Clinical observation of contralateral needling combined with Maitland joint mobilization for chronic ankle sprain  

巨刺联合麦特兰德踝关节松动术治疗陈旧性踝关节扭伤的临床观察

作　　者：LI Yu WU Zhenying FAN Peng 李昱;吴振英;范鹏(Qinhuangdao Hospital of Traditional Chinese Medicine,Hebei Province,Qinhuangdao 066000,China)

机构地区：[1]Qinhuangdao Hospital of Traditional Chinese Medicine,Hebei Province,Qinhuangdao 066000,China

出　　处：《Journal of Acupuncture and Tuina Science》2025年第1期89-94,共6页针灸推拿医学(英文版)

基　　金：秦皇岛市科学技术研究与发展计划,No.202101A215。

摘　　要：Objective:To observe the effect of contralateral needling to regulate tendons and circulate Qi combined with Maitland joint mobilization on ankle joint function and the peri-ankle muscle groups in patients with chronic ankle sprain.Methods:A total of 77 patients with chronic ankle sprain,meeting the inclusion criteria,were randomly divided into a control group(38 cases)and an observation group(39 cases).The control group received conventional acupuncture treatment,while the observation group received contralateral needling to regulate tendons and circulate Qi combined with joint mobilization.Both groups were treated once daily for two consecutive courses.The American Orthopaedic Foot&Ankle Society(AOFAS)ankle-hindfoot scale was used to assess ankle joint function in the two groups,and the biomechanical model of skeletal muscles of lower limbs(Gait2392_simbody)was used to evaluate the muscle strength of the peri-ankle muscle groups.Results:The total effective rate in the observation group was 94.9%,significantly higher than the 79.0%in the control group(P<0.05).After treatment,the AOFAS ankle-hindfoot scores in both groups increased compared to their respective pre-treatment scores(P<0.05),and the scores in the observation group were higher than those in the control group(P<0.05).After treatment,the maximum muscle strength values of the medial and lateral heads of the gastrocnemius,tibialis posterior,and flexor hallucis longus in both groups increased compared to their respective pre-treatment values(P<0.05),and the values in the observation group were higher than those in the control group(P<0.05).The maximum muscle strength values of the soleus and flexor digitorum longus in both groups decreased compared to their respective pre-treatment values(P<0.05),and the values in the observation group were lower than those in the control group(P<0.05).The maximum muscle strength values of the extensor hallucis longus and tibialis anterior in both groups increased compared to their respective pre-treatment values(P<0.05),目的:观察疏筋通气巨刺法联合麦特兰德关节松动术对陈旧性踝关节扭伤患者踝关节功能和踝周肌肉群的影响。方法:将77例符合纳入标准的陈旧性踝关节扭伤患者根据随机数字表法分成两组,即对照组38例和观察组39例。对照组采用常规针刺治疗,观察组采用疏筋通气巨刺法联合关节松动术治疗。两组均每日治疗1次,连续治疗2个疗程。治疗前后采用美国足与踝关节协会(AOFAS)踝-后足评分评估两组患者的踝关节功能;利用下肢骨骼肌肉生物力学模型(Gait2392_simbody)评估两组患者踝周肌肉群的肌力。结果:观察组的总有效率为94.9%,高于对照组的79.0%(P<0.05)。治疗后两组AOFAS踝-后足评分均较本组治疗前增加(P<0.05),观察组评分高于对照组(P<0.05)。治疗后两组腓肠肌内外侧头,胫骨后肌及拇长屈肌的最大肌力值均较本组治疗前增加(P<0.05),且观察组肌力高于对照组(P<0.05);两组比目鱼肌及趾长屈肌的最大肌力均较本组治疗前下降(P<0.05),且观察组低于对照组(P<0.05);两组治疗后拇长伸肌、胫骨前肌的最大肌力均较本组治疗前提高(P<0.05),且观察组高于对照组(P<0.05)。治疗后两组VAS评分均较治疗前下降(P<0.05),且观察组VAS评分低于对照组(P<0.05)。结论:疏筋通气巨刺法联合关节松动术及常规针刺均能缓解陈旧性踝关节扭伤患者的疼痛,改善踝关节功能和踝周肌肉群肌力;前者作用更显著。

关 键 词：Acupuncture Therapy Contralateral Needling Pain Measurement Visual Analog Scale Muscle Strength Ankle Injuries Sprains and Strain 

分 类 号：R246.2[医药卫生—针灸推拿学]