| Objective:To observed before the outer edge of the calcaneal avulsion fracture rehabilitation programs TCM (traditional Chinese medicine and physical therapy) treatment of ankle sprains with calcaneal avulsion fracture of the outer lead before the clinical efficacy of ankle stiffness associated with dysfunction and determine this program The efficacy and safety.Methods:Digital random table, blinded (single blind) and other experimental methods, the Sichuan Provincial Rehabilitation Hospital orthopedic department first diagnosis in 2011-2014 patients admitted to the outer edge of calcaneal avulsion fracture were randomly divided into two groups, experimental group using traditional Chinese medicine combined with exercise therapy; control group using traditional Chinese medicine, two baseline data (sex, age, duration) are basically the same. Referring to People’s Republic of China in the pharmaceutical industry standard "Chinese disease diagnosis and efficacy standards" (ZY/T001.1-94) as the Response Evaluation Criteria in both groups were measured before treatment, the second, when measuring the corresponding observations around:VAS, ankle joint activity, AOFAS ankle-hindfoot score, ADL and other indicators. Using non-parametric statistical methods of analysis, measurement indicators using t-test scores before and after observing the indicators of treatment, calculate the corresponding rate of improvement, and the analysis and evaluation of adverse reactions.Results:The clinical study enrolled 44 patients, the study excluded, shedding four cases, were not included in the analysis of experimental results. Included in the experimental group (T group) 20 cases in the control group (group C) 20 cases.1.T group ankle ROM (range of motion) rose from 39 ± 11.7 before treatment was 54.7 ± 11.7 4 weeks of treatment after the group C increased from 41.5 ± 11.48 before treatment was 45.08 ± 10.3 4 weeks of treatment after; before and after treatment There was a significant difference between the treatment groups at the end there was a significant difference;2.T group ankle ROM (varus) increased from 14 ± 9.95 before treatment was 33 ± 10.56 4 weeks of treatment, after rising from the group C before treatment was 24 ± 16.2728.75 ± 12.97 4 weeks of treatment after; Treatment There was a significant difference between the front and rear, between the end of the treatment group difference was significant;3.T group VAS decreased from 5.03 ± 1.54 before treatment was 1.94 ± 1.044 weeks of treatment after the group C decreased from 5.56 ± 1.23 before treatment was 2.7 ± 1.46 4 weeks of treatment after; before and after treatment there was a significant difference, The difference between groups was significant at the end of treatment;4.T group AOFAS ankle-hindfoot score score increased from 55.1 ± 14.41 before treatment to 77.9 ± 10.85 4 weeks of treatment after the group C AOFAS ankle-hindfoot score score increased from 55.2 ± 9.04 before treatment to 70.35 ± 13.144 weeks of treatment after, before and after treatment there was a significant difference between the treatment groups at the end there was a significant difference;5.T group ADL increased from 76.35 ± 13.48 before treatment was 83.75 ± 20.63 4 weeks of treatment after the group C increased from 78.75 ± 13.94 before treatment was 84.2 ± 21.32 4 weeks of treatment after; before and after treatment there was a significant difference, At the end of treatment was not significantly different between the two groups;Conclusion:1. before the outer edge of the calcaneal avulsion fracture rehabilitation programs TCM (traditional Chinese medicine combined with exercise therapy) treatment with an ankle sprain before calcaneal avulsion fracture caused by the outer edge of the foot and ankle dysfunction significant effect.2. traditional rehabilitation programs (traditional Chinese medicine) and calcaneal avulsion fracture before the outer edge of TCM rehabilitation programs we have developed (traditional Chinese medicine combined with exercise therapy) treatment of ankle sprains with calcaneal avulsion fracture caused by the outer edge of the front foot ankle dysfunction have a good effect, but the latter is more effective than the former.3.the clinical efficacy of this process, no serious adverse reactions, indicating that these two treatment programs can be applied. Calcaneal avulsion fracture before the outer edge of TCM rehabilitation programs we have developed (traditional Chinese medicine combined with exercise therapy) treatment of ankle sprains with avulsion fracture of the ankle joint stiffness caused by dysfunction associated with safe, effective and easy to operate, with a promotional value.
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