本体感觉训练联合关节松动手法对踝关节扭伤的疗效观察  

Effect of Proprioceptive Training Combined with Joint Mobilization in The Treatment of Ankle Sprain

作　　者：曾海潜 罗燕 ZENG Hai-qian;LUO Yan(Guangdong industrial injury rehabilitation hospital,Guangzhou,Guangdong 510440)

机构地区：[1]广东省工伤康复医院,广东广州510440

出　　处：《按摩与康复医学》2023年第7期26-29,共4页Chinese Manipulation and Rehabilitation Medicine

摘　　要：目的:探讨本体感觉训练联合关节松动手法对踝关节扭伤(AS)的疗效。方法:选取2019年8月~2022年6月我院就诊的AS患者共计94例,按随机数字表法分成对照组(47例)和观察组(47例)。两组均采取常规干预措施;对照组在常规干预的基础上采取关节松动术;观察组于对照组的基础上采用本体感觉训练。两组均治疗3周,比较两组踝关节疼痛、踝关节功能、踝关节活动、血流动力学参数。结果:治疗3周后,两组踝关节视觉模拟量表(VAS)评分显著下调及Kofoed评分显著上调,且观察组的改善更明显(P<0.01);治疗3周后,两组病侧踝关节的主动背伸、跖屈、内翻、外翻活动度显著上调,且观察组的改善更加明显(P<0.01);治疗3周后,两组患侧足背动脉的收缩期峰值血流速度(SF)、平均血流速度(TAM)显著上调及阻力指数(RI)明显下调,且观察组的改善更加明显(P<0.01)。结论:本体感觉训练联合关节松动手法能减轻AS患者的疼痛,改善踝关节功能与活动,以及有助于踝关节局部血液循环的好转。Objective:To the efficacy of Proprioceptive training combined with joint mobilization in the treatment of ankle sprain(AS)cases.Method:Ninety-four AS patients admitted to our hospital from August of 2019 to June of 2022 were selected and divided into control group(47 cases)and observation group(47 cases)according to random number table method.Two groups received routine intervention,the control group received joint loosening,and the observation group received proprioceptive training on the basis of control group.Both groups were treated for 3 weeks.Ankle pain,ankle function,ankle activity,and hemodynamic parameters were compared between the two groups.Results:After 3 weeks’treatment,the visual analog scale(VAS)score and Kofoed score were significantly decreased in both groups,and the improvement was more obvious in the observation group(P<0.01).After 3 weeks’treatment,the active dorsiflexion,plantar flexion,varus,and valgus activity of ankle joint were significantly increased in both groups,and the improvement was more obvious in the observation group(P<0.01).After 3 weeks’treatment,the systolic peak flow velocity(SF)and mean flow velocity(TAM)of dorsal pedal artery were significantly increased and the resistance index(RI)was significantly decreased in the two groups,and the improvement was more obvious in the observation group(P<0.01).Conclusion:Proprioceptive training combined with joint mobilization can relieve pain of AS patients,improve ankle joint function and activity,and contribute to the improvement of local blood circulation of ankle joint.

关 键 词：踝关节扭伤 本体感觉训练 关节松动手法 血流动力学 

分 类 号：R493[医药卫生—康复医学]