电刺激引导下针刺腓骨长短肌运动点治疗功能性踝关节不稳的疗效观察  

Acupuncture guided by electrical stimulation can relieve functional ankle instability

作　　者：郭伟 詹燕 郭雅碧 刘艳阳 刘佩军 Guo Wei;Zhan Yan;Guo Yabi;Liu Yanyang;Liu Peijun(Department of Rehabilitation Medicine,Xiangyang Center Hospital,The Affiliated Hospital of Hubei University of Arts and Sciences,Xiangyang 441021,China)

机构地区：[1]湖北文理学院附属医院,襄阳市中心医院康复医学科,襄阳441021

出　　处：《中华物理医学与康复杂志》2022年第12期1100-1103,共4页Chinese Journal of Physical Medicine and Rehabilitation

基　　金：襄阳市科技计划项目(2017ZD05)。

摘　　要：目的观察电刺激引导下针刺腓骨长短肌运动点治疗功能性踝关节不稳的临床疗效。方法按随机数字表法将纳入的70例功能性踝关节不稳患者分为观察组和对照组,每组35例。对照组患者给予平衡功能训练、本体感觉训练及腓骨长短肌手法激活训练等常规康复治疗,观察组患者在此基础上增加电刺激引导下针刺腓骨长短肌运动点治疗,每日1次,连续治疗3周。分别于治疗前及治疗3周后(治疗后),采用踝关节不稳定评价问卷(CAIT)评分、腓骨长短肌积分肌电值(iEMG)以及行走过程中模拟内翻时腓骨长短肌激发时间作为观察指标,观察2组患者的临床疗效。结果治疗后,对照组和观察组患者的CAIT评分分别为(24.95±2.75)分和(27.86±2.02)分;对照组治疗后腓骨长短肌的iEMG值分别为(72.53±5.88)μV和(56.14±4.01)μV,观察组的iEMG值分别为(83.97±6.07)μV和(63.17±4.31)μV;对照组治疗后腓骨长肌和腓骨短肌的激发时间分别为(67.87±13.54)ms和(63.98±10.28)ms,观察组的激发时间分别为(56.85±9.87)ms和(59.25±9.27)ms;2组患者治疗后的上述指标均较组内治疗前有明显改善(P<0.05),且观察组改善程度明显优于对照组(P<0.05)。结论电刺激引导下针刺腓骨长短肌运动点可有效激活相关肌肉,改善功能性踝关节不稳定症状。Objective To document the clinical efficacy of using electrical stimulation to guide acupuncture on the peroneal longus and the peroneal brevis of patients with functional ankle instability(FAI).Methods Seventy FAI patients were randomly divided into an observation group and a control group,each of 35.Both groups received routine balance function training,proprioception training and manual activation of the peroneal muscles.The observation group also received acupuncture at the motor points of the peroneal longus and the peroneal brevis muscles under the guidance of electrical stimulation,once a day,for 3 weeks.Before and after the treatment,any curative effect was quantified using the CAIT ankle instability assessment questionnaire,electromyography(iEMG)of the peroneal longus and the peroneal brevis,as well as those muscles′excitation times during simulated varus walking.Results All of the measurements after the treatment were significantly better than before the treatment,with the improvements in the observation group significantly greater than in the control group.Conclusions Acupuncture at the motor points of the peroneal longus and the peroneal brevis under the guidance of electrical stimulation can effectively activate the related muscles and relieve the symptoms of functional ankle instability.

关 键 词：电刺激 踝关节不稳 运动点 

分 类 号：R246.9[医药卫生—针灸推拿学]