距腓前韧带修复后肌内效贴抗阻平衡训练  

Kinesio taping and resistance-balance training after arthroscopic anterior talofibular ligament repair

作　　者：赵根 李涵 李宝 刘松波 段英超 邵兵 ZHAO Gen;LI Han;LI Bao;LIU Song-bo;DUAN Ying-chao;SHAO Bing(Department of Orthopedics,General Hospital,Northern Theater of PLA,Shenyang 110016,China;Department of Rehabilitation,General Hospital,Northern Theater of PLA,Shenyang 110016,China;Department of Anesthesia,General Hospital,Northern Theater of PLA,Shenyang 110016,China)

机构地区：[1]中国人民解放军北部战区总医院骨科,辽宁沈阳110016 [2]中国人民解放军北部战区总医院康复科,辽宁沈阳110016 [3]中国人民解放军北部战区总医院麻醉科,辽宁沈阳110016

出　　处：《中国矫形外科杂志》2023年第23期2197-2201,共5页Orthopedic Journal of China

基　　金：军队护理创新与培育专项计划(创新)项目(编号:2121HL053)。

摘　　要：[目的]探讨距腓前韧带(anterior talofibular ligament,ATFL)修复后肌内效贴抗阻平衡训练的临床效果。[方法]2020年1月—2021年12月47例ATFL损伤患者纳入本研究,均行镜下ATFL增强修复。随机分为两组,试验组24例给予肌内效贴抗阻平衡训练,传统组23例给予常规康复训练,比较两组早期临床资料。[结果]两组患者均顺利手术,无严重并发症。随访平均(11.6±1.2)周,随时间推移,两组VAS评分、AOFAS评分、CAIT评分、单腿提踵、腓骨肌力均显著改善(P<0.05)。术后10周,试验组的VAS评分[(2.9±1.5)vs(4.1±2.1),P<0.05]、CAIT评分[(24.0±1.4)vs(22.1±1.4),P<0.05]、单腿提踵[(5.5±0.7)cm vs(4.5±0.6)cm,P<0.05]、AOFAS评分[(76.8±1.9)vs(75.2±1.8),P<0.05]和腓骨肌力[2/3/4/5:(0/1/10/13)vs(0/4/14/4),P<0.05]显著优于传统组。[结论]应用肌内效贴联合抗阻平衡训练能缓解疼痛,增加踝关节周围肌肉力量、提高踝关节稳定性、改善踝关节功能。[Objective]To evaluate the early-stage consequences of kinesio taping and resistance-balance training after arthroscopicanterior talofibular ligament(ATFL)repair.[Methods]From January 2020 to December 2021,47 patients with ATFL injury were includedin this study,and underwent endoscopic ATFL enhanced repair.They were randomly divided into two groups,24 patients in the trial groupwere given kinesio taping and resistance-balance training after surgery,while other 23 patients in the traditional group were given routine re-habilitation training.The early clinical data of the two groups were compared.[Results]All patients in both groups were successfully operat-ed on without serious complications.Over time of follow-up lasted for(11.6±1.2)weeks on a mean,the VAS,AOFAS and CAIT scores,aswell as single leg calf raise and peroneal muscle strength significantly improved in both groups(P<0.05).At 10 weeks postoperatively,the tri-al group proved significantly superior to the traditional group in terms of VAS[(2.9±1.5)vs(4.1±2.1),P<0.05],CAIT[(24.0±1.4)vs(22.1±1.4),P<0.05],the single leg heel raise[(5.5±0.7)cm vs(4.5±0.6)cm,P<0.05],AOFAS[(76.8±1.9)vs(75.2±1.8),P<0.05]and peronealstrength[2/3/4/5,(0/1/10/13)vs(0/4/14/4),P<0.05].[Conclusion]The kinesio taping and resistance-balance training after arthroscopic an-terior talofibular ligament(ATFL)repair do relieve pain,increase muscle strength around ankle,improve ankle stability and function.

关 键 词：距腓前韧带 关节镜术 肌内效贴布 抗阻力训练 平衡训练 

分 类 号：R687[医药卫生—骨科学]