文章摘要
牛皓,姜斌,张杰,吉文彬,夏汶.下肢整体康复训练治疗功能性踝关节不稳的疗效观察[J].中国康复,2021,36(1):12-16
下肢整体康复训练治疗功能性踝关节不稳的疗效观察
Efficacy of overall rehabilitation training of lower extremity for functional ankle instability
  
DOI:
中文关键词: 下肢  康复  踝关节  功能性踝关节不稳
英文关键词: lower extremity  rehabilitation  ankle  functional ankle instability
基金项目:上海市卫生和计划生育委员会科研课题(青年)(20164Y0022);国家体育总局科技服务项目(2017B065)
作者单位
牛皓 山东大学齐鲁医院(青岛)康复科山东 青岛 266000 
姜斌 山东大学齐鲁医院(青岛)康复科山东 青岛 266000 
张杰 复旦大学附属华东医院康复医学科上海 200040 
吉文彬 山东大学齐鲁医院(青岛)康复科山东 青岛 266000 
夏汶 复旦大学附属华东医院康复医学科上海 200040 
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中文摘要:
  目的:观察下肢整体康复训练治疗功能性踝关节不稳的疗效。方法:选取功能性踝关节不稳患者57例随机分成对照组(28例)和治疗组(29例)。对照组进行踝关节关节活动度训练、踝关节周围肌群力量训练和本体感觉训练,治疗组在此基础上辅以下肢整体康复训练,2组均进行8周的治疗训练。于训练前、训练8周后分别对2组患者的踝关节采用星形平衡测试(SEBT)评估、美国足与踝关节协会踝与后足功能评分(AOFAS)及坎伯兰踝关节不稳问卷(CAIT)评分。结果:经8周训练后,2组SEBT 8个方向平均距离、AOFAS总分及各分项分、CAIT评分均显著高于治疗前(均P<0.05),治疗组治疗后SEBT 8个方向平均距离、其他各项评分均更高于对照组(均P<0.05)。结论:下肢整体康复训练对于治疗功能性踝关节不稳具有很好的疗效,且优于传统康复手段。
英文摘要:
  Objective:To observe the efficacy of overall rehabilitation training of lower extremity for functional ankle instability. Methods: A total of 57 cases of functional ankle instability were divided into control group (28 cases) and treatment group (29 cases). The control group and treatment group were treated by joint range of motion training, ankle muscle strength training and proprioceptive training, and the treatment group received overall rehabilitation training of lower extremity additionally. The patients of two groups were treated for 8 weeks. The ankle joints of the two groups were evaluated by Star Excursion Balance Test (SEBT), American Orthopaedic Foot and Ankle Society (AOFAS) and Cumberland Ankle Instability Tool (CAIT) score before and after 8 weeks of training. Results: The average distance in 8 directions of SEBT, the AOFAS scores, and the CAIT scores in both groups were significantly improved (all P<0.05), and those scores in the treatment group were more significant (all P<0.05). Conclusion: The overall rehabilitation training of lower extremity is effective in the treatment of functional ankle instability, and superior to the traditional rehabilitation method.
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