电针疗法联合神经肌肉电刺激、运动疗法治疗慢性踝关节不稳临床研究  

Clinical Study on Electroacupuncture Combined with Neuromuscular Electrical Stimulation and Motortherapy for Chronic Ankle Instability

作　　者：姚鑫 周煜达 唐晶 金以翔 胡安乐 姜维 YAO Xin;ZHOU Yuda;TANG Jing;JIN Yixiang;HU Anle;JIANG Wei(Zhejiang Rehabilitation Medical Center,Hangzhou Zhejiang 310000,China)

机构地区：[1]浙江康复医疗中心,浙江杭州310000

出　　处：《新中医》2024年第18期108-113,共6页New Chinese Medicine

基　　金：2023年度浙江康复医疗中心科研课题(ZKYJ2313)。

摘　　要：目的:观察电针疗法联合神经肌肉电刺激(NMES)、运动疗法治疗慢性踝关节不稳(CAI)的临床疗效。方法:将96例CAI患者随机分为研究组和对照组各48例。对照组给予运动疗法及NMES治疗,研究组在对照组治疗基础上加用电针疗法治疗。治疗8周后,观察2组临床疗效、Cumberland踝关节不稳问卷(CAIT)评分、足踝功能量表(FAAM)评分、美国足踝外科协会量表(AOFAS)评分,平衡功能及踝关节屈伸肌群不同角度峰值力矩。结果:研究组总有效率为95.83%,对照组为83.33%,2组比较,差异有统计学意义(P<0.05)。治疗后,2组CAIT、日常活动量表(FAAM-ADL)和运动量表(FAAM-Sport)评分较治疗前升高(P<0.05),且研究组3项评分均高于对照组(P<0.05)。治疗后,2组AOFAS评分较治疗前升高(P<0.05),且研究组AOFAS评分高于对照组(P<0.05)。治疗后,2组前后重心X方向动摇轨迹长度、Y方向动摇轨迹长度均较治疗前缩短(P<0.05),且研究组上述2项指标长度均短于对照组(P<0.05)。治疗后,2组60°/s跖屈、120°/s跖屈、60°/s背伸、120°/s背伸等踝关节屈伸肌群不同角度峰值力矩较治疗前增大(P<0.05),且研究组上述各项峰值力矩均大于对照组(P<0.05)。结论:电针疗法联合NMES、运动疗法治疗CAI效果显著,可明显提高患者足踝关节功能,增加足踝关节稳定性,增强踝关节肌力。Objective:To observe the clinical effect of electroacupuncture combined with neuromuscular electrical stimulation(NMES)and motortherapy on chronic ankle instability(CAI).Methods:A total of 96 CAI patients were randomly divided into the study group and the control group,with 48 cases in each group.The control group was treated with motortherapy and NMES,and the study group was additionally treated with electroacupuncture based on the treatment of the control group.After eight weeks of treatment,the clinical effects,scores of Cumberland Ankle Instability Tool(CAIT),Foot and Ankle Ability Measure(FAAM)and American Orthopaedic Foot and Ankle Socieyt(AOFAS)score balance,peak torque values of flexors and extensors of ankle at different angles in both groups were observed.Results:The total effective rate was 95.83%in the study group and 83.33%in the control group,the difference being significant(P<0.05).After treatment,the scores of CAIT,FAAM-Activities of Daily Life(FAAM-ADL)and FAAM-Sport in both groups were up-regulated when compared with those before treatment(P<0.05),and the above three scores in the study group were higher than those in the control group(P<0.05).After treatment,the American Orthopaedic Foot and Ankle Surgergy(AOFAS)scores in both groups were elevated when compared with those before treatment(P<0.05),and the AOFAS score in the study group was higher than that in the control group(P<0.05).After treatment,the length of X-direction shift trace and the length of Y-direction shift trace of gravity in the two groups were shortened when compared with those before treatment(P<0.05),and the above two indexes in the study group were shorter than those in the control group(P<0.05).After treatment,the peak torque values of flexors and extensors of ankle at such different angles as 60°/s plantar flexion,120°/s plantar flexion,60°/s dorsal extension and 120°/s dorsal extension in both groups were increased when compared with those before treatment(P<0.05),and the above four values in the study group were hig

关 键 词：慢性踝关节不稳 运动疗法 神经肌肉电刺激 电针疗法 Cumberland踝关节不稳问卷 足踝功能量表 

分 类 号：R684.7[医药卫生—骨科学]