物理治疗是第一脚趾外翻畸形手术治疗不可或缺的一部分

Borys Pustovoit, Pustovoit Pustovoit, V. Staude, Mykola Tokhtamyshev
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摘要

目的。确定物理疗法在第一趾外翻畸形手术治疗中的有效性。方法。本次研究的临床材料包括 38 项观察结果、34 名患者(38 名患者接受了手术治疗,4 名患者接受了双脚治疗。对照组(CG)有 16 名患者(16 次手术),主要组(MG)有 18 名患者(22 次手术)。所有参与研究的患者都有相同的诊断结果--II-III度足外翻。所有患者都接受了相同类型的手术干预--根据 "疤痕法 "或 "Chevron法 "对第一跖骨进行变异Z形截骨,并根据 "Akin法 "对I指近端趾骨进行截骨。采用视觉模拟量表(VAS)、物理治疗临床结果变量(COVS)运动技能测试量表和美国足踝矫形协会(AOFAS)足踝疾病临床评估量表(模块 2)对患者进行检查。MG患者的康复包括已制定的物理治疗(PT)计划,共包括4个阶段。康复治疗不仅包括足前部肌肉的按摩和锻炼,还包括旨在恢复双下肢、臀部和臀部肌肉功能的综合康复方法。幼儿园的康复训练计划只包括早晨的卫生体操、传统按摩和治疗性运动,以恢复足部和小腿肌肉的功能。结果。根据 COVS 量表对运动疗法结束后患者的状况进行评估后得出结论,MG 患者的一般体力活动指标明显优于 CG 患者。根据(AOFAS)量表对获得的结果进行分析后证实,在使用所制定的运动疗法方案后,MG 患者在统计学上获得了更好的结果。结论。所制定的康复训练计划不仅能明显加快患者足前部功能的临床恢复,还能加快患者一般工作能力的恢复。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
PHYSICAL THERAPY IS AN INTEGRAL PART OF THE SURGICAL TREATMENT OF VALGUS DEFORMITY OF THE FIRST TOE
Objective. Determining the effectiveness of physical therapy in the surgical treatment of valgus deformity of the first toe. Methods. The clinical material of the conducted study includes 38 observations, 34 patients (38 operative interventions, 4 patients — on 2 feet. In the control group (CG) there were 16 patients (16 interventions), and in the main group (MG) — 18 patients (22 interventions). All patients who participated in the study had the same diagnosis — hallux valgus II–III degree. All patients received the same type of surgical intervention — a variant Z-shaped osteotomy of the first metatarsal bone according to the Scarf method or Chevron, which was supplemented with osteotomy of proximal phalanges of the I finger to Akin method. Patients were examined with the Visual-Analogue Scale (VAS), the Physiotherapy Clinical Outcome Variables (COVS) Motor Skills Testing Scale, and the American Orthopedic Foot and Ankle Society (AOFAS) Scale (module 2) for the Clinical Evaluation of Foot and Ankle Diseases of the American Foot and Ankle Association. Rehabilitation of MG patients consisted of developed physical therapy (PT) program, which included 4 periods. Rehabilitation included not only massage and exercises for the muscles of the front part of the foot, but also a complex of rehabilitation methods aimed to restore the function of the muscles of both lower limbs, hips and buttocks. PT program for KG consisted only of morning hygienic gymnastics, classical massage and therapeutic exercises to restore function of muscles of the foot and lower leg. Results. Assessment of the condition of patients after the end of PT on the COVS scale helped to conclude that the patients of MG have significantly better indicators of general physical activity than patients of CG. Analysis of the obtained results according to the (AOFAS) Scale confirmed that patients of MG after using developed PT program have statistically better results. Conclusions. The developed PT program significantly accelerate the clinical recovery of function not only the front part of the foot, but also general working capacity of patients.  
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