康复指导在功能性踝关节不稳康复中的意义  

Effect of Comprehensive Rehabilitation Direction on Functional Ankle Instability

作　　者：刘欣[1] 张云鹏[2] 王磊[3] 卢占斌[1] 陈先[1] 黄玉国[1] 郁冰[1] 

机构地区：[1]唐山市第二医院康复科,河北唐山市063000 [2]河北联合大学冀唐学院图书馆,河北唐山市063000 [3]唐山市第二医院创伤四科,河北唐山市063000

出　　处：《中国康复理论与实践》2014年第5期467-469,共3页Chinese Journal of Rehabilitation Theory and Practice

摘　　要：目的探讨正规康复指导对功能性踝关节不稳(FAI)患者踝关节功能的影响。方法 32例FAI患者随机分为两组,治疗组(n=16)在物理治疗师的指导下,在医院内行4周下肢功能及姿势控制训练;对照组(n=16)在家中按照康复计划自行训练。训练前后进行单腿站立试验(OLST)及足踝功能障碍指数(FADI)评定。结果训练后,治疗组OLST评分明显减低(P<0.01),且低于对照组(P<0.05);对照组OLST评分与训练前无显著性差异(P>0.05)。训练后,治疗组FADI评分明显提高(P<0.01),且高于对照组(P<0.05);对照组FADI评分与训练前无显著性差异(P>0.05)。结论正规指导下的综合康复训练有助于恢复FAI患者踝关节本体感觉及踝关节稳定控制能力。Objective To investigate the effect of comprehensive rehabilitation direction on functional ankle instability （FAI）. Methods32 consecutive patients with FAI were divided into 2 groups. The rehabilitation group （n=16） finished their rehabilitation program under theinstruction of physiotherapists in the hospital, and the control group （n=16） exercised at home by written instruction. All the patients weretested with One Leg Standing Test （OLST） and Foot and Ankle Disability Index （FADI） for the injured ankle before and 4 weeks after train-ing. Results The scores of both OLST and FADI improved after training in the rehabilitation group （P〈0.01）, but did not in the controlgroup （P〉0.05）; and improved more in the rehabilitation group than in the control group （P〈0.05）. Conclusion The comprehensive rehabili-tation direction is effctive on FAI.

关 键 词：功能性踝关节不稳 姿势控制 单腿站立试验 足踝功能障碍指数 康复指导 

分 类 号：R687.3[医药卫生—骨科学]