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踝关节骨折后运动疗法的效果评估。

FADI EVALUATION OF THE EFFECTS OF KINESITHERAPY AFTER ANKLE FRACTURE.

机构信息

Faculty of Health Studies, University of Mostar, Mostar, Bosnia and Herzegovina.

Faculty of Medicine, University of Sarajevo, Sarajevo, Bosnia and Herzegovina.

出版信息

Acta Clin Croat. 2023 Aug;62(2):270-276. doi: 10.20471/acc.2023.62.02.03.

Abstract

The aim of the study was to analyze the values of Foot and Ankle Disability Index (FADI) after kinesitherapy in subjects with bimalleolar or trimalleolar fracture of the ankle after surgery treatment and the obtained values of manual muscle test (MMT) and range of motion (ROM) after rehabilitation, compared with the obtained values of FADI index and on that basis evaluate its possibility in assessing the functionality of the respondents after surgery for bimalleolar or trimalleolar fracture of the ankle. The sample included 60 subjects over the age of 18 who underwent surgery for osteosynthesis due to bimalleolar or trimalleolar fracture of the ankle. All subjects were treated with kinesitherapy as part of the postoperative rehabilitation program. The research was conducted from 2013 to 2018 at the Department of Orthopedics of Dr. Safet MujiÊ Cantonal Hospital in Mostar and Mostar University Clinical Hospital. A statistically significant correlation was found between FADI index values group and average percentage recovery MMT (p<0.05), as well as a statistically significant correlation between FADI score values group and mean percentage ROM value (p<0.05). A statistically significant association was found between mean percentage recovery ROM and MMT (p<0.05). The conducted research confirmed the working hypothesis of the conducted study. The effects of kinesitherapy after ankle surgery can be evaluated using the FADI index, as well as by manual muscle test and ROM measurement.

摘要

本研究旨在分析手术后接受双侧或三踝骨折手术治疗的患者在接受运动疗法后的足踝残疾指数(FADI)值以及康复后手动肌肉测试(MMT)和活动范围(ROM)的获得值,并与 FADI 指数的获得值进行比较,在此基础上评估其在评估双侧或三踝骨折手术后患者功能的可能性。该样本包括 60 名年龄在 18 岁以上的患者,这些患者因双侧或三踝骨折而接受了手术内固定治疗。所有患者均接受运动疗法作为术后康复计划的一部分。该研究于 2013 年至 2018 年在莫斯塔尔 Safet Mujić 州立医院和莫斯塔尔大学临床医院骨科进行。FADI 指数值与 MMT 平均百分比恢复之间存在统计学显著相关性(p<0.05),FADI 评分值与 ROM 值平均百分比之间存在统计学显著相关性(p<0.05)。ROM 和 MMT 的平均百分比恢复之间存在统计学显著相关性(p<0.05)。进行的研究证实了进行研究的工作假设。可以使用 FADI 指数以及手动肌肉测试和 ROM 测量来评估踝关节手术后的运动疗法效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85fe/10969635/590d76285af5/acc-62-270-f1.jpg

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