点按手法联合运动疗法在慢性踝关节外侧不稳术后功能康复中临床效果观察
The clinical effect of point-and-point manipulation combined with exercise therapy in functional rehabilitation after chronic lateral ankle instability
张琦 1许子平 1刘士琦 1杨茂伟 2田竞3
作者信息
- 1. 辽宁中医药大学 第一临床学院,辽宁 沈阳 110847
- 2. 中国医科大学附属第一医院 骨科,辽宁 沈阳 110001
- 3. 北部战区总医院 卫勤训练中心,辽宁 沈阳 110016
- 折叠
摘要
目的 探讨点按手法联合运动疗法在慢性踝关节外侧不稳(CLAI)术后功能康复中的临床效果.方法 选取中国医科大学附属第一医院骨科自2021 年 9 月至 2022 年 12 月收治的 60 例行改良Broström-Gould术修复踝关节外侧韧带的CLAI患者为研究对象.根据不同的康复治疗方法将患者分为A组与B组,每组各30 例.A组患者术后康复过程中只进行运动康复锻炼.B组患者术后康复过程中采取点按手法联合运动疗法.分别于术前及术后 2、4、12、24 周,记录并比较两组患者疼痛视觉模拟量表(VAS)评分、双侧踝关节周径差、美国足踝外科协会踝与后足功能评分系统(AOFAS)评分、足踝预后量表(FAOS)评分.比较两组患者的临床疗效.结果 B组患者术后 4、12、24 周的VAS评分均低于A组,差异均有统计学意义(P<0.05).B组患者术后2、4、12 周踝关节周径差值均低于A组,差异均有统计学意义(P<0.05).B组患者术后 4、12、24 周AOFAS评分与术后12、24 周FAOS评分均高于A组,差异均有统计学意义(P<0.05).结论 点按手法联合运动疗法可以缩短CLAI术后踝关节功能康复周期,为CLAI患者术后康复提供一种操作简单且有效的康复方案.
Abstract
Objective To investigate the clinical effect of point-and-point manipulation combined with exercise therapy in functional rehabilitation after chronic lateral ankle instability(CLAI).Methods A total of 60 patients who underwent modified Brostrom-Gould surgery to repair lateralankle ligament CLAI from September 2021 to December 2022 in the Department of Orthopedics of the First Af-filiated Hospital of China Medical University were selected as the study objects.According to different rehabilitation treatment meth-ods,the patients were divided into group A and group B,with 30 cases in each group.Patients in group A only took exercise during postoperative rehabilitation.Patients in group B were treated with point-and-point manipulation combined with exercise therapy during postoperative rehabilitation.Visual analogue scale(VAS),bilateral ankle diameter difference,American orthopaedic foot and ankle so-ciety(AOFAS),foot and ankle outcome score(FAOS)were recorded and compared between the two groups before surgery and 2,4,12 and 24 weeks after surgery.The clinical efficacy of the two groups was compared.Results The VAS scores of group B at 4,12 and 24 weeks after operation were lower than those of group A,with statistical significance(P<0.05).The difference of ankle circumfer-ence diameter at 2,4 and 12 weeks after surgery in group B was lower than that in group A,with statistical significance(P<0.05).AOFAS scores at 4,12 and 24 weeks after surgery and FAOS scores at 12 and 24 weeks after surgery in group B were higher than those in group A,with statistical significance(P<0.05).Conclusion Point-and-point manipulation combined with exercise therapy can shorten the functional rehabilitation period of ankle joint after CLAI,and provide a simple and effective rehabilitation program for CLAI patients.
关键词
慢性踝关节外侧不稳/术后康复/穴位/点按手法/运动疗法Key words
Chronic lateral ankle instability/Postoperative rehabilitation/Acupoint/Point-and-point manipulation/Exercise therapy引用本文复制引用
基金项目
辽宁省科技厅应用基础研究基金(2023JH2/101300039)
沈阳市科学公共卫生研发项目(22-321-32-12)
2022年骨质疏松和骨矿盐疾病中青年医生优才培养计划暨白求恩·石药骨质疏松科研基金项目(GX2021B06)
出版年
2024
NETL
NSTL
万方数据