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Application research of adjustable ankle-foot orthosis combined with functional training in the improvement of the function of ankle joint in patients with traumatic brain injury
ZHANG Yanyan, YE Ying, WENG Yi, SUN Ming, XUE Xiaoyuan
Shanghai Medical & Pharmaceutical Journal ›› 2024, Vol. 45 ›› Issue (8) : 42-44.
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Application research of adjustable ankle-foot orthosis combined with functional training in the improvement of the function of ankle joint in patients with traumatic brain injury
({{custom_author.role_en}}), {{javascript:window.custom_author_en_index++;}}Objective: To investigate the application effect of adjustable ankle foot orthosis combined with functional training in improving the function of ankle joint in patients with traumatic brain injury. Methods: A total of 60 patients with traumatic brain injury admitted to Jiangbin Hospital from February to December 2022 were selected as the research objects and randomly divided into an observation group and a control group. In the observation group there were 20 males and 10 females, and the average age was (39.10±10.98) years; and in the control group there were 17 males and 13 females, and the average age was (36.80±10.55) years. The patients in the control group underwent the routine functional training according to the rehabilitation treatment process, and patients in the observation group were given an adjustable ankle-foot orthosis on the bases of routine functional training. The indexes of lower limb plantar flexor muscle spasm, ankle plantar flexion and varus angle were compared between the two groups.Results: After 8 weeks of treatment, the lower limb plantar flexor muscle spasm(modified Ashworth spasm scale) scores in the observation group were lower than those in the control group, and the ankle plantar flexion and varus angle in the observation group were smaller than those in the control group, and the difference was statistically significant(P<0.01). Conclusion: Application of combination of adjustable ankle foot orthosis with functional training can improve ankle joint function in patients with traumatic brain injury.
traumatic brain injury / ankle function / adjustable ankle foot orthosis / functional training {{custom_keyword}} /
表1 两组患者基线资料比较 |
| 组别 | 性别/[n（%）] | 年龄/（岁， | 功能障碍/[n（%）] | ||
|---|---|---|---|---|---|
| 男性 | 女性 | 左侧 | 右侧 | ||
| 观察组 | 20（66.67） | 10（33.33） | 39.10±10.98 | 16（53.33） | 14（46.67） |
| 对照组 | 17（56.67） | 13（43.33） | 36.80±10.55 | 18（60.00） | 12（40.00） |
| t/χ2值 | 0.635 | 0.828 | 0.271 | ||
| P值 | >0.05 | >0.05 | >0.05 | ||
表2 治疗前后踝关节跖屈与内翻角度及下肢跖屈肌张力比较 |
| 组别 | 踝关节跖屈/（度， | 踝关节内翻/（度， | 下肢跖屈肌张力/[级，M（P25，P75）] | |||
|---|---|---|---|---|---|---|
| 治疗前 | 治疗后 | 治疗前 | 治疗后 | 治疗前 | 治疗后 | |
| 观察组 | 33.57±7.76 | 15.47±10.11a | 22.67±8.38 | 7.37±6.44a | 3（3，4） | 2（1，2）a |
| 对照组 | 34.00±7.92 | 30.73±7.73a | 24.43±8.64 | 20.97±8.36a | 4（3，4） | 3（3，4）a |
| t/Z值 | 0.214 | 6.572 | 0.804 | 7.056 | 0.928 | 5.145 |
| P值 | >0.05 | <0.001 | >0.05 | <0.001 | >0.05 | <0.001 |
| 注：和治疗前比较，aP<0.05。 |
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