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早期功能性无监督康复协议允许在阿基里斯肌修复后安全恢复功能
Leonidas Mitrogiannis1, George Mitrogiannis1, Kalliopi Melaki2
1Orthopedics Department, 251 Hellenic Air Force General Hospital, Athens, GRC.
Cureus
|February 19, 2024
概括
在阿基里斯肌修复后的早期功能康复是安全有效的,可能会减少对物理治疗的需求. 这种方法允许早期动员,改善活跃个体的结果.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 康复科学 康复科学 康复科学
背景情况:
- 在年轻,活跃的个体中,急性阿基里斯肌撕裂通常需要手术修复,然后进行长时间的固定和康复.
- 传统的协议涉及非重量轴承造和逐步进展到全重量轴承.
研究的目的:
- 评估在开放的阿基里斯肌修复后早期功能性无监督康复方案的安全性和有效性.
主要方法:
- 25名接受开放性阿基里斯修复的患者的回顾性审查.
- 10名患者接受了早期功能性无监督康复 (可拆卸的件,从第一天开始的动作范围,在第二周的靴子中承载全重量).
- 15名患者作为对照,接受了经典康复治疗. 使用VISA-A分数和超声波评估结果;威尔科克森测试进行比较.
主要成果:
- 在VISA-A平均得分 (90.1比83.8) 或超声波得分 (7.75比7.60) 中,两组之间没有显著差异.
- 没有报告的手术内或早期术后并发症.
- 所有患者都对手术结果表示满意.
结论:
- 一个早期的无监督功能康复方案可以在开放的阿基里斯骨架修复后实现安全的早期动员.
- 这种协议可能会最大限度地减少对正式物理治疗的需求.
- 建议对更大的队列进行进一步研究,以确认疗效.
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