| Clinical effect of MET combined with joint loosening on postoperative rehabilitation of Achilles tendon rupture.Objective: using randomized controlled research methods and research principles of evidence-based medicine,the joint mobilization set as control group,MET technology combining with the joint mobilization set as the experimental group,through two groups of the tendon repair function of early postoperative clinical observation,to explore the diagnosis and treatment of these two treatment mechanism,clinical curative effect,as well as the existence question,in the hope of this result is objective,scientific and systematic evaluation of curative effect,for the tendon repair early postoperative functional recovery of patients,seek a more reliable curative effect of treatment.Methods: 50 male patients with Achilles tendon rupture were hospitalized in the affiliated hospital of Shan Dong university of traditional Chinese medicine.Randomly divided into experimental group and control group,each group of 25 patients.The test group was treated with the joint mobilization and MET,while the control group was treated with the joint mobilization.In the control group,ankle loosening methods were as follows:(1)separation traction;(2)talus sliding;(3)heel distance sliding;(4)internal and external turnover of calcaneus.Each of the above techniques can be repeated for 3 to4 times,20min/ time,once a day,and 1 course of treatment for 20 days.In the experimental group,MET was combined with the control group,and MET was performed in the following order :a.Isometric contraction-relaxation b.Contractionrelaxation-antagonistic muscle contraction c.Centrifugal contraction.The patient data(age,gender,course of disease,location)of the two groups were basically the same,and there was no difference in pretreatment evaluation.The corresponding observation indexes of the two groups were measured before treatment and 20 days after treatment,respectively: ROM of ankle range of motion,AOFAS ankle-hindfoot score and MMT,and VAS indexes were evaluated comprehensively.SPSS22.0 software was used for data entry,and a database was established.Mean ± standard deviation(`x±s)was used for statistical description of measurement data.Data changes of indicators in the two groups before and after treatment were observed,improvement rate was calculated,and adverse reactions were further evaluated and analyzed.Results: after 20 days of treatment,the 50 patients included in this study changed as follows:1.Metatarsal flexion and dorsal extension of the ankle joint increased from19.24°±4.78° and 2.61°±4.83° before treatment to 37.14°±2.85° and 18.08°±1.91° in the experimental group,and from 19.75°±5.14° and 2.65°±4.71° before treatment to26.96°±2.27° and 8.23°±2.6° in the control group.There was no significant difference between groups before and after treatment(P > 0.05).After treatment,the two groups showed different degrees of improvement in ankle metatarsal flexion and dorsiflexion range of motion.However,the difference was statistically significant in the metatarsal flexion and dorsiflexion range of motion in the experimental group(P < 0.05).The results showed that the experimental group was better than the control group in improving ankle metatarsal flexion and dorsiflexion range of motion.2.The experimental group in the ankle and eversion of foot respectively from 6.48° treatment plus or minus 2.14 ° and 4.00 ° ±2.32 ° rose to 23.24 ° plus or minus 3.06 °and 14.96 ° ±3.15 °,and the control group in the ankle and eversion respectively from5.00° treatment plus or minus 1.671° and 5.88° ±2.29 ° rose to 14.65 ° plus or minus2.31 ° and 8.57 ° ±2.78 °;There was no significant difference between groups before and after treatment(P>0.05).After treatment,the two groups improved the range of motion in and out of the ankle joint to varying degrees.However,the difference was statistically significant in the MET combined with joint loosening group(P < 0.05),indicating that the effect of improving the range of motion in and out of the ankle joint in the experimental group was better than that in the control group.3.AOFAS ankle-hindfoot score increased from 54.07±4.33 before treatment to83.93±3.37 in the experimental group,and from 54.27±4.03 before treatment to73.40±2.90 in the control group.There was no significant difference between groups before and after treatment(P>0.05).After treatment,the two groups showed different degrees of improvement in improving the ankle AOFAS ankle-posterior foot score,but the difference was statistically significant in the MET combined with joint loosening group(P < 0.05),indicating that the effect of improving the ankle AOFAS ankleposterior foot score in the experimental group was better than that in the control group.4.VAS score decreased from 7.33±0.96 before treatment to 1.67±0.72 in the experimental group,and from 3.07±1.28 before treatment to 1.87±0.74 in the control group.There was no significant difference between groups before and after treatment(P>0.05).After treatment,the two groups showed different degrees of improvement in improving ankle VAS score,and no difference was found(P > 0.05),indicating that the two groups had the same effect on improving ankle pain.5.MMT muscle strength was increased from 1.47±0.52 to 4.53±0.52 in the experimental group,and from 1.47±0.52 to 2.87±1.19 in the control group.There was no significant difference between groups before and after treatment(P > 0.05).After treatment,both groups improved ankle muscle strength to different degrees,but the difference was statistically significant in the MET combined with joint mobilization group(P < 0.05),indicating that the effect of improving ankle muscle strength in the experimental group was better than that in the control group.Conclusion:1.which has a high application value for ankle dysfunction caused byn rupture is better than that of joint loosening alone.2.Muscle energy technology is effective,safe and reliable in promoting functional rehabilitation after Achilles tendon rupture.No obvious complications were found in the treatment process,and the technique is easy to operate and continuously feasible,which has a high application value for ankle dysfunction caused by anterior tibial muscle,posterior tibial muscle,fibula spines and tendon rupture braking at the foot base. |
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