跟腱断裂修复后早期应用等速训练仪的康复测评

背景:传统跟腱断裂修复术后石膏固定时间长,效果不佳,存在较多的术后并发症.目的:探讨跟腱断裂修复后早期应用等速训练仪进行康复训练的安全性和有效性.方法:纳入2007 09/2009-09于青岛市立医院东区就诊的跟腱断裂患者11例,其中9例在跟腱修复4周后应用Isomed-2000等速训练仪进行康复训练,时间共8周.评价指标包括Arner-Lindholm评分、踝关节活动范围、屈伸肌峰力矩值等.结果与结论:随访3～12个月,平均6个月.患者Arner-Lindholm评分优良率为88.9%,踝关节活动范围、屈伸肌峰力矩值等指标均较等速训练前显著改善(P<0.05),无感染和再断裂病例.结果提示跟腱断裂修复后4周应用等速训练仪行等速康复训练是安全和有效的,可为跟腱断裂后早期活动提供参考数据.

Early isokinetic training after repair of Achilles tendon ruptures: A rehabilitation efficiency evaluation

BACKGROUND: Traditional repair for Achilles tendon rupture has disadvantages of long cast immobilization times, poor outcomes and many complications.OBJECTIVE: To explore the safety and efficacy of early isokinetic rehabilitation training for patients after repair of Achilles tendon ruptures.METHODS: A total of 11 patients with Achilles tendon ruptures received treatments at the Department of Orthopedics, East District of Qingdao Municipal Hospital, from September 2007 to September 2009, were included. Nine of them underwent 8-week isokinetic exercises by using lsomed-2000 at 4 weeks after tendon repair. The evaluative indicators included Arner-Lindholm score, the ankle range of motion, and extensor-flexor peak torque.RESULTS AND CONCLUSION: The follow-up averaged 6 months, ranging from 3 to 12 months. The excellent and good rate of Arner-Lindholm score was 88.9%. The results showed a significant improvement in the ankle range of motion and extensor-flexor peak torque (P < 0.05). There were no infection or re-rupture cases. It is indicated that early isokinetic rehabilitation is safe and effective for patients with Achilles tendon ruptures at 4 weeks postoperatively. It provides evidence for early rehabilitation in patients with Achilles tendon ruptures.