The Application About Postoperative Functional Exercise In Elderly Hip Fracture With Ankle Function Exercise Device

Objective:To observe and evaluate the rehabilitation effect of self-designed ankle functional training device in postoperative functional exercise in elderly patients with hip fracture.Methods:A randomized controlled trial was conducted to select postoperative elderly patients with hip fracture in a third-class hospital in Anhui Province from April 2016 to December 2017.The patients who met the inclusion criteria were divided into the control group(58 cases)and the intervention group(58 cases)using the random number table method.The routine nursing were implemented on patients in the control group.Early functional exercise were implemented on patients in the intervention group after the routine nursing to accelerate rehabilitation.The muscle strength of injured limb was evaluated between two groups on first day and fourth day after operation.The compliance of patients with lower limb functional exercise was evaluated by functional exercise scale designed by ourself.Hip function was evaluated by Harris hip score in 2and 6 months after operation.Complications including deep vein thrombosis,joint stiffness and muscle atrophy were observed 2 weeks after operation.The data were analyzed by SPSS21.0.Results:1.There were 46 cases in the intervention group and 34 cases in the control group whose muscle strength reached grade 4 or above on the 4th day after operation,and the difference was statistically significant(P = 0.016).2.The compliance rate of functional exercise of lower extremities in the intervention group was 93%,which was higher than that of 78% in the control group(P=0.018).3.The Harris scores of the intervention group and the control group were 81.19±6.13 and 73.69 ±7.98 respectively 2 months after operation(P<0.05).The Harris score was 88.48±2.58 in intervention group and 87.55 ±3.76 in the control group at6 months after operation(P>0.05).There was no significant difference between the two groups.4.Difference of complication between two groups has statistically significant at 2weeks after operation.Complication such as deep vein thrombosis,joint stiffness and muscle atrophy lower than those in the control group(P<0.05).Conclusion:Ankle functional exercise device was reasonable in design,simple in operation,practical,effective,economical and comfortable.It can be used in elderly patients after hip fracture surgery to enhance compliance to do functional exercise,benefit the recovery of lower limb function,reduce postoperative complications.