不同康复方式对功能性踝关节不稳患者治疗效果的影响  

The Effect of Different Rehabilitation Methods on the Treatment of Functional Ankle Instability

作　　者：吴兵兵 黄彩霞[2] 袁锟[1] 王飞[1] 周小钢[1] WU Bing-bing;HUANG Cai-xia;YUAN Kun;WANG Fei;ZHOU Xiao-gang(Department of Orthopaedics,Nantong First People's Hospital,Nantong,Jiangsu Province,226001 China;Department of Rehabilitation,Second People's Hospital of Nantong City,Nantong,Jiangsu Province,226001 China)

机构地区：[1]南通市第一人民医院骨科,江苏南通226001 [2]南通市第二人民医院康复科,江苏南通226001

出　　处：《中外医疗》2019年第35期29-32,共4页China & Foreign Medical Treatment

基　　金：南通市科技局指导性课题（GJZ17061）

摘　　要：目的分析比较不同康复方式对功能性踝关节不稳者治疗效果的影响。方法方便选取该院2017年11月—2018年11月收治的45例功能性踝关节不稳患者作为研究对象,通过随机数字表随机分为踝泵运动组(A组)15例,运动疗法组(B组)15例,运动疗法+平衡训练组(C组)15例。通过8周的康复训练,根据AOFAS踝-后足评分,采用单因素协方差分析进行比较3组患者踝关节不稳者的治疗效果。结果踝泵运动组研究对象在训练后的AOFAS踝-后足评分为(68.62±0.40)分,比运动疗法组低4.563(95%CI:-5.965^-3.162,P<0.001);比运动疗法+平衡训练组低10.382(95%CI:-11.788^-8.976,P<0.001)。同时,运动疗法组研究对象在训练后的AOFAS踝-后足评分为(73.18±0.40)分,也比运动疗法+平衡训练组评分低5.819(95%CI:-7.229^-4.409,P<0.001);运动疗法+平衡训练组训练后AOFAS踝-后足评分为(79.00±0.40)分。经过不同康复训练方法后,不同分组研究对象的AOFAS踝-后足评分不同(F=170.513,P<0.001)。结论为期8周的康复锻炼,运动疗法、平衡训练能有效改善功能性踝关节不稳定患者的症状,两者结合锻炼效果更明显。Objective To analyze the effect of different rehabilitation exercise programs on the therapeutic efficacy of patients with functional ankle instability(FAI).Methods Convenient select Totally 45 cases of FAI patients admitted to the hospital from November 2017 to November 2018 were recruited as research objects and were divided into ankle pump exercises group(group A),exercise therapy group(group B)and exercise therapy+balance training group(group C)according to random number table method,with 15 cases in each group.After eight-week rehabilitation training,the efficacy among the three groups of FAI patients was compared by using one-way ANCOVA on the basis of AOFAS ankle hindfoot scale.Results After rehabilitation training,the AOFAS ankle hindfoot scale of patients in the ankle pump exercises group was after training was(68.62±0.40)points,which was 4.563 and 10.382 lower than that in the exercise therapy group(95%CI:-5.965--3.162,P<0.001)and exercise therapy+balance training group(95%CI:-11.788--8.976,P<0.001),respectively.Meanwhile that in the exercise therapy group after training was(73.18±0.40)points,which was 5.819 lower than that in the exercise therapy+balance training group(95%CI:-7.229--4.409,P<0.001).The AOFAS ankle-hind foot score of the exercise therapy+balance training group after training was(79.00±0.40)points.There was significant difference in the AOFAS ankle hindfoot scale among the three groups of FAI patients receiving different rehabilitation manners(F=170.513,P<0.001).Conclusion The 8-week rehabilitation exercise,exercise therapy and balance training can effectively improve the symptoms of functional ankle instability patients,and the combined effect of the two is more obvious.

关 键 词：康复 慢性踝关节不稳 踝-后足评分 

分 类 号：R687[医药卫生—骨科学]