跟腱断裂术后早期等速康复训练的效果

目的通过尝试对跟腱断裂术后病人早期应用Isomed-2000等速训练仪进行康复,探讨跟腱断裂术后早期康复的安全性和有效性。方法跟腱断裂术后病人18例,手术后4周应用Isomed-2000等速训练仪进行康复,共8周。康复后对ARNER-LINDHOLM评分、踝关节活动范围、屈伸肌峰力矩值等进行评价。结果随访3～12个月,平均6个月,病人ARNER-LINDHOLM评分优良率94.4%。踝关节活动范围、屈伸肌峰力矩值等较治疗前均有显著改善（t=8.25～26.90,P〈0.05）。无感染和再断裂病例。结论跟腱断裂术后4周行等速康复训练是安全和有效的,为跟腱断裂后早期活动提供了依据。

EARLY POSTOPERATIVE ISOKINETIC REHABILITATION TRAINING AFTER RUPTURE OF ACHILLES TENDON

Objective To explore the safety and efficacy of early isokinetic rehabilitation training（EIRT） after operation for Achilles tendon rupture（ATR） by using Isomed-2000 exercise device. Methods Eighteen patients after surgery for ATR were enrolled in this study,who were conducted rehabilitation training four weeks after operation using Isomed-2000 for eight weeks.ARNER-LINDHOLM score,the range of motion of the ankle,and extensor-flexor peak torque were assessed. ResultsThe mean（range） follow-up was 6（3-12） months.The fineness rate of ARNER-LINDHOLM score was 94.4%.The range of the ankle motion,and extensor-flexor peak torque improved dramatically（t=8.25-26.90,P0.05）.No infection or re-rupture was found. Conclusion EIRT four weeks after the for ATR is safe and effective.