| 鲁君兰,蔡斌,吴智刚,范帅,林明慧.单侧踝关节不稳患者双下肢肌力、背屈角度和平衡的差异性分析[J].中国康复,2022,37(8):482-485 |
| 单侧踝关节不稳患者双下肢肌力、背屈角度和平衡的差异性分析 |
| Difference in muscle strength, dorsiflexion and balance of both lower limbs in patients with unilateral ankle instability |
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| DOI： |
| 中文关键词: 踝关节不稳 髋部力量 踝部力量 背屈角度 平衡 |
| 英文关键词: ankle instability hip strength ankle strength dorsiflexion balance |
| 基金项目:海南省卫健委科研项目（20A200490） |
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| 中文摘要: |
| 目的：探讨单侧慢性踝关节不稳（CAI）患者的双下肢髋踝肌群肌力、背屈角度和动静态平衡之间的相关性，以及健患侧之间的差异性。方法：收集36名CAI患者，进行髋踝肌群力量评估、静态动态平衡测试以及背屈角度的测量。结果：静态平衡主要与踝周肌群力量有关（P＜0.05）；动态平衡与髋、踝周肌群力量以及背屈角度都有关（P＜0.05）。健患侧的静态平衡、髋周肌群力量没有统计学意义，但是动态平衡、踝周肌群力量和背屈角度之间的差异有统计学意义（P＜0.05）。结论：静态平衡和动态平衡的相关性存在差异，给动静态平衡的改善提供了不同的指导方向。同时CAI患者的健侧与患侧功能相似，提示健侧可能有受损，在康复训练中不能忽视。 |
| 英文摘要: |
| Objective: To explore the correlation between hip and ankle muscle strength, ankle dorsiflexion and dynamic and static balance of both lower limbs in patients with unilateral chronic ankle instability (CAI), as well as the differences between unaffected and affected sides. Methods: Totally, 36 patients with CAI were collected for hip and ankle muscle strength evaluation, static and dynamic balance test and ankle dorsiflexion measurement. Results: Static balance was mainly related to the strength of ankle muscle group (P<0.05), and dynamic balance was related to strength and ankle dorsiflexion of hip and ankle muscle group (P<0.05). There was no significant difference in strength of static balance and hip muscle group on the unaffected side (P>0.05), but there was significant difference in dynamic balance, ankle muscle group strength and ankle dorsiflexion (P<0.05). Conclusion: There are differences in the correlation between static balance and dynamic balance, which provides different guidance directions for the improvement of dynamic and static balance. At the same time, the function of the unaffected side of CAI patients is similar to that of the affected side, suggesting that the unaffected side may be damaged and can’t be ignored in rehabilitation. |
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