功能性踝关节不稳老年病人运动康复方案的构建

王换换; 王璐; 赵容; 张利; 王红雨; 岳建兴; 沈传业

功能性踝关节不稳老年病人运动康复方案的构建

Construction of exercise rehabilitation programs for elderly patients with functional ankle instability

摘要

摘要:
目的： 构建出一套规范的综合运动康复方案，为功能性踝关节不稳老年病人提供有效的康复训练策略。
方法： 通过文献回顾法，基于ICF理论构建功能性踝关节不稳老年病人运动康复方案初稿，2023年10月—12月经过两轮德尔菲专家函询法确定运动康复方案终稿。
结果： 经过两轮德尔菲专家函询后，19名专家意见趋于一致。第一轮专家函询问卷回收率95%，提建议率52.63%，权威系数为0.89，肯德尔和谐系数为0.148,变异系数为0～0.23。第二轮专家函询问卷回收率100%，提建议率15.79%，权威系数为0.90，肯德尔和谐系数为0.209，变异系数为0～0.18。
结论： 汇总专家建议，进行文献回顾和研究小组讨论后，最终形成5个一级条目、16个二级条目、31个三级条目的功能性踝关节不稳老年病人运动康复方案终稿。

Abstract:
Objective To construct a set of standardized comprehensive exercise rehabilitation program to provide effective training and rehabilitation strategies for elderly patients with functional ankle instability.
Methods Guided by the ICF theory, the first draft of the exercise rehabilitation program for elderly patients with functional ankle instability was constructed through the literature review method, and the final draft of the exercise rehabilitation program was determined after two rounds of Delphi expert letter inquiry from October to December 2023.
Results After two rounds of Delphi expert letter inquiry, 19 experts tended to agree. The recovery rate of the first round of expert letter inquiry questionnaire was 95%, the suggestion rate was 52.63%, the authority coefficient was 0.89, the Kendall harmony coefficient was 0.148, and the coefficient of variation was 0–0.23. In the second round of expert letter inquiry, the recovery rate was 100%, the suggestion rate was 15.79%, the authority coefficient was 0.90, the Kendall harmony coefficient was 0.209, and the coefficient of variation was 0–0.18.
Conclusions After summarizing expert suggestions, conducting literature reviews and discussing within the research group, the final draft of the exercise rehabilitation program for elderly patients with functional ankle instability is finally formed, consisting of 5 first-level items, 16 second-level items, and 31 third-level items.

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