Department of Rehabilitation Medicine, Xuzhou Rehabilitation Hospital, No. 10 of Kuizhong Lane, Yunlong District, Xuzhou 221000, China
Jt Dis Relat Surg. 2024 Jan 1;35(1):54-61. doi: 10.52312/jdrs.2023.1277. Epub 2023 Jun 30.
The study aimed to explore the effect of hip strategybased motion control training on the recovery of walking function after ankle injury and the optimization of the rehabilitation program.
In the study, 62 patients with ankle injuries were randomly divided into the observation group (n=30; 24 males, 6 females; mean age: 41.9±8.5 years; range, 28 to 56 years) and the control group (n=32; 26 males, 6 females; mean age: 42.0±9.3 years; range, 27 to 55 years) between September 2021 and September 2022. Both groups were treated using routine rehabilitation training, including conventional drug and rehabilitation treatment. The observation group additionally received hip strategy-based motion control training, which included hip muscle strength training, hip joint stability control training, balance testing and training system training, and three-dimensional gait analysis system training for six weeks. All patients were evaluated before and after the treatment using the balance function parameters (motion length and motion ellipse area), Berg Balance Scale, the timed up-and-go test, and three-dimensional gait analysis system (step length and step frequency).
There was no significant difference in the evaluation indexes between the two groups before treatment (p>0.05). After treatment, the evaluation indexes of the two groups were significantly better than those before treatment (p<0.05), and all the indexes in the observation group were significantly better than those in the control group (p<0.05).
Hip strategy-based motion control training could significantly improve the recovery of walking function in patients with ankle injuries.
本研究旨在探讨基于髋关节策略的运动控制训练对踝关节损伤后行走功能恢复的影响，优化康复方案。
将 2021 年 9 月至 2022 年 9 月收治的 62 例踝关节损伤患者随机分为观察组（n=30；男 24 例，女 6 例；平均年龄 41.9±8.5 岁；年龄范围 28 至 56 岁）和对照组（n=32；男 26 例，女 6 例；平均年龄 42.0±9.3 岁；年龄范围 27 至 55 岁）。两组均采用常规康复训练，包括常规药物和康复治疗。观察组在此基础上进行基于髋关节策略的运动控制训练，包括髋关节肌肉力量训练、髋关节稳定性控制训练、平衡测试和训练系统训练、三维步态分析系统训练，共 6 周。所有患者在治疗前后分别采用平衡功能参数（运动长度和运动椭圆面积）、伯格平衡量表、计时起立行走测试和三维步态分析系统（步长和步频）进行评估。
两组治疗前各项评估指标比较，差异均无统计学意义（p＞0.05）。治疗后，两组评估指标均明显优于治疗前（p＜0.05），观察组各指标均明显优于对照组（p＜0.05）。
基于髋关节策略的运动控制训练可显著改善踝关节损伤患者的行走功能恢复。
