| Objective: to observe and compare the effect of rehabilitation training 12 weeks after operation in patients with acute closed Achilles tendon rupture by using the method of single-blind random grouping,setting the traditional rehabilitation training program as the control group and optimizing the rehabilitation training program as the experimental group.Objective to evaluate the therapeutic effect of optimized rehabilitation training program in patients with acute closed Achilles tendon rupture.To provide a set of scientific and effective rehabilitation treatment for patients with acute closed rupture of Achilles tendon.Methods: forty patients with unilateral acute Achilles tendon rupture treated in the Department of Rehabilitation Medicine of Liaocheng people’s Hospital were randomly divided into control group(n = 20)and experimental group(n = 20).The traditional rehabilitation training program was used in the control group and the optimized rehabilitation training program was used in the experimental group.There was no difference in age,mode of operation,sex,suture method,fracture site and other basic data between the two groups.The patients were treated according to the rehabilitation plan of each group for 12 weeks.Before and after treatment,the corresponding indexes were observed and recorded: Achilles tendon contractile strength MMT and heel lifting times in 1min,ankle range of motion ROM,Achilles tendon pain score VAS,ankle-hind foot score(AOFAS-AH).Through the comparison of the corresponding indexes of the two groups of patients before and after the experiment,the rehabilitation treatment plans of the two groups were further evaluated and analyzed.Results: a total of 40 patients were included in this study.after 12 weeks of rehabilitation training,the functional indexes of Achilles tendon were changed as follows:1.The range of motion of the ankle joint in the experimental group was9.15 °±1.53 °one day after operation,increased to 54.75 °±3.78 °after 6 weeks of rehabilitation training,and increased to 62.95 °±2.06 °after a total of 12 weeks of rehabilitation training.There was significant difference in ROM among the three stages.In the control group,the range of motion of ankle joint was 8.45 °±1.99 °before treatment,increased to 42.85 °±4.20 °after 6 weeks of rehabilitation training,and increased to 61.85 °±1.57 °after a total of 12 weeks of rehabilitation training.The difference was statistically significant between the three stages of ROM.One day after operation,there was no difference between the two groups(P > 0.05).After 6 weeks of rehabilitation training,the ankle range of motion of the two groups was improved,but the difference was statistically significant in the experimental group(P < 0.05).After 12 weeks of rehabilitation training,the ankle range of motion of the two groups was close to the normal level,and there was no significant difference(P > 0.05),indicating that the experimental group was better than the control group in improving the range of motion of the ankle joint at the end of the 6th week.At the end of the 12 th week,both groups could improve the range of motion of ankle joint,and there was no significant difference between the two groups.2.At the end of the 6th week,the ankle metatarsal flexor muscle strength of the experimental group was 3.65 ±0.75,while that of the control group was 2.60.75,the difference was statistically significant(P < 0.05,25.10 ±1.48 times in the 1min clock of the affected leg at the end of the 12 th week,24.15 ±1.04 times in the control group at the end of the 12 th week,P < 0.05.There was significant difference between the two groups.The experiment shows that the experimental group is better than the control group in improving the muscle strength of ankle metatarsal flexor.3.In the experimental group,the VAS score of the affected side of Achilles tendon pain before treatment was 6.8 ±0.7.after 6 weeks of rehabilitation training,it decreased to 3.40 ±0.5.After a total of 12 weeks of rehabilitation training,the VAS score decreased to 1.35 ±0.49.the difference was statistically significant.In the control group,the VAS score of Achilles tendon pain before treatment was 6.8 ±0.632,decreased to 4.56±1.05 after 6 weeks of rehabilitation training,and decreased to 3.05 ±0.89 after a total of12 weeks of rehabilitation training.The VAS scores of these three stages were compared,P < 0.05.The difference was statistically significant.There was no difference between the two groups before treatment,but the VAS scores of the two groups were improved after 6 weeks of rehabilitation training,but the difference was statistically significant in the experimental group.After 12 weeks of rehabilitation training,the VAS scores of the two groups were further improved,but the difference was statistically significant in the experimental group.But the experimental group is better than the control group.4.The AOFAS-AH ankle-hindfoot score of the experimental group increased from53.11 ±2.73 before treatment to 78.231.76 after 6 weeks of rehabilitation training,and to91.462.97 after a total of 12 weeks of rehabilitation training.There was significant difference in AOFAS-AH ankle-hindfoot scores among the three stages.In the control group,the AOFAS-AH ankle-hindfoot score increased from 54.11 ±3.39 before treatment to 65.45 ±2.62 after 6 weeks of rehabilitation training,and to 82.03 ±3.47 after a total of 12 weeks of rehabilitation training.There was significant difference in AOFAS-AH ankle-hindfoot scores among the three stages.After 6 weeks of rehabilitation training,the AOFAS-AH ankle-hindfoot score was improved in both groups,but the difference was statistically significant in the experimental group.After12 weeks of rehabilitation training,the AOFAS-AH ankle-hindfoot score was further improved in both groups,but the difference was statistically significant in the experimental group.It shows that the rehabilitation training methods of the two groups can improve the AOFAS-AH ankle-hindfoot score,but the experimental group is better than the control group.Conclusion:1、The optimized rehabilitation training program can more effectively improve the range of ankle motion of patients with acute closed Achilles tendon rupture in the middle stage of clinical rehabilitation by increasing preoperative rehabilitation training,early postoperative exercise training and weight-bearing training.2、Optimizing rehabilitation training program through early exercise training and weight-bearing training,and later application of multiple sports training methods can more effectively enhance the strength of Achilles tendon in patients with acute closed Achilles tendon rupture.3、Optimizing the rehabilitation training program through the early use of exercise training and joint loosening techniques can more effectively reduce the Achilles tendon pain of patients with acute closed Achilles tendon rupture.4.Optimizing the rehabilitation training program can more effectively improve the comprehensive ability of Achilles tendon patients after acute closed Achilles tendon rupture by increasing preoperative rehabilitation exercise training,early postoperative exercise training,weight-bearing training,joint activity training and the application of multiple sports training methods in the later stage of rehabilitation. |
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