| 李宝,赵业如,李文清,等.术前康复在训练伤慢性踝关节不稳术后关节功能恢复中的应用效果.骨科,2026,17(4): 377-381. |
| 术前康复在训练伤慢性踝关节不稳术后关节功能恢复中的应用效果 |
| Effectiveness of preoperative rehabilitation on postoperative joint functional recovery in training-induced chronic ankle instability |
| 投稿时间：2025-12-02 |
| DOI：10.3969/j.issn.1674-8573.2026.04.012 |
| 中文关键词: 军事训练伤 康复 关节镜 踝关节 运动医学 |
| 英文关键词: Military training injury Rehabilitation Arthroscopy Ankle Sports medicine |
| 基金项目:辽宁省科技计划联合计划（技术攻关计划项目）（2024JH2/102600270） |
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| 中文摘要: |
| 目的 探讨术前预康复对慢性踝关节不稳（CAI）术后关节功能恢复的临床应用效果。方法 回顾性分析2021年2月至12月于北部战区总医院行关节镜下距腓前韧带修复、止点重建手术治疗的56例CAI患者临床资料。其中男53例，女3例；年龄为26.58±8.92岁（19~42岁）；均为军事训练致伤（蛇形跑、跳马、400 m障碍等）。将术前进行1周患肢关节功能康复训练的25例患者纳入观察组，术前常规处置的31例患者纳入对照组。观察两组术前及术后1、3个月疼痛视觉模拟量表（VAS）评分、美国足踝外科协会（AOFAS）踝与后足评分、坎伯兰踝关节不稳问卷（CAIT）评分、Berg平衡量表（BBS）评分，术后1、3个月重返中等强度运动人数比例，术前和术后3个月的肢体对称指数（LSI），以及不良反应发生情况。结果 56例患者均获得随访，平均随访时间为6.43个月（3~16个月）。术后1个月，观察组的AOFAS、CAIT和BBS评分均显著高于对照组（P<0.05）；重返中等强度运动人数比例（44.00% vs. 16.13%）也高于对照组（P<0.05）。术后3个月，两组间的AOFAS、CAIT和BBS评分，重返中等强度运动人数比例、LSI和不良反应发生情况，差异均无统计学意义（P>0.05）。结论 CAI患者术前进行为期1周的康复训练，有助于术后关节功能的早期恢复，并加速其重返中等强度运动。 |
| 英文摘要: |
| Objective To investigate the clinical effectiveness of preoperative prehabilitation on postoperative joint functional recovery in training-induced chronic ankle instability (CAI). Methods A retrospective analysis was conducted on the clinical data of 56 CAI patients who underwent arthroscopic anterior talofibular ligament (ATFL) repair and footprint reconstruction at the General Hospital of Northern Theater Command between February 2021 and December 2021. The cohort comprised 53 males and 3 females, with age of 26.58±8.92 years (range, 19-42 years). All injuries were sustained during military training (e.g., serpentine running, vaulting, 400 m obstacle courses). A total of 25 patients who received a 1-week preoperative joint functional rehabilitation program for the affected limb were assigned to the observation group, while 31 patients who received routine preoperative management were assigned to the control group. The following parameters were evaluated preoperatively and at 1 and 3 months postoperatively: visual analogue scale (VAS) for pain, the American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot scores, the Cumberland ankle instability tool (CAIT) scores, and the Berg balance scale (BBS) scores. Additionally, the proportion of patients returning to moderate-intensity exercise at 1 and 3 months postoperatively, the limb symmetry index (LSI) preoperatively and at 3 months postoperatively, and the incidence of adverse events were also assessed. Results All patients were followed up for a mean duration of 6.43 months (range, 3-16 months). At 1 month postoperatively, the observation group demonstrated significantly higher AOFAS, CAIT, and BBS scores compared with the control group (all P<0.05). Additionally, the proportion of patients returning to moderate-intensity exercise was significantly greater in the observation group than in the control group (44.00% vs. 16.13%; P<0.05). At 3 months postoperatively, no statistically significant differences were observed between the two groups in AOFAS, CAIT, and BBS scores, the proportion of patients returning to moderate-intensity exercise, the LSI, and the incidence of adverse events (all P>0.05). Conclusion A 1⁃week preoperative rehabilitation program for CAI patients facilitates early postoperative joint functional recovery and accelerates their return to moderate⁃intensity exercise. |
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