筋膜加压带结合运动疗法对急性踝关节扭伤即时疗效的影响  

Effect of fascial compression band combined with exercise therapy on immediate outcome of acute ankle sprain

作　　者：许莉 王平 孔维兴 陈堂勤 苟波 Xu Li;Wang Ping;Kong Weixing;Chen Tangqin;Gou Bo(Xi'an Sports School,Xi'an 710032,China)

机构地区：[1]西安市体育运动学校,西安710032

出　　处：《保健医学研究与实践》2023年第9期91-96,共6页Health Medicine Research and Practice

摘　　要：目的 探讨筋膜加压带结合运动疗法对急性踝关节扭伤即时疗效的影响,为急性踝关节扭伤的治疗提供新思路。方法选取2021年3—6月西安体育学院及西安运动创伤医院收治的急性踝关节扭伤患者28例为研究对象。采用随机数字表法将患者分为实验组和对照组,每组14例。对照组患者给予运动疗法,实验组患者给予筋膜加压带+运动疗法干预。分别在第1次治疗前和第8次治疗结束后进行疼痛、肿胀度、踝关节活动度(ROM)、足踝功能评估,并且每次治疗前后均进行视觉模拟评分法(VAS)、肿胀度和ROM评估。结果 实验组患者每次治疗后VAS评分均低于治疗前,差异均有统计学意义(P<0.05)。第8次治疗后,2组患者VAS评分均低于第1次治疗后,且实验组低于对照组,差异均有统计学意义(P<0.05)。第1次治疗结束后,2组患者肿胀度均小于治疗前,差异均有统计学意义(P<0.05)。第8次治疗结束后,2组患者肿胀度均小于第1次治疗结束后,且实验组小于对照组,差异均有统计学意义(P<0.05)。实验组患者每次治疗前后背伸、跖屈、内翻、外翻ROM比较,差异均具有统计学意义(P<0.05)。对照组患者除第1次治疗前后背伸、跖屈、内翻、外翻ROM比较,差异无统计学意义,后续每次治疗前后背伸、跖屈、内翻、外翻ROM比较均有统计学意义(P<0.05)。第8次治疗结束后,2组患者美国足踝外科协会(AOFAS)评分均高于第1次治疗前,且实验组高于对照组,差异均有统计学意义(P<0.05)。结论 筋膜加压带结合运动疗法和单纯的运动疗法治疗急性踝关节扭伤都有一定的治疗效果,筋膜加压带结合运动疗法的即时效果优于单纯运动疗法,可以显著降低患者疼痛、肿胀度,恢复ROM,提高踝关节功能,缓解扭伤后早期临床症状,值得临床应用与推广。Objective This paper aims to investigate the effect of fascial compression band combined with exercise therapy on the immediate outcome of acute ankle sprain and to provide new ideas for it.Methods A total of 28 patients with acute ankle sprains admitted to Xi'an Physical Education University and Xi'an Hospital of Sports Trauma from March to June 2021 were selected as the study participants.The patients were randomly assigned to the experimental group and control group,with 14 cases in each group.Patients in the control group received exercise therapy,and patients in the experimental group,fascial compression band in combination with exercise therapy intervention.Pain,swelling,ankle range of motion(ROM),and foot and ankle function were assessed before the first treatment and after the eighth treatment.Visual analogue scale(VAS),swelling,and ROM were assessed before and after each treatment.Results The VAS score of the experimental group after each treatment was significantly lower than that before treatment(P<0.05).After the 8th treatment,the VAS scores of the two groups were significantly lower than those after the first treatment,and the experimental group was significantly lower than the control group(P<0.05).After the first treatment,the swelling degree of patients in the two groups was significantly less than that before treatment(P<0.05).After the 8th treatment,the swelling degree of patients in the two groups was significantly less than that after the 1st treatment,and the experimental group was significantly less than the control group(P<0.05).Significant differences were observed in the extension,plantar flexion,varus,and valgus of ROM before and after each treatment in the experimental group(P<0.05).Except for no significant difference in extension,plantar flexion,varus,and valgus of ROM before and after the first treatment in the control group,significant differences were found in the extension,plantar flexion,varus,and valgus of ROM before and after each subsequent treatment(P<0.05).After the 8th trea

关 键 词：筋膜加压带 运动疗法 急性踝关节扭伤 

分 类 号：R684.7[医药卫生—骨科学] R245.3[医药卫生—外科学]