摘要
目的研究推拿与中药塌渍配合本体感觉训练治疗陈旧性踝关节扭伤患者的临床效果。方法选取2018年4月至2021年2月周口市中医院收治的91例陈旧性踝关节扭伤患者为研究对象,按照治疗方式分为观察组(46例)和对照组(45例)。对照组接受推拿与中药塌渍,观察组在对照组基础上接受本体感觉训练,对比两组疗效、踝关节功能(踝关节稳定性、行走能力、跑步能力及放射学诊断)、疼痛程度[采用视觉模拟评分法(VAS)评估]、日常生活活动能力量表(ADL)评分、踝关节活动度(踝关节跖屈活动度、踝关节背屈活动度)、踝关节本体感觉指标(弧度位移差值、角度位移差值)。结果观察组总有效率[95.65%(44/46)]高于对照组[71.11%(32/45)](P<0.05);治疗3周后观察组踝关节功能评分、ADL评分高于对照组,VAS评分低于对照组(P<0.05);治疗3周后观察组踝关节跖屈活动度、踝关节背屈活动度大于对照组,弧度位移差值、角度位移差值小于对照组(P<0.05)。结论推拿与中药塌渍配合本体感觉训练治疗陈旧性踝关节扭伤患者效果显著,可有效缓解疼痛,改善患者踝关节功能,提高日常生活能力。
Objective To study the clinical effect of massage and traditional Chinese medicine collapse combined with proprioceptive training in the treatment of patients with old ankle sprain.Methods A total of 91 patients with old ankle sprain who were treated in Zhoukou Hospital of Traditional Chinese Medicine from April 2018 to February 2021 were selected and divided into observation group(46 cases)and control group(45 cases)according to treatment method.The control group accepted massage and traditional Chinese medicine collapse,and the observation group accepted proprioceptive training on the basis of control group.The curative effect,ankle function(ankle stability,walking ability,running ability and radiological diagnosis),degree of pain[assessed by visual analogue scale(VAS)],ability of daily living(ADL)score,ankle range of motion(ankle plantar flexion range of motion,ankle dorsiflexion range of motion)and proprioceptive index of ankle joint(radian displacement difference,angle displacement difference)were compared between the two groups.Results The total effective rate of observation group[95.65%(44/46)]was higher than that[71.11%(32/45)]of control group(P<0.05).After 3 weeks of treatment,the ankle function score and ADL score of observation group were higher than those of control group,and the VAS score was lower than that of control group(P<0.05).After 3 weeks of treatment,the ankle plantar flexion activity and ankle dorsal flexion activity of observation group were greater than those of control group,and the difference of radian displacement and angular displacement were less than those of control group(P<0.05).Conclusion Massage and traditional Chinese medicine collapse combined with proprioceptive training has a significant effect in the treatment of patients with old ankle sprain,which can effectively relieve pain,improve the ankle function and improve the ability of daily life.
作者
朱碧波
龚广峰
ZHU Bibo;GONG Guangfeng(Department of Rehabilitation,Zhoukou Hospital of Traditional Chinese Medicine,Zhoukou 466000,China)
出处
《河南医学研究》
CAS
2022年第4期711-714,共4页
Henan Medical Research
关键词
陈旧性踝关节扭伤
推拿
中药塌渍
本体感觉训练
踝关节功能
old ankle sprain
massage
traditional Chinese medicine collapse
proprioceptive training
ankle function
