Na Liu1,2*, Ming Zhang2*, Shi-Ming Feng3, Ying-Li Bi1,2, Hong-Wei Zhai1,2, Qing Meng2

1Department of Rehabilitation Medicine, Xuzhou Central Hospital, Xuzhou, China
2Department of Rehabilitation Medicine, Xuzhou Rehabilitation Hospital, Xuzhou, China
3Department of Orthopaedics, Xuzhou Central Hospital, Xuzhou, China

Keywords: Ankle injury, hip strategy-based motion control training, rehabilitation program, walking function.


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.

* These authors contributed equally to this study

Citation: Liu N, Zhang M, Feng SM, Bi YL, Zhai HW, Meng Q. Effect of hip strategy-based motion control training on walking function restoration after ankle joint injury. Jt Dis Relat Surg 2024;35(1):54-61. doi: 10.52312/jdrs.2023.1277.

Ethics Committee Approval

The study protocol was approved by the Xuzhou Rehabilitation Hospital Ethics Committee (date: 28.04.2020, no: XK-LW-20200428-007). The study was conducted in accordance with the principles of the Declaration of Helsinki.

Author Contributions

Conception and design: L.N., Z.M.; Administrative support: M.Q.; Provision of study materials or patients: F.S.M., B.Y.L.; Collection and assembly of data: Z.H.W.; Data analysis and interpretation: L.N., Z.M., Z.H.W.; Manuscript writing, final approval of manuscript: All authors.

Conflict of Interest

The authors declared no conflicts of interest with respect to the authorship and/or publication of this article.

Financial Disclosure

This work was supported by Xuzhou promotes technological innovation projects (grant no.: KC21228).

Data Sharing Statement

The data that support the findings of this study are available from the corresponding author upon reasonable request.