Abstract:

Objective　To study the effect of American Orthopedic Foot & Ankle Society (AOFAS) quantified rehabilitation training on postoperative rehabilitation of patients with ankle fracture. Methods　In this prospective randomized controlled trial, 86 patients with ankle fracture who received treatment in Yantai Mountain Hospital from June 2020 to June 2022 were selected as the research objects, and were divided into a control group and a study group by the random number table method, with 43 cases in each group. In the control group, there were 21 males and 22 females; they were (48.69±13.21) years old. In the study group, there were 19 males and 24 females; they were (48.71±13.19) years old. The control group took routine rehabilitation training, and the study group took AOFAS quantified rehabilitation training. One patient in the control group and one in the study group were lost to the follow up, and 84 patients completed the study. The ankle joint function and daily living ability of the two groups were observed the next day after admission and 12 weeks after the operation. The t and χ² tests were used. Results　Twelve after the operation, the scores of Ankle Joint Functional Assessment Tool (AJFAT) and Physical Self-maintenance scale (PSMS) were higher than those the next day of operation in both groups; the scores in the study group were higher than those in the control group [(38.25±6.85) vs. (34.26±7.12) and (17.63±2.19) vs. (16.52±2.26)], with statistical differences (t=2.617 and 2.286; both P<0.05). Conclusion　AOFAS quantified rehabilitation training for patients with ankle fracture can effectively improve their ankle joint function and ability of daily living activities.

Key words:

Ankle fracture, AOFAS, Quantitative rehabilitation training, Rehabilitation effect

摘要：

目的　研究美国骨科足踝协会踝-后足评分（AOFAS）量化康复训练对踝关节骨折患者术后康复效果的影响。方法　本研究为前瞻性随机对照试验，选取2020年6月至2022年6月在烟台市烟台山医院接受治疗的86例踝关节骨折患者作为研究对象，根据随机数字表法将其分为对照组和研究组，各43例。对照组男21例，女22例，年龄（48.69±13.21）岁，行常规康复训练。研究组男19例，女24例，年龄（48.71±13.19）岁，行AOFAS量化康复训练。对照组和研究组均有1例患者因失访剔除，共84例患者完成研究。观察两组患者入院次日、术后12周时踝关节功能及日常生活活动能力。统计学方法采用t检验和χ²检验。结果　术后12周，两组患者踝关节功能评价量表（AJFAT）、躯体生活自理量表（PSMS）总评分均较术后次日有所提升，且研究组均高于对照组［（38.25±6.85）分比（34.26±7.12）分、（17.63±2.19）分比（16.52±2.26）分］，差异均有统计学意义（t=2.617、2.286，均P<0.05）。结论　AOFAS量化康复训练可有效提升踝关节骨折患者踝关节功能与日常活动能力。

关键词:

踝关节骨折, AOFAS, 量化康复训练, 康复效果