电针对功能性踝关节不稳运动员本体感觉的影响  

Effects of electroacupuncture on the proprioception of athletes with functional ankle instability

作　　者：朱燕[1] 裘敏蕾[2] 丁莹[1] 强乙[1] 秦蓓瑛[1] 

机构地区：[1]上海中医药大学附属市中医医院康复医学科,上海200071 [2]上海中医药大学附属市中医医院骨伤科,上海200071

出　　处：《中国针灸》2012年第6期503-506,共4页Chinese Acupuncture & Moxibustion

基　　金：上海市体育局科研项目:09TF019

摘　　要：目的:观察电针与理疗对功能性踝关节不稳运动员本体感觉的疗效差异。方法:对50例功能性踝关节不稳的运动员随机分成电针组和理疗组。电针组给予电针治疗,穴取解溪、昆仑、丘墟及阿是穴;理疗组在踝关节内踝与外踝处给予低频脉冲电刺激及红外线治疗。两组均每周治疗3次,连续治疗8周。治疗前和治疗疗程结束后分别用"Biodex System-Ⅲ型多关节等速肌力测试训练系统"进行本体感觉的测试,以主动关节位置觉(JPSA)、被动关节位置觉(JPSP)和运动觉(KT)作为观察指标。结果:电针组JPSA由治疗前的11.09°±3.1°减至9.14°±4.0°,JPSP由治疗前的9.67°±2.8°减至6.89°±3.3°,差异均有统计学意义(均P<0.05),与理疗组比较,差异均有统计学意义(均P<0.05),而KT的变化无统计学意义(P>0.05);理疗组的本体感觉各指标与治疗前相比差异均无统计学意义(均P>0.05)。结论:电针能明显改善功能性踝关节不稳运动员的踝关节本体感觉,且优于常规理疗。Objective To observe the efficacy differences between electroacupuncture and physiotherapy on the proprio-ception of athletes with functional ankle instability（FAI）.Methods Fifty athletes with FAI were randomly divided into an electroacupuncture group and a physiotherapy group.The electroacupuncture group was treated with electroacupuncture at Jiexi（ST 41）,Kunlun（BL 60）,Qiuxu（GB 40） and Ashi acupoints,and the physiotherapy group was treated with low frequency electrical stimulation and infrared radiation at medial malleolus and lateral malleolus,thrice each week for consecutive 8 weeks.The Joint Position Sense：Active（JPSA）,Joint Position Sense：Passive（JPSP） and Kinaesthesia（KT） were assessed at the ankle by use of Biodex System-Ⅲ isokinetic dynamometer.Results The JPSA of 11.09°±3.1° and the JPSP of 9.67°±2.8° before the treatment reduced to 9.14°±4.0° and 6.89°±3.3°,respectively,after the treatment in the electroacupuncture group,with significant differences in JPSA and JPSP（both P0.05）,compared with those in the physiotherary group,there were significant differences（both P0.05） and with no significant difference in KT（P0.05）.There was no significant differences in the indices of JPSA,JPSP and KT in the physiotherapy group after 8 weeks than those before treatment（all P0.05）.Conclusion Electroacupuncture can effectively improve the proprioception of athletes with FAI and achieves a superior efficacy as compared with the conventional physiotherapy.

关 键 词：功能性踝关节不稳 电针 本体感觉 

分 类 号：R246.2[医药卫生—针灸推拿学]