肌内效布贴结合平衡训练对慢性踝关节外侧不稳术后的康复疗效观察  

Effect of intramuscular effect bandage combined with balance training on rehabilitation after chronic lateral ankle instability

作　　者：郑雨中[1] 郑臣校[1] 黄志全 黎勇[1] 位春巍 ZHENG Yu-zhong;ZHENG Chen-xiao;HUANG Zhi-quan;LI Yong;WEI Chun-wei(Department of Orthopedit,Hospital of Traditional Chinese Medicine of Zhongshan,Zhongshan 528400,Guangdong,China;不详)

机构地区：[1]中山市中医院骨二科,广东中山528400 [2]广州中医药大学研究生院,广东广州510006

出　　处：《广东医学》2022年第3期371-375,共5页Guangdong Medical Journal

基　　金：中山市医学科研基金项目(2020J144)。

摘　　要：目的观察肌内效布贴结合平衡训练对慢性踝关节外侧不稳术后的康复疗效。方法将收治的60例慢性踝关节外侧不稳患者按照术后第5~12周康复模式的不同随机分为观察组(n=30)和对照组(n=30)。其中对照组采用常规物理治疗结合踝屈伸功能锻炼;观察组采取肌内效布贴结合平衡训练、踝屈伸功能锻炼。采用figure-of-eight-20法评估踝关节肿胀程度(早晚平均值),疼痛视觉模拟评分(VAS评分),在线FAAM评分、Cumberland踝关节不稳问卷评分(CAIT),比较两组不同康复程序在术后6、8、10、12周对功能的影响。结果术后6、8、10、12周,两组踝关节肿胀程度在术后6~8周逐渐升高,后逐渐降低,但观察组的坡度较缓。VAS评分伴随肿胀的程度增加而增加,降低而降低。在线FAAM评分与CAI评分足功能评分均较初时显著升高,且观察组显著高于对照组(P<0.05)。结论肌内效布贴结合平衡训练对慢性踝关节外侧不稳有肯定的康复疗效,有利于减轻肿胀、缓解疼痛、改善踝关节功能,临床疗效确切。Objective To observe the curative effect of intramuscular effect bandage and balance training on postoperative rehabilitation of chronic lateral ankle instability.Methods A total of 60 patients with chronic lateral ankle instability admitted to our hospital were randomly divided into experimental group(n=30)and control group(n=30)according to different rehabilitation modes from the 5 th week to the 12 th week after surgery.The control group received conventional physical therapy combined with ankle flexion and extension exercise,and the experimental group received intramuscular effect bandage combined with balance training and ankle flexion and extension exercise.The figure-of-eight-20 method was used to evaluate the degree of ankle swelling(morning and evening means).Visual analogue scale(VAS score),online FAAM score,and Cumberland Ankle Instability Questionnaire(CAIT)were recorded.The effects of different rehabilitation procedures on the function of the two groups were compared 6,8,10 and 12 weeks after operation.Results After surgery,the degrees of ankle swelling in the two groups gradually increased from 6 to 8 weeks after surgery,and then gradually decreased from 10 to 12 weeks after operation,but the slope of the experimental group was relatively slower.VAS score was increased with the degree of swelling.The online FAAM score and CAI score of foot function were significantly higher than those in the early stage,and they were significantly more prominent in the experimental group(P<0.05).Conclusion The combination of intramuscular effect bandage and balance training has a positive rehabilitation effect on chronic lateral instability of the ankle,which is beneficial to reduce swelling,relieve pain and improve the function of the ankle joint.The clinical effect is definite.

关 键 词：肌内效布贴 平衡训练 慢性踝关节外侧不稳 术后 康复 

分 类 号：R493[医药卫生—康复医学] S857.16[医药卫生—临床医学]