Effect of foot and ankle training combined with traditional Chinese medicine massage and self-myofascial release are effective in postoperative rehabilitation of calcaneal fractures

OBJECTIVE: To explore the intervention effect of foot and ankle training combined with plantar fascia stress training on postoperative heel fracture patients. METHODS: Seventy-eight patients with heel fracture who underwent surgical treatment in the orthopedic inpatient department of a hospital from February 2020 to October 2020 were selected as the study subjects, and a randomized controlled trial was conducted with postoperative follow-up. These patients were randomly grouped to obtain the control group (Group D) and the intervention group (Group G), which had the same number of cases, 39 cases. Group D only underwent routine ankle training, including dorsiflexion, plantarflexion, and internal and external rotation exercises of the ankle joint. On the basis of group D, group G added plantar fascia stress training, and used foam rollers and solid rubber balls as auxiliary tools for plantar rolling exercises, 3 groups a day, 50 times in each group. And during the intervals of rolling exercises, combine traditional Chinese medicine massage and acupoint pressing, maintain for about 30 s each time, and repeat 2-3 times. RESULTS: At the end of the experiment, unlike patients in group D, patients in group G had higher Maryland foot scores, lower swelling values, lower visual analog pain scores, lower probability of complications (P < 0.05), higher vitality scores, shorter time to incision healing, shorter time to fracture healing, higher percentage of the healthy support phase to the total cycle of the healthy gait, higher treatment compliance scores, and higher overall effective rate was higher (P < 0.001). The total effective rate in group G was 97.44%. CONCLUSION: By means of foot and ankle training combined with plantar fascia stress training, it can effectively alleviate the pain of patients with heel fracture and exercise the function of the ankle joint.