Effect of hip strategy-based motion control training on walking function restoration after ankle joint injury.

OBJECTIVES: The study aimed to explore the effect of hip strategybased motion control training on the recovery of walking function after ankle injury and the optimization of the rehabilitation program. PATIENTS AND METHODS: In the study, 62 patients with ankle injuries were randomly divided into the observation group (n=30; 24 males, 6 females; mean age: 41.9±8.5 years; range, 28 to 56 years) and the control group (n=32; 26 males, 6 females; mean age: 42.0±9.3 years; range, 27 to 55 years) between September 2021 and September 2022. Both groups were treated using routine rehabilitation training, including conventional drug and rehabilitation treatment. The observation group additionally received hip strategy-based motion control training, which included hip muscle strength training, hip joint stability control training, balance testing and training system training, and three-dimensional gait analysis system training for six weeks. All patients were evaluated before and after the treatment using the balance function parameters (motion length and motion ellipse area), Berg Balance Scale, the timed up-and-go test, and three-dimensional gait analysis system (step length and step frequency). RESULTS: There was no significant difference in the evaluation indexes between the two groups before treatment (p>0.05). After treatment, the evaluation indexes of the two groups were significantly better than those before treatment (p<0.05), and all the indexes in the observation group were significantly better than those in the control group (p<0.05). CONCLUSION: Hip strategy-based motion control training could significantly improve the recovery of walking function in patients with ankle injuries.

[Therapeutic effect of exercise acupuncture and osteopathy on traumatic knee arthritis].

OBJECTIVE: To explore the clinical efficacy of exercise acupuncture and osteopathy in the treatment of traumatic knee arthritis. METHODS: Fifty-one patients with traumatic knee arthritis were divided into three groups:routine group, exercise acupuncture group and osteopathy group. In the routine group, there were 17 cases, 12 males and 5 females, with a mean age of (49.4±8.9) years old; the averaged course of disease was (4.89±1.52) years; total WOMAC score before treatment was 100.77±15.48. Seventeen patients (11 males and 6 females) in the exercise acupuncture group were aged (48.6±10.1) years old; the course of disease was (4.21±1.37) years; and the total WOMAC score before treatment was 106.16±14.95. In the osteopathy group, there were 17 cases, 8 males and 9 females, with a mean age of (52.3±8.4) years old; the average course of disease was (4.79±1.50) years; total WOMAC score before treatment was 103.87±10.14. The patients in the routine group were treated with routine rehabilitation; the patients in the exercise acupuncture group were treated with routine rehabilitation combined with exercise acupuncture, and the patients in the osteopathy group were treated with osteopathy combined with routine rehabilitation. The changes of WOMAC score and ROM in three groups were compared before treatment and 4 weeks after treatment. RESULTS: The overall effect of osteopathy group was better than that of routine group (Z=3.151, P=0.005). The scores of WOMAC before and after treatment:pain of 23.84±4.66, 11.98±2.66, stiffness of 10.44±1.71, 6.42±0.74, daily life of 66.49±11.85, 35.80±4.44 in the routine group; pain of 22.64±3.22, 8.90±2.19, stiffness of 11.82±2.57 , 6.03±1.06, daily life of 71.72±13.59, 32.94±4.73 in the exercise acupuncture group; pain of 22.38±3.68, 10.66±2.75, stiffness of 11.81±2.08, 5.63±1.69, daily life of 69.69±8.96, 28.84±5.76 in the osteopathy group. Compared with the other two groups after treatment, the improvement of pain score in the exercise acupuncture group was better than those in the other two groups. There were no significant differences in stiffness score among the three groups. The degree of difficulty in daily life in the osteopathy group was better than that in the other two groups. The total score of WOMAC in the exercise acupuncture group and the osteopathy group were better than that in the conventional group, but there was no significant difference between the two groups. CONCLUSIONS: On the basis of routine rehabilitation treatment, exercise needling and osteopathy have positive significance for the improvement of joint pain and dysfunction of joint movement in patients with traumatic knee arthritis, with certain popularlized value in the treatment of traumatic knee arthritis.

Effects of weight training time on bone mineral density of patients with secondary osteoporosis after hemiplegia.

The aim of the study was to investigate the effects of weight training time on bone mineral density (BMD) of patients with secondary osteoporosis after hemiplegia. A total of 129 hemiplegic patients with stroke, 75 males and 54 females, aged 50-75 years, were recruited in this study. Male patients were randomly divided into 3 groups (25 cases each) receiving 30 min (group M30), 60 min (group M60), or 90 min (group M90) daily upright bed weight training. Female patients were similarly randomly allocated into groups F30, F60 and F90 (18 cases each) with daily upright bed weight training for 30, 60 and 90 min, respectively. After 3 months of training, BMD at anteroposterior lumbar spine (L1-L4) and ipsilateral femoral neck were examined by dual-energy X-ray absorptiometry. Compared to pre-treatment, no statistical difference in BMD was found after 3 months in males who underwent daily 30-min weight training (group M30). By contrast, a significant increase in BMD was seen at lumbar and femoral neck in groups M60 and M90 after 3 months (all p<0.05). By pair-wise comparison, we found that BMD at lumbar and at femoral neck was significantly higher in groups M60 vs. M30 and in groups M90 vs. M60 (all p<0.05). For female subjects, daily 90-min weight training significantly increased BMD at lumbar and at femoral neck in group F90 (both p<0.05), but daily 30- or 60-min weight training did not produce similar improvement after 3 months. By pair-wise comparison, we found a significantly higher BMD at lumbar and at femoral neck in groups F90 vs. F60 after 3 months of treatment (both p<0.05). In conclusion, in order to stimulate BMD and reverse osteoporosis in patients with secondary osteoporosis after hemiplegia, daily weight training for minimum 60 and 90 min was needed for males and females, respectively.