Efficacy of fuming and washing decoction of Shi's orthopedics for dissipating stasis and harmonizing injury combined with exercise for strengthening sinew and protecting ankle
Objective It is to evaluate the clinical efficacy of fuming and washing decoction of Shi's orthopedics for dissipating stasis and harmonizing injury combined with exercise for strengthening sinew and protecting ankle in the treat-ment of old ankle sprains.Methods Seventy patients with old ankle sprains treated at Huangpu District Xiangshan Hospital of Traditional Chinese Medicine,Dapuqiao Street Community Health Service Center and Wuliqiao Street Community Health Service Center from August 2020 to November 2022 were randomly divided into experimental group and control group,with 35 cases in each group.The experimental group was treated with fuming and washing decoction of Shi's orthopedics for dis-sipating stasis and harmonizing injury combined with exercise for strengthening sinew and protecting ankle.The control group was Futalin emulsion combined with external application of hot towel,both groups were treated for 6 weeks.The AO-FAS ankle and hindfoot function scores,visual analog scale(VAS)scores of ankle pain,and Cumberland ankle instability scores of the two groups were compared after 2,4,and 6 weeks of treatment,and at 3 and 6 months after treatment,the in-cidence of adverse reactions and the compliance rate of patients of the two groups after 6 weeks of treatment were also com-pared.Results Repeated-measures analysis of variance showed that the differences in time-alone effects,intervention-alone effects,and intervention×time interaction effects were statistically significant for the AOFAS score and Cumberland score(all P<0.05);the differences in intervention-alone effects and intervention×time interaction effects were not statistically significant for the VAS score(all P>0.05),and the differences in time-alone effects were statistically significant(all P<0.05).At 6 months after treatment,the AOFAS scores and Cumberland scores of the two groups were significantly higher than those before treatment(all P<0.05),while the VAS scores were significantly lower than those before treatment(all P<0.05),and the AOFAS scores and Cumberland scores of the experiment group were significantly higher than those of the control group at 6 months after treatment(both P<0.05).One case in the experiment group and2 cases in the control group had skin allergy,which did not affect the treatment;the difference in treatment compliance rate between the two groups was not statistically significant(P>0.05).Conclusion The treatment with fuming and washing decoction of Shi's orthopedics for dissipating stasis and harmonizing injury combined with exercise for strengthening sinew and protecting ankle can achieve satisfactory clinical efficacy on old ankle sprains,and the operation is simple and easy to learn,which is suit-able for the promotion of primary hospitals.
old ankle spraintraditional Chinese medicine fumigationfunctional exercise
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