本体感觉训练联合肌内效贴对踝关节不稳患者功能恢复及肌力的影响  

Effect of proprioceptive training combined with Kinesio taping on functional recovery and muscle strength in patients with ankle instability

作　　者：陈宁博 CHEN Ning-bo

机构地区：[1]郑州市第二人民医院康复科,河南郑州450000

出　　处：《中国疗养医学》2024年第11期25-29,共5页Chinese Journal of Convalescent Medicine

摘　　要：目的探讨本体感觉训练联合肌内效贴对功能性踝关节不稳(functional ankle instability,FAI)患者功能恢复及肌力的影响。方法选取2020年5月至2023年5月于郑州市第二人民医院住院治疗的FAI患者180例作为研究对象,按照随机数字表分为本体感觉训练组、肌内效贴组、联合组,每组各60例。本体感觉训练组接受本体感觉训练,肌内效贴组给予肌内效贴,联合组予以本体感觉训练结合肌内效贴,均持续治疗1个月。采用星形偏移平衡测试(SEBT)评估患者干预前后动态平衡能力。测量患踝等速向心收缩屈伸肌群相对峰值,评估患者干预前后踝关节周围肌群力量。测量踝关节绝对误差角度,评估患者干预前后本体感觉功能。采用坎伯兰踝关节不稳功能量表(CAIT)评估患者干预前后踝关节功能。记录三组患者干预期间治疗相关不良反应。结果干预后联合组SEBT评分前侧(68.82±8.10)分、外侧(83.15±7.76)分、后侧(86.90±6.51)分、内侧(82.62±6.31)分均显著高于其余两组[本体感觉训练组前侧(65.08±7.60)分、外侧(78.48±6.68)分、后侧(76.93±6.34)分、内侧(78.72±7.15)分,肌内效贴组前侧(64.48±9.27)分、外侧(75.80±5.62)分、后侧(76.83±8.32)分、内侧(76.65±5.75)分,P<0.05]。干预后联合组患踝等速向心收缩屈伸肌群相对峰值均大于其余两组,差异有统计学意义(P<0.05)。联合组踝关节绝对误差角度(6.22±1.70)°显著低于其余两组(7.45±1.93)°、(8.20±1.49)°,差异有统计学意义(P<0.05)。联合组干预后CAIT评分(24.87±3.02)分显著高于其余两组(20.92±2.93)分、(20.42±3.13)分,差异有统计学意义(P<0.05)。三组不良反应发生率差异无统计学意义(P>0.05)。结论本体感觉训练联合肌内效贴对改善FAI患者平衡能力、肌肉力量、本体感觉功能和踝关节功能上具有显著疗效,且安全性良好,有望成为FAI康复治疗的有效选择。Objective To explore the effects of proprioceptive training combined with Kinesio taping on functional recovery and muscle strength in patients with functional ankle instability(FAI).Methods A total of 180 FAI patients hospitalized in Zhengzhou Second People's Hospital from May 2020 to May 2023 were selected as the study objects.According to the random number table,they were divided into proprioceptive training group,Kinesio taping group and combined group,with 60 cases in each group.The proprioceptive training group received proprioceptive training,the Kinesio taping group received Kinesio taping,and the combined group received proprioceptive training combined with Kinesio taping,all of which were treated continuously for 1 month.Star excursion balance test(SEBT)was used to evaluate patients'dynamic balance ability before and after intervention.The relative peak value of the isokinetic flexor extensor muscles of the affected ankle was measured,and the strength of the muscles around the ankle before and after intervention was assessed.The absolute error angle of ankle joint was measured to evaluate proprioceptive function before and after intervention.Cumberland ankle instability tool(CAIT)was used to assess ankle function before and after intervention.Treatment-related adverse reactions were recorded in all three groups during the intervention.Results SEBT score of the combined group after intervention,anterior(68.82±8.10)score,lateral(83.15±7.76)score,posterior(86.90±6.51)score and medial(82.62±6.31)score were significantly higher than those of the other two groups anterior(65.08±7.60)score,lateral(78.48±6.68)score,posterior(76.93±6.34)score and medial(78.72±7.15)score in proprioceptive training group,and anterior(64.48±9.27)score,lateral(75.80±5.62)score,posterior(76.83±8.32)score,and medial(76.65±5.75)score in the Kinesio taping group,P<0.05.After intervention,the relative peak value of isokinetic flexor extensor muscles in the combined group was higher than that in the other two groups,and the di

关 键 词：功能性踝关节不稳 本体感觉训练 肌内效贴 平衡功能 本体感觉功能 肌肉力量 

分 类 号：R68[医药卫生—骨科学]