摘要
目的:探讨关节松动术治疗运动员急性踝关节扭伤的疗效,进一步分析其作用机理。方法:收集2018年1月至2019年6月就诊于福建体育科学研究所康复中心的急性踝关节扭伤患者60例,将其随机分为实验组(关节松动术组)30例,对照组(非关节松动术组)30例,实验组采取关节松动术结合冷疗与针刺;对照组冷疗与针刺。分别在治疗前和治疗5天后进行两组患者踝关节症状体征评定以及Prokin254测试,并在治疗5天后进行疗效评定。结果:两组患者治疗前各项指标差异无统计学意义(P>0.05),具有可比性;治疗后组内比较,两组患者各项指标的改善均比治疗前有非常显著差异(P<0.01);治疗后组间比较,实验组症状体征总分、平均轨迹误差(ATE)、负重感觉缺失度(AFV)、稳定指数(SI)改善均比对照组有显著差异(P<0.05),但两组身体压力中心轨迹运动的总面积(S)、身体压力中心轨迹运动的总长度(L)差异无统计学意义(P>0.05);实验组总治愈率高于对照组,有显著差异(P<0.05)。结论:关节松动术结合冷疗与针刺对于运动员急性踝关节扭伤的症状缓解优于单纯冷疗与针刺,并且可以有效改善踝关节本体感觉和稳定性,提高总体治愈率。
Objective:To investigate the effect of joint mobilization on acute ankle sprains in athletes,and to analyze its mechanism.Methods:Sixty patients with acute ankle sprain who were treated in the rehabilitation center of Fujian Institute of Sports Science from January 2018 to June 2019 were collected and randomly divided into experimental group(joint mobilization group)and control group(non-Joint mobilization group)30 cases,the experimental group received joint mobilization combined with cold-water immersion and acupuncture.the control group received cold-water immersion and acupuncture.The ankle joint symptoms and signs assessment and Prokin254 test were performed before and after 5 days of treatment,and the curative effect was evaluated after 5 days of treatment.Results:There was no statistically significant difference between the two groups of patients before treatment(P>0.05),so they were comparable;within the group after treatment,the improvement of various indicators in two groups of patients was significantly different from that before treatment(P<0.01).Comparison between groups after treatment,improvement of total symptoms and signs,average trajectory error(ATE),weight loss anesthesia(AFV),and stability index(SI)in the experimental group were significantly different from those in the control group(P<0.05).However,there was no significant difference in the total area(S)and the total length(L)of the body pressure center trajectory movement between the two groups(P>0.05).The total cure rate in the experimental group was significantly different from those in the control group(P<0.05).Conclusion:Joint mobilization combined with cold-water immersion and acupuncture can relieve the symptoms of acute ankle sprains in athletes better than control group,it can effectively improve the proprioception and stability of the ankle joint and improve the overall cure rate.
作者
冯海清
陈明亮
陈捷
余德标
FENG Hai-qing;CHEN Ming-liang;CHEN Jie;YU De-biao(Fujian Institute of Sports Science,Fujian 350003, China;Fujian Provincial Hospital,Fujian 350003, China)
出处
《福建体育科技》
2020年第2期24-28,共5页
Fujian Sports Science and Technology
基金
福建省科技厅省属公益类科研院所基本科研专项(2017R1030-2)。
