通过音乐反馈进行踝关节骨折步态训练：案例研究
Ankle Fracture Gait Training Through Musical Feedback: case study.
作者信息
Cedin Luisa, Knowlton Christopher, Ferrigno Christopher, Wimmer Markus A
机构信息
Department of Orthopedic Surgery, Rush University Medical Center, Chicago, IL.
Department of Anatomy & Cell Biology, Rush University Medical Center, Chicago, IL.
出版信息
JOSPT Cases. 2025 Feb;5(1):52-56. doi: 10.2519/josptcases.2024.0072. Epub 2025 Jan 23.
BACKGROUND
Trimalleolar ankle fractures often result in mobility and gait impairments. To date, there is little consensus on the rehabilitation regimen. Biofeedback is an emerging approach that improves gait in different populations; here, we utilized novel customized musical biofeedback to retrain gait following trimalleolar ankle fracture.
CASE PRESENTATION
A 56-year-old male sustained a right trimalleolar ankle fracture and underwent surgical fixation, followed by immobilization, progressive weight bearing, and a regular physical therapy regimen. Additional gait training sessions were provided with musical feedback from pressure-sensing insoles to provide accurate cues to encourage medialized load pressure and prevent avoidance behavior.
OUTCOME AND FOLLOW-UP: Mobility, functionality, stance phase, stride length, total force distribution, and plantar pressure improved after training.
DISCUSSION
This is the first study on gait training after ankle fracture using customized pressure-based biofeedback with music to normalize plantar pressure and push-off phase.
背景
三踝骨折常导致活动能力和步态受损。迄今为止，关于康复方案几乎没有共识。生物反馈是一种新兴方法，可改善不同人群的步态；在此，我们利用新型定制音乐生物反馈来重新训练三踝骨折后的步态。
病例介绍
一名56岁男性发生右三踝骨折，接受了手术固定，随后进行了制动、逐步负重和常规物理治疗方案。额外的步态训练课程采用了来自压力感应鞋垫的音乐反馈，以提供准确提示，鼓励将负荷压力向内侧转移并防止回避行为。
结果与随访
训练后，活动能力、功能、站立期、步长、总力分布和足底压力均得到改善。
讨论
这是第一项关于使用基于压力的定制生物反馈与音乐进行踝关节骨折后步态训练，以使足底压力和蹬离期正常化的研究。
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