不同物理治疗对功能性踝关节不稳干预效果的比较研究  

Comparative Study on the Intervention Effect of DifferentPhysical Therapies on Functional Ankle Instability

作　　者：尹贻锟 徐刚[1] 孙君志[2] YIN Yi-kun;XU Gang;SUN Jun-zhi(School of Physical Education,Jining University,Jining 273155,China;Institute of Sports Medicine and Health,Chengdu Sport University,Chengdu 610041,China)

机构地区：[1]济宁学院体育学院,山东济宁273155 [2]成都体育学院运动医学与健康研究所,四川成都610041

出　　处：《吉林体育学院学报》2024年第2期93-100,共8页Journal of Jilin Sport University

基　　金：山东省本科教学改革研究项目(项目编号:M2022113);山东省人文社会科学课题(项目编号:2022-ZXWL-02)。

摘　　要：研究目的:比较Maitland关节松动与本体感觉神经肌肉促进技术(PNF)训练对功能性踝关节不稳(FAI)干预效果。研究方法:招募FAI受试者30例,将受试者随机数字表法分为关松组(n=15)、PNF组(n=15)。两组患者均进行常规康复训练(肌力+平衡训练),关松组在此基础上增加Maitland关节松动,PNF组此基础上增加等张组合训练和稳定性反转训练,每周3次,连续8周。干预前后进行患侧星形偏移平衡测试(SEBT)、肌肉力量、姿势控制能力、坎伯兰踝关节不稳量表(CAIT)评估两组受试者平衡、肌力、姿势控制、踝关节功能。研究结果:与组内治疗前比较,两组受试者治疗后平衡、肌力、姿势控制、踝关节功能均有所改善(P<0.05);其中关松组SEBT-A、SEBT-C明显优于PNF组,其中PNF组背屈、跖屈肌力增加高于关松组,其中关松组频率、振幅、摆动系数优于PNF组,差异有统计学意义(P<0.05)。研究结论:关节松动和PNF训练干预后FAI患者平衡能力、肌力、姿势控制均有所改善,平衡能力和下肢姿势控制能力方面关节松动更具有优势,踝周围肌肉力量增强方面,PNF训练则更具有优势。Objective:This study aimed to compare the effects of Maitland joint mobilization and proprioceptive neuromuscular facilitation(PNF)training interventions on functional ankle instability(FAI).Methods:A total of thirty participants with FAI were recruited and randomly assigned to either the joint group(n=15)or the PNF group(n=15).Both groups received routine rehabilitation training consisting of muscle strength and balance exercises.Additionally,the joint group underwent Maitland joint mobilization three times a week for eight consecutive weeks,while the PNF group received isotonic combination training and stability inversion training in addition to the routine rehabilitation.Pre-and post-intervention assessments were conducted for both groups,including the Star Excursion Balance Test(SEBT),muscle strength assessment,postural control ability assessment,and Cumberland Ankle Instability Tool(CAIT),to evaluate balance,muscle strength,postural control,and ankle joint function.Results:Both groups demonstrated significant improvements in balance,muscle strength,postural control,and ankle joint function after the treatment(P<0.05)compared to baseline.The joint group exhibited superior performance in SEBT-A and SEBT-C compared to the PNF group.On the other hand,the PNF group showed greater improvement in dorsiflexion and plantarflexion muscle strength compared to the joint group.Furthermore,the joint group demonstrated better frequency,amplitude,and oscillation coefficient,resulting in statistically significant differences(P<0.05)when compared to the PNF group.Conclusion:Both joint mobilization and PNF training interventions were found to enhance balance,muscle strength,and postural control in patients with FAI.Joint mobilization demonstrated an advantage in terms of improving balance and lower limb postural control,while PNF training had a greater impact on enhancing muscle strength around the ankle.

关 键 词：Maitland关节松动 本体感觉神经肌肉促进技术 功能性踝关节不稳 

分 类 号：G804.2[文化科学—运动人体科学]