Treatment of Posterior Shank Muscles Relaxing in the Rehabilitation of Chronic Ankle Stiffness After Fracture

ZHONG Rong-zhou; XU Jia-ning; WANG Tao-li; HUANG Yong-lei; YANG Yun-feng

doi:10.13730/j.issn.1009-2595.2017.02.009

Abstract：Objective To compare the effectiveness between additional reinforced practices with release on deep muscles of posterior shank and general rehabilitation methods on post-operative stiffness of ankle fracture.Methods Thirty-six ankle stiffness patients after fracture operation were participated in this study from January 2014 to January 2016.They were divided into two groups by different inpatient areas (21 cases in the experimental group,15 cases in the control group).Experimental group was given the ankle joint mobilization and stretched of achilles tendon and the reinforced practices with release on triceps surae in advance.The control group was ordy given the ankle joint mobilization and stretched of achilles tendon.The data were collected before the treatment and one month after the treatment about range of motion of ankle dorsiflexion,plantar flexion,internal and external rotation,visual analogue scale (VAS) pain scores,modified Barthel index (MBI),functional independence measure (FIM),MeGuire ankle function evaluation.Independent sample t-test was used by SPSS 20.0 according to the statistical method.Results All patients were supervised during the study,and there were no complications occurred.The dorsal flexor,plantar flexor,inversion and eversion,VAS scores,MBI,FIM and McGuire ankle function evaluation of patients in the experimental group were all improved them of the control group (P＜0.05).Conclusion For chronic ankle stiffness after fracture operation,rehabilitation program is still one of the effective treatment methods.Releasing the deep muscles of posterior shank plays an important role on restoring the ankle function by reducing the adhesions and disturbances between different muscles and decreasing the pressure on the ankle joint.