期刊文献+

康复指导在功能性踝关节不稳康复中的意义 被引量:14

Effect of Comprehensive Rehabilitation Direction on Functional Ankle Instability
下载PDF
导出
摘要 目的探讨正规康复指导对功能性踝关节不稳(FAI)患者踝关节功能的影响。方法 32例FAI患者随机分为两组,治疗组(n=16)在物理治疗师的指导下,在医院内行4周下肢功能及姿势控制训练;对照组(n=16)在家中按照康复计划自行训练。训练前后进行单腿站立试验(OLST)及足踝功能障碍指数(FADI)评定。结果训练后,治疗组OLST评分明显减低(P<0.01),且低于对照组(P<0.05);对照组OLST评分与训练前无显著性差异(P>0.05)。训练后,治疗组FADI评分明显提高(P<0.01),且高于对照组(P<0.05);对照组FADI评分与训练前无显著性差异(P>0.05)。结论正规指导下的综合康复训练有助于恢复FAI患者踝关节本体感觉及踝关节稳定控制能力。 Objective To investigate the effect of comprehensive rehabilitation direction on functional ankle instability (FAI). Methods32 consecutive patients with FAI were divided into 2 groups. The rehabilitation group (n=16) finished their rehabilitation program under theinstruction of physiotherapists in the hospital, and the control group (n=16) exercised at home by written instruction. All the patients weretested with One Leg Standing Test (OLST) and Foot and Ankle Disability Index (FADI) for the injured ankle before and 4 weeks after train-ing. Results The scores of both OLST and FADI improved after training in the rehabilitation group (P〈0.01), but did not in the controlgroup (P〉0.05); and improved more in the rehabilitation group than in the control group (P〈0.05). Conclusion The comprehensive rehabili-tation direction is effctive on FAI.
出处 《中国康复理论与实践》 CSCD 北大核心 2014年第5期467-469,共3页 Chinese Journal of Rehabilitation Theory and Practice
关键词 功能性踝关节不稳 姿势控制 单腿站立试验 足踝功能障碍指数 康复指导 functional ankle instability postural control One Leg Standing Test Foot and Ankle Disability Index rehabilitation direction
  • 相关文献

参考文献18

  • 1Cooke MW, Lamb SE, Marsh J, et al. A survey of current consultant practice of treatment of severe ankle sprains in emergency departments in the United Kingdom [J]. Emerg Med J, 2003, 20(6): 505-507.
  • 2de Vries JS, Krips R, Sierevelt IN, et al. Interventions for treating chron- ic ankle instability [J]. Cochrane Database Syst Rev, 2011, 10(8): CD004124.
  • 3李作为,徐向阳.踝关节稳定性与本体感受器[J].国际骨科学杂志,2009,30(1):21-22. 被引量:35
  • 4张秋霞,张林,王国祥,王国栋.功能性不稳踝关节位置觉和肌肉力觉特征[J].中国运动医学杂志,2012,31(1):9-13. 被引量:20
  • 5朱燕,陈永强,丁莹,强乙,秦蓓瑛.功能性踝关节不稳的运动员与非运动员踝内外翻肌等速向心及等速离心测试的比较分析[J].中国康复医学杂志,2012,27(5):437-441. 被引量:28
  • 6华英汇,郑洁皎,陈世益,李云霞,陈秀恩,毛岭.机械性踝关节不稳患者踝屈、伸肌群等速肌力评价[J].中国运动医学杂志,2011,30(9):810-813. 被引量:15
  • 7Sekir U, Yildiz Y, Hazneci B, et al. Reliability of a functional test bat- tery evaluating functionality, proprioception, and strength in recreation- al athletes with functional ankle instability [J]. Eur J Phys Rehabil Med, 2008, 44(4): 407-415.
  • 8Hale SA, Hertel J. Reliability and sensitivity of the Foot and Ankle Dis- ability Index in subjects with chronic ankle instability [J]. J Athl Train, 2005, 40(1): 35-40.
  • 9Freeman MA. Instability of the foot after injuries to the lateral ligament of the ankle [J]. J Bone Joint Surg Br, 1965, 47(4): 669-677.
  • 10Hubbard TJ Hertel J, Sherbondy P. Fibular position in individuals with self-reported chronic ankle instability [J]. J Orthop Sports Phys Ther, 2006, 36(1): 3-9.

二级参考文献144

  • 1邱卓钢.本体感觉与软组织损伤的康复[J].中国康复理论与实践,2004,10(5):295-296. 被引量:32
  • 2俞晓杰,吴毅,胡永善,白玉龙,范文可.膝关节骨关节炎患者等长、等速向心和等速离心测试的比较观察[J].中华物理医学与康复杂志,2006,28(7):469-472. 被引量:47
  • 3Akbari M, Karimi H, Farahini H, et al. Balance problems after unilateral lateral ankle sprains.J Rehabil Res Dev, 2006; 43(7):819-824
  • 4Glencross D. Thorton E, Position sense following joinl injury. J Sports Med Phys Fitness. 1981 ; 21 (1) :23-27
  • 5McKeon PO, Hertel J. Spatiotemoral postural control deficils are present in those with chronic ankle instability. BMC Musculoskelet Disord, 2008,9:76
  • 6Freeman MA, Wyke B. The innervation of the knee joint. Ananatomical and histological study in the cat. J Anat, 1967; 101(Pt 3):505-532
  • 7Eechaute C, Vaes P, Duquet W. Functional performance deficits in patients with CAh validity of the multiple hop lest. Clin J Sport Med,2008; 18(2):124-129
  • 8Koizradson L, Ravn JB. Ankle instability caused by prolonged peroneal reaction time. Aeta Orlhop Scand, 1990; 61(5) :388-390
  • 9Brown CN, Mynark R. Balance deficits in recreational athletes with chronic ankle instability. J Athl Train, 2007; 42(3):367-373
  • 10Ross SE, Arnold BL, Blackburn JT, et al. Enhanced balance assciated with coordination training with stochastic resonance stimulation in subjects with functional ankle instability: an experimental trial. J Neuroeng Rehabil, 2007;4:47

共引文献103

同被引文献123

  • 1唐吉甫,唐革晖,刘伟,李月云.踝关节运动损伤的调查与防治[J].解放军体育学院学报,2003,22(2):74-76. 被引量:7
  • 2郑洁皎,胡佑红,俞卓伟.表面肌电图在神经肌肉功能评定中的应用[J].中国康复理论与实践,2007,13(8):741-742. 被引量:73
  • 3Hale S, Hertel J, Olmsted-Kramer L. The effect of a d--week compre- hensive rehabilitation program on postural control and lower extremity function in individuals with chronic ankle instability [ J ]. J Orthop Sports Phys Ther, 2007, 37( 6 ) : 303-31l. DOI : 10.2519/jospt.2007. 2322.
  • 4Kim K J, Kim Y E, Jun H J, et al. Which treatment is more effective for functional ankle instability: strengthening or combined muscle strengthening and proprioceptive exercises[ J ]. J Phys Ther Sci, 2014, 26 (3) : 385-388. DOI : 10.1589/jpts.26.385.
  • 5Mekeon PO, Ingersoll CD, Kerrigan DC, et al. Balance training im- proves function and postural control in those with chronic ankle insta- bility[J]. Med Sci Sports Exerc, 2008, 40(10) : 1810-1819. DOI: 10.1249/MSS.0b013e31817e0f92.
  • 6Smith BI, Docherty CL, Simon J, et al. Ankle strength and force sense after a progressive, 6-week strength-training program in people with functional ankle instability [ J ]. J Athl Train, 2012, 47 (3) :282-288. DOI: 10.4085/1062-6050-47.3.06.
  • 7Docherty CL, Moore JH, Arnold BL. Effects of strength training on strength development and joint position sense in functionally unstable ankles[ J]. J Athl Train, 1998, 33(4) :310-314.
  • 8Eils E, Rosenbaum D. A muhi-station proprioeeptive exercise program in patients with ankle instability [ J ]. Med Sci Sports Exere, 2001,33 (12) : 1991 - 1998. DOI : 10.1097/00005768-200112000-0OO03.
  • 9Bernier JN, Perrin DH. Effect of coordination training on propriocep- tion of the functionally unstable ankle[ J] .J Orthop Sports Phys Ther, 1998, 27(4) :264-275.DOI:lO.2519/jospt.1998.27.4.264.
  • 10Huang PY, Chen WL, Lin CF, et al. Lower extremity biomeehanics in athletes with ankle instability after a 6-week integrated training program [J]. J Athl Train, 2014 ,49(2): 163-172. DOI: 10.4085/1062- 6050-49.2.10.

引证文献14

二级引证文献94

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部