慢性踝外侧不稳定肌内效贴联合核心训练  

Effect of kinesiology taping combined with core stability training on chronic lateral ankle instability

作　　者：隗晨 张平[1] 张鸿悦 张耀国 解焕鑫 章耀华[1] 黄隽霓 杨华清[1] WEI Chen;ZHANG Ping;ZHANG Hong-yue;ZHANG Yao-guo;XIE Huan-xin;ZHANG Yao-hua;HUANG Jun-ni;YANG Hua-qing(Department of Orthope?dics,Beijing Rehabilitation Hospital,Capital Medical University,Beijing 100144,China)

机构地区：[1]首都医科大学附属北京康复医院骨科一康复中心,北京100144

出　　处：《中国矫形外科杂志》2023年第10期933-936,共4页Orthopedic Journal of China

基　　金：首都卫生发展科研专项项目(编号:2022-2-2253);北京市科委首都临床特色应用研究项目(编号:Z16110700056126);北京市石景山区医学重点专科建设项目。

摘　　要：[目的]观察肌内效贴联合核心稳定性训练对慢性踝外侧不稳(chronic lateral ankle instability,CLAI)治疗效果。[方法]2014年10月—2020年12月50例CLAI患者按照随机数字表法分为两组,25例在常规组基础上增加肌内效贴(kinesiology taping,KT)和核心稳定性训练(core stabilization training,CST)(KT-CST组),25采用常规康复训练(常规组)。比较两组临床及检测资料。[结果]治疗后KT-CST组VAS评分[(2.1±1.4)vs(3.0±1.0),P<0.05]、FADI评分[(101.0±18.0)vs(88.0±13.9),P<0.05]均显著优于常规组。此外,治疗后KT-CST组AF/W[(1.1±0.3)Nm/kg vs(0.8±0.5)Nm/kg,P<0.05]、AE/W[(0.6±0.2)Nm/kg vs(0.4±0.2)Nm/kg,P<0.05]、YBT[(95.2±14.3)vs(88.0±15.7),P<0.05]均显著优于常规组。[结论]肌内效贴联合核心稳定性训练能够有效增加CLAI患者踝关节周围肌肉力量,从而增加踝关节的稳定性,改善踝关节功能,提高患者的平衡能力。[Objective]To evaluate the therapeutic outcomes of kinesiology taping(KT)combined with core stability training(CST)for chronic lateral ankle instability(CLAI).[Methods]From October 2014 to December 2020,50 patients with CLAI were divided into two groups according to random number table method.Of them,25 patients receive KT and CST on the base of routine exercise(the KT-CST group),while the other 25 patients received the routine exercise only(the routine group).The clinical and test data of the two groups were compared.[Results]The KT-CST group proved significantly superior to the routine group in terms of VAS score[(2.1±1.4)vs(3.0±1.0),P<0.05]and FADI score[(101.0±18.0)vs(88.0±13.9),P<0.05]after treatment.In addition,the KT-CST group was also significantly better than the routine group in terms of AF/W[(1.1±0.3)Nm/kg vs(0.8±0.5)Nm/kg,P<0.05],AE/W[(0.6±0.2)Nm/kg vs(0.4±0.2)Nm/kg,P<0.05],YBT[(95.2±14.3)vs(88.0±15.7),P<0.05].[Conclusion]The kinesiology taping combined with core stability training does effectively increase the muscle strength around the ankle,thereby increasing ankle stability and function with improved balance capacity for chronic ankle instability.

关 键 词：慢性踝外侧不稳 肌内效贴 核心稳定性训练 

分 类 号：R687[医药卫生—骨科学]