daily living, sports activity levels, and QOL more effectively than did conventional rehabilitation at home.
我们研究了术后基于医院的系统康复方案对慢性踝关节不稳定（CAI）患者踝关节功能的治疗效果。这项前瞻性随机对照试验纳入了 35 例接受改良 Broström 手术治疗 CAI 的患者。干预组每周进行 3 次、每次 50 分钟的基于医院的康复治疗，而对照组在家中进行基于教育的康复治疗。在基线（T0）、12 周（T1）和 16 周（T2）评估结局。主要结局是足踝结局评分（FAOS）。踝关节运动力量和时空步态指标作为次要结局进行评估。FAOS 的疼痛、症状、日常生活活动、运动活动和生活质量（QOL）各领域的时间和组间交互作用均有显著差异（<0.05，均）。与对照组相比，干预组在 T1 和 T2 时 FAOS 的所有领域均有更大的改善（<0.05，均）。内翻和外翻力量的时间和组间交互作用也有显著差异（=0.047 和=0.044）。干预组的内翻和外翻力量在 T1 和 T2 时均显著高于对照组（<0.05，均）。患侧的 preferred walking velocity、步频、步长和双支撑相时间也倾向于随时间改善。与传统的家庭康复相比，术后基于医院的康复更有效地改善 CAI 的疼痛、症状、日常生活活动独立性、运动活动水平和 QOL。
