Application Of Small Joint Loosening In The Treatment Of Ankle Joint Stiffness

Objective:Observe the small joint looseness in ankle joint stiffness clinical curative effect of rehabilitation treatment,Determine the feet, distance and subtalar joint loose boat of joints and joint training in promoting the treatment of ankle joint function rehabilitation efficacy and safety.Methods:Using random Numbers table, the experimental methods, such as blind method (blind), The orthopaedic hospital rehabilitation department of sichuan province and ankle treated patients with a diagnosis of ankle joint stiffness were randomly divided into two groups,Two groups of treatment include traditional thermal therapy of traditional Chinese medicine therapy, cupping. The experimental group uses the loose joint training,After the joint loosening and foot subtalar joint, with boat loose joints, such as joint training;The control group adopts loose joint training,After the loose joint training,Two groups of patients (age, gender, duration, location) are basically identical,Score before treatment has no obvious difference (57.17±13.31) experimental group, control group (54.5±17.75) professional diseases with reference to the state administration of traditional Chinese medicine in TCM diagnosis and treatment of the ankle joint stiffness of TCM diagnosis and treatment plan "curative effect evaluation standard,Two groups respectively before and after the treatment (end) corresponding measures when the observation indexes:After motion, Bathel index, AOFAS ankle-full scale score and total score VAS score, Using nonparametric statistical methods were analyzed, and measure the t-test, observation score changes before and after treatment, the indicators to calculate the corresponding period, and the adverse reactions were analyzed and evaluated.Results:The clinical research into the group of patients 66 cases,6 cases study excluded, fall off, are not included in the analysis of experimental results. Into experimental group,30 cases in control group 30 cases. All of the patients are treated for 3 months, the observation indexes change below.1. The experimental group and the ankle stretch, plantar flexion before respectively from treatment of 5.37°±9.19°、19.67°±8.09°to 19.20°±3.17、 38.20°±4.25°, the control ankle back stretch, plantar flexion before respectively from treatment of 5.10°±4.75°、19.83°±5.90° to 10.83°±5.83°、28.33° ±6.64°.There are significant difference before and after treatment, the difference between the end of the treatment group was significant.2.The experimental group of ankle varus, valgus separately from the treatment before the 5.83°±3.16° and 3.57°±2.89°, rising to 18.93°±3.74° and 16.00° ±2.27°, the control group of ankle varus, valgus separately from the treatment before the 5.67°±2.33° and 3.60°±2.20°, rising to 12.80°±5.09° and10.57°± 3.52°; there was significant difference before and after treatment the end of the treatment, there was significant difference between the groups.3. The experimental group AOFAS after ankle-total score before from treatment of 56.23±9.52 to 86.13±5.34, the control group before the treatment of 54.40±9.40 to 75.80±9.25, there are significant difference before and after treatment, there are significant difference between the end of the treatment group.4. Experimental VAS scores before from treatment of 8.11±0.56 to 0.56±0.48, the control VAS score points from treatment before 7.90±1.09 to 1.09±0.92 mm, there are significant difference before and after treatment, the difference between the end of the treatment group was significant.5. The experimental group Bathel index rose from 65.83±14.89 before treatment to 92.50±5.50, the control group before the treatment of 66.87±9.09 to 82.00±8.60, there are significant difference before and after treatment, there are significant difference between the end of the treatment group.Conclusion:1.After the loose joint training with foot subtalar joints, from loose with boat articular joints, such as joint training in promoting rigid ankle rehabilitation curative effect is superior to the pure loose after the joint training.2.Foot subtalar joints, small spacing with boat joint loose joint training in promoting rigid ankle rehabilitation, curative effect, safe and effective. In the rehabilitation process found no obvious complications, easy operation, continuous, easy for the lower tibiofibula fracture, fracture near the ankle, foot and rehabilitation to promote functional recovery has a higher application value.