| Objective: The occurrence of ankle joint dysfunction is often caused by ankle sprain,ankle fracture and other reasons,which leads to chronic ankle instability,ankle pain,muscle strength decline,abnormal gait,etc.,which affects the quality of life of patients to a certain extent.There are conservative treatment and surgical treatment of two kinds of methods to solve the problem of patients with ankle dysfunction,including conservative treatments have a brake to rest,avoid strenuous activity,the use of non-steroidal anti-inflammatory drugs,such as conservative treatment for a longer period,patients with difficult to insist,the symptom such as ankle dysfunction in patients with ease slowly,can not obtain satisfactory curative effect.Surgical treatment is difficult to be accepted by patients because of its trauma and high cost.Muscle function can generate strength and stabilize the joint.This paper uses training to enhance the muscle strength of the calf triceps,and studies the improvement of the lower limb muscle strength on the pain,stability and gait of patients with ankle joint dysfunction.Methods: From October 2019 to June 2020,40 patients with ankle joint dysfunction were treated in the Third Hospital of Hebei Medical University.They were randomly divided into two groups with 20 patients in each group.One group was patients with ligament injury and the other group was patients with fracture without operation.Two groups of patients underwent rehabilitation training of calf triceps strength: free hand muscle strength training;Complete the "hook foot" action under the elastic belt resistance;Heel lifting training;Walk on foot pads or walk up and down stairs on the balls of your forefeet.During treatment,patients should actively cooperate with the therapist,regulate their movements,and communicate with the therapist actively if they feel uncomfortable in order to achieve the best treatment effect.At the start of two groups of patients before and after the treatment are by using Visual Analogue Scale method(Visual Analogue Scale,VAS)assessment of ankle pain,one leg lift heel measured time,measure the ankle joint strength,stability of ankle ligament,the American association of ankle surgery(AOFAS)after the ankle and foot,Footscan plantar pressure system gait analysis of patients and the evaluation of ankle joint stability.Results:1.Before the start of treatment,there were no significant differences in VAS score,AOFAS score,muscle strength around the ankle,ankle stability,maximum and average pressure of the affected limb during walking,and patient balance scores between the fracture and ligament groups(P <>0.05).2.After completing the prescribed treatment in this study,VAS scores in both fracture and ligament groups showed a downward trend(P <0.05),the patient’s pain symptoms were relieved;The AOFAS scores in both fracture and ligament groups were significantly improved(P <0.05).The scores of muscle strength around the ankle in both fracture and ligament groups were improved compared with those before treatment(P < 0.05),and the muscle strength was enhanced.In both groups,the stability of the ankle joint,the maximum pressure,the average pressure and the balance score of the affected limb during walking were significantly increased(P < 0.05),which showed that the following period of the foot was shortened and the supporting period of the affected foot was prolonged.Conclusion: The lower limb muscle strength is enhanced,which is helpful to relieve the dysfunction of the patient’s ankle joint,and the treatment effect is satisfactory.Leg triceps muscle strength increase,pain,stability and gait of patients improved,and patients with fracture were either surgery compared with the ligament damage effect is better,can make the ankle function in patients with rapid rehabilitation,to return to a normal life as soon as possible,to improve the quality of life,this evaluation method can provide help for the clinical treatment effect. |
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