After a tibiofibular fracture, a multifaceted rehabilitation program is recommended to restore lower extremity function. Common training methods include joint mobility training, muscle strength training, progressive static squatting training, weight-bearing training, assisted up and down step training and balance training.
1. Joint mobility training: start active or passive assisted joint mobility exercises for hip, knee and ankle joints as soon as possible after the fracture is stabilized.
2. Muscle strength training: including quadriceps, hamstrings, ankle plantarflexors, dorsal extensors, progressive resistance exercises, 10 repetitions per group, 10~15 seconds each time, 5 seconds interval each time, 2~3 groups of consecutive exercises, with a rest of 30 seconds between groups.
3. Progressive static squatting exercises: The patient can perform static squatting exercises under protection (e.g., by grasping the railings in front of him/her with both hands) after full weight-bearing. Start with a small angle that the patient can tolerate, and gradually increase the angle of the squat. Each group of 10 times, each 10 ~ 15 seconds, each interval of 5 seconds, 2 ~ 3 groups of continuous practice, rest 30 seconds between groups.
4. Weight-bearing training: according to the degree of fracture healing, progressive weight-bearing gradually reach full weight-bearing. If there is no pain during training, crutches can be removed.
5. Assisted up and down step training: Starting from practicing on a 10 cm step, the patient can alternately go up 2 consecutive steps with or without assistance, and then start down step training, which can be completed by increasing the step height to 20 cm to increase the difficulty of the training.
6. Balance training: exercise from stable plane to unstable plane, such as throwing and catching the ball in the unstable plane.
It is recommended that patients with tibiofibular fracture under the guidance of professional doctors and rehabilitation therapists to carry out rehabilitation training to promote the recovery of normal function.