Remote rehabilitation supervision is a new type of rehabilitation mode based on internet technology, and extracorporeal shock wave therapy (ESWT) is a new rehabilitation technique for orthopedic diseases. This prospective clinical controlled study focuses on the post-operative patients with ankle joint trauma and aims to clarify the impact of remote rehabilitation supervision combined with ESWT on the postoperative functional recovery and prognosis. The indicators included the visual analog scale (VAS) for pain, the American Foot and Ankle Association ankle posterior foot score (AOFAS) for ankle joint function, and the prognostic incidence of osteochondral lesion of the talus (OLT). The patients' complication incidence during the remote rehabilitation was 43.4% (33/76), and the subsequent ESWT could significantly reduce VAS and increase AOFAS in those patients of complication group, while the incidences of VAS, AOFAS, and OLT did not have significantly differences between the complication group and control group (patients without rehabilitation complication) one year after surgery. It indicates that ESWT can significantly improve the pain and joint function, inhibit the occurrence of OLT, as well as enhance recovery of the patients with complications during the recovery period, ultimately making them reach the same rehabilitation outcome as the control group.
FU Guanda
,
WU Haihe
,
QI Yansong
,
WANG Yongcheng
,
MA Bingxian
,
XU Yongsheng
. Application of remote rehabilitation supervision combined with shock wave therapy in postoperative rehabilitation of ankle joint surgery[J]. Science & Technology Review, 2023
, 41(23)
: 20
-27
.
DOI: 10.3981/j.issn.1000-7857.2023.23.003
[1] 刘明法, 乔帅, 汤明忠, 等. 冬季冰雪运动伤的急救分析及经验[J]. 科技导报, 2022, 40(2): 21-26.
[2] Gianakos A L, Yasui Y, Hannon C P, et al. Current management of talar osteochondral lesions[J]. World Journal of Orthopedics, 2017, 8(1): 12-20.
[3] Shimozono Y, Yasui Y, Ross A W, et al. Osteochondral lesions of the talus in the athlete: Up to date review[J]. Current Reviews in Musculoskeletal Medicine, 2017, 10(1): 131-140.
[4] 王婧怡 . 疫情防控常态化下远程医疗在 ACL 重建术后康复的应用研究[J]. 按摩与康复医学, 2022, 13(8): 60-63.
[5] Cernuda-Morollón E, Larrosa D, Ramón C, et al. Interictal increase of CGRP levels in peripheral blood as a biomarker for chronic migraine[J]. Neurology, 2013, 81(14): 1191-1196.
[6] 陈城, 施忠民 . 体外冲击波治疗在足踝外科的应用进展[J]. 足踝外科电子杂志, 2019, 6(1): 45-50.
[7] Xu Y, Wu K, Liu Y, et al. The effect of extracorporeal shock wave therapy on the treatment of moderate to severe knee osteoarthritis and cartilage lesion[J]. Medicine (Baltimore), 2019, 98(20): e15523.
[8] Rfhms A, Rmk B, Ahd B, et al. Comparison of the effects between low-versus medium-energy radial extracorporeal shock wave therapy on knee osteoarthritis: A randomised controlled trial-ScienceDirect[J]. Journal of Taibah University Medical Sciences, 2020, 15(3): 190-196.
[9] Kang S, Gao F, Han J, et al. Extracorporeal shock wave treatment can normalize painful bone marrow edema in knee osteoarthritis: A comparative historical cohort study [J]. Medicine (Baltimore), 2018, 97(5): e9796.
[10] Shi L, Yang X, Wang P, et al. Quantitative magnetic resonance imaging of femoral head articular cartilage change in patients with hip osteonecrosis treated with extracorporeal shock wave therapy[J]. International Journal of Clinical Practice, 2022, 2022: 8609868.
[11] Zhang C, Huang H, Yang L, et al. Extracorporeal shock wave therapy for pain relief after arthroscopic treatment of osteochondral lesions of talus[J]. The Journal of Foot and Ankle Surgery, 2020, 59(1): 190-194.
[12] Yi D, Baoge L, Hui Q, et al. Can knee flexion contracture affect cervical alignment and neck tension? A prospective self-controlled pilot study[J]. The Spine Journal: Official Journal of the North American Spine Society, 2020, 20(2): 251-260.
[13] 任向宇, 冯兴丽, 刘哲, 等 . 快速康复理念在冰雪运动所致急性跟腱撕裂中的应用[J]. 科技导报, 2022, 40(2): 47-52.
[14] 李成真, 丁一, 黄光俊, 等 . 膝关节软骨损伤行微骨折术与药物保守治疗的远期疗效及预后[J]. 科技导报, 2022, 40(2): 82-87.
[15] Kitaoka H B, Alexander I J, Adelaar R S, et al. Clinical rating systems for the ankle-hindfoot, midfoot, hallux, and lesser toes[J]. Foot & Ankle International, 1997, 18(3): 187-188.
[16] Chuckpaiwong B, Berkson E M, Theodore G H. Microfracture for osteochondral lesions of the ankle: Outcome analysis and outcome predictors of 105 cases[J]. Arthroscopy, 2008, 24(1): 106-112.
[17] Gao F, Chen N, Sun W, et al. Combined therapy with shock wave and retrograde bone marrow-derived cell transplantation for osteochondral lesions of the talus[J]. Scitific Report, 2017, 7(1): 2106.
[18] Badekas T, Takvorian M, Souras N. Treatment principles for osteochondral lesions in foot and ankle[J]. International Orthopaedics, 2013, 37(9): 1697-1706.
[19] 黄丽钦, 马坤 . 冲击波联合塞来昔布胶囊治疗创伤性踝关节炎 30 例疗效观察[J]. 药品评价, 2021, 18(5): 282-285.
[20] Li S, Wang K, Sun H, et al. Clinical effects of extracorporeal shock-wave therapy and ultrasound-guided local corticosteroid injections for plantar fasciitis in adults: A meta-analysis of randomized controlled trials[J]. Medicine (Baltimore), 2018, 97: e13687.
[21] 巩浩然, 吕杭州, 王振龙, 等 . 体外冲击波治疗踝关节创伤性关节炎[J]. 中医正骨, 2018, 30(2): 63-64.
[22] Polat G, Erşen A, Erdil M E, et al. Long-term results of microfracture in the treatment of talus osteochondral lesions[J]. Knee Surgery, Sports Traumatology, Arthroscopy, 2016, 24(4): 1299-1303.
[23] Ma H Z, Zeng B F, Li X L. Upregulation of VEGF in subchondral bone of necrotic femoral heads in rabbits with use of extracorporeal shock waves[J]. Calcified Tissue International, 2007, 81(2): 124-131.
[24] Wang C J, Huang K E, Sun Y C, et al. VEGF Modulates Angiogenesis and Osteogenesis in Shockwave-Promoted Fracture Healing in Rabbits[J]. Journal of Surgical Research, 2011, 171(1): 114-119.
