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

电针对功能性踝关节不稳运动员本体感觉的影响(英文)

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 [2]上海中医药大学附属市中医医院骨伤科

出　　处：《World Journal of Acupuncture-Moxibustion》2013年第1期4-8,共5页世界针灸杂志（英文版）

基　　金：Supported by Shanghai Sports Bureau Sciences Program:09 TF 019

摘　　要：Objective To observe the efficacy differences between electroacupuncture （EA） and physiotherapy （PT） on the proprioception of athletes with functional ankle instability （FAI）. Methods Fifty athletes with FAI were randomly divided into an EA group and a PT group. The EA group was treated with EA at Jiexi （解溪 ST 41）, Kunlun （昆仑 BL 60）, Qjuxu （丘墟 GB 40） and Ashi points, and the PT 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 isokinetic dynamometer to test the proprioception before and after the treatment. Results In the EA group, JPSA of 11.09°±3.1° and JPSP of 9.67°±2.8° before the treatment were reduced to 9.14°±4.0° and 6.89°±3.3° respectively after the treatment, and there were statistically significant differences in comparison between pre- and post-treatment （all P〈0.05）. Comparison between the EA group and the PT group, there were significant differences in JPSA and JPSP （all P〈0.05）, no significant difference in KT （P〉0.05）. There were no significant differences in the indices of JPSA, JPSP and KT in the PT group after the treatment than those before the treatment （all P〉0.05）. Conclusion EA can effectively improve the proprioception of athletes with FAI and achieve a better efficacy as compared with the conventional physiotherapy.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:将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:治疗后,电针组JPSA由治疗前的11.09°±3.1°降到9.14°±4.0°,JPSP由治疗前的9.67°±2.8°降到6.89°±3.3°,治疗前后比较,差异均有统计学意义(均P<0.05);与理疗组比较,电针组治疗后JPSA和JPSP明显降低,差异均有统计学意义(均P<0.05),而KT的变化差异无统计学意义(P>0.05);理疗组治疗后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。

关 键 词：functional ankle instability ELECTROACUPUNCTURE PROPRIOCEPTION 

分 类 号：R246[医药卫生—针灸推拿学]