Clinical Study on the Treatment of Chronic Lateral Ankle Instability with Pingle Guo's Massage Tendon Regulating Manipulation
Objective:To explore the clinical efficacy of Pingle Guo's massage tendon regulating manipulation in the treat-ment of chronic lateral ankle instability(CLAI).Methods:A total of 82 patients with CLAI were randomly divided into two groups,41 patients in the control group were treated with ankle function rehabilitation exercise,and 41 patients in the observation group were treated with Pingle Guo's massage and tendon manipulation on this basis.The visual analogue scale(VAS)score of ankle pain and ankle swelling value at the last follow-up before treatment,after the end of a course of treatment and one month after treatment of the two groups were observed.The American orthopedic foot and ankle society(AOFAS)score,talus inclination angle and the thick-ness of ankle ligaments before treatment and at the last fol-low-up were recorded,and clinical efficacy and safety were evaluated.Results:The VAS scores and ankle swelling values of the two groups decreased successively after the end of a course of treatment,1 month after treatment and the last follow-up(P＜0.05).However,the VAS scores at the above time points in the observation group were lower((3.76±0.71)points vs(4.14±0.77)points,t=2.279,P=0.025;(2.52±0.58)points vs(3.26±0.63)points,t=5.428,P＜0.001;(1.84±0.46)points vs(2.50±0.52)points,t=5.970,P＜0.001),and the ankle swelling values were smaller compared with the control group((0.80±0.25)cm vs(0.92±0.28)cm,t=2.008,P=0.048;(0.64±0.18)cm vs(0.75±0.23)cm,t=2.363,P=0.021;(0.49±0.16)cm vs(0.60±0.21)cm,t=2.614,P=0.011).At the last follow-up,the AOFAS score of the two groups was higher than that before treatment,and the talus inclination angle and the thickness of each joint ligament were lower than that before treatment(P＜0.05).However,the AOFAS score of the observation group was higher((86.59±7.27)points vs(77.31±14.54)points,t=3.574,P=0.001),and the talus inclination angle was smaller((4.39±0.76)° vs(5.68± 1.23)°,t=10.809,P＜0.001),and the thickness of each joint ligament was smaller compared with the control group at the last follow-up((4.02±0.51)mm vs(4.30±0.53)mm,t=2.393,P=0.019;(2.74±0.40)mm vs(2.95±0.42)mm,t=2.276,P=0.026;(2.82±0.25)mm vs(2.98±0.27)mm,t=2.731,P=0.008).The clinical efficacy of the observation group was better than that of the control group(Z=8.023,P=0.018),and the total effective rate was higher than that of the control group(92.31％vs 72.50％,x2=5.313,P=0.021).The incidence of complications in the obser-vation group and the control group were 5.13％and 10.00％,and there was no significant difference(P＞0.05).Conclu-sion:Pingle Guo's massage tendon manipulation in the treatment of patients with CLAI can alleviate ankle swelling and pain to a certain extent,and promote the recovery of ankle ligament,angle and function.The efficacy is significant and the safety is good.
NETL
NSTL
万方数据
维普
