[1]杨文亮 黄凯 郑约保 王和鸣△.针灸推拿联合本体感觉训练治疗踝关节扭伤的临床观察[J].中国中医骨伤科杂志,2018,26(07):21-24.
 YANG Wenliang HUANG Kai ZHENG Yuebao WANG Heming.Clinical Observation of Acupuncture and Massage Combined with Proprioception Training to Treat Therapy on Ankle Sprain[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2018,26(07):21-24.
点击复制

针灸推拿联合本体感觉训练治疗踝关节扭伤的临床观察()
分享到:

《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第26卷
期数:
2018年07期
页码:
21-24
栏目:
临床研究
出版日期:
2018-07-02

文章信息/Info

Title:
Clinical Observation of Acupuncture and Massage Combined with Proprioception Training to Treat Therapy on Ankle Sprain
文章编号:
1005-0205(2018)07-0021-04
作者:
杨文亮12 黄凯1 郑约保1 王和鸣3△
1福建中医药大学附属康复医院(福州,350003) 2福建省康复产业研究院 3福建中医药大学骨伤学院
Author(s):
YANG Wenliang12 HUANG Kai1 ZHENG Yuebao1 WANG Heming3△
1The Rehabilitation Hospital,Fujian University of Traditional Chinese Medicine,Fuzhou 350003,China; 2Rehabilitation Industrial Institution of Fujian Provinc,Fuzhou 350003,China; 3College of Traumatology,Fujian University of Traditional Chinese Medicine,Fuzhou 350122,China.
关键词:
踝关节扭伤 针灸推拿 本体感觉训练
Keywords:
Keywords: ankle sprain acupuncture and massage proprioception training
分类号:
R684.7
文献标志码:
A
摘要:
目的:观察针灸推拿联合本体感觉训练治疗踝关节扭伤的临床疗效。方法:120例踝关节扭伤患者按照就诊顺利随机分成治疗组60例,采用针灸推拿配合本体感觉训练治疗; 对照组60例,采用单纯针灸推拿治疗。每天1次,1个疗程7 d,连续治疗3个疗程。比较两组治疗前后的临床疗效、AOFAS评分及A.T.E+TIME指数的变化,并比较两组治疗后半年随访症状复发率的差异性。结果:治疗组Ⅰ级总有效率是96.55%,优于对照组Ⅰ级83.33%,差异有统计学意义(P<0.05); 治疗组Ⅱ级总有效率是90.32%,优于对照组Ⅱ级76.67%,差异有统计学意义(P<0.05); 治疗组治疗后AOFAS评分、A.T.E+TIME指数的改善程度优于对照,差异有统计学意义(P<0.05); 半年后随访两组患者症状的复发率对比,治疗组优于对照组,差异有统计学意义(P<0.05)。结论:针灸推拿联合本体感觉训练能有效治疗踝关节扭伤,且复发率低。
Abstract:
Abstract Objective:To observe the effects of acupuncture and massage combined with proprioception training therapy on ankle sprain. Methods:All 120 patients were divided into treatment groups(n=60),and control groups(n=60). Treatment groups were received acupuncture and massage combined with proprioception training therapy. Control groups were received acupuncture and massage therapy. Once a day,seven days a course of treatment,3 courses of continuous treatment. The clinical efficacy,AOFAS score and the change of A.T.E + TIME index before and after treatment were compared between the two groups. The difference in the recurrence rate between the two groups was compared 6 months after treatment. Results:The total effective rate of treatment group I was 96.55%,which was better than that of control group I 83.33%(P<0.05). The total effective rate of treatment group Ⅱ was 90.32%,which was better than 76.67% of control group Ⅱ(P<0.05); In the aspect of the AOFAS score and the ATE+TIME index,the treatment group was superior to the control Ⅰ(P<0.05). After six months follow-up,the recurrence rate of the two groups was compared with that of the control group(P<0.05). Conclusion:Acupuncture and massage combined with proprioception training can effectively treat ankle sprain,and the recurrence rate is low.

参考文献/References:

[1] Doherty C,Delahunt E,Caulfield B,et al.The incidence and prevalence of ankle sprain injury:a systematic review and meta-analysis of prospective epidemiological studies[J].Sports Med,2014,44(1):123-140.
[2] 朱渊,徐向阳,刘津浩,等.踝关节本体感受器损伤与慢性踝关节不稳定关系的初步研究[J].中华创伤杂志,2011,27(5):446-450.
[3] Freeman MAR,Dean MRE,Hanham IWF. The etiology and prevention of functional instability of the foot[J].Journal of Bone & Joint Surgery:British Volume,1965,47(4):678-685.
[4] 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.
[5] 国家中医药管理局.中医病证诊断疗效标准[M].南京:南京大学出版社,1994:209-210.
[6] 王和鸣,王诗忠.图解南少林理筋整脊康复疗法[M].北京:人民卫生出版社,2014:169-171.
[7] 李明,万毅刚.针刺治疗踝关节扭伤研究概况[J].中国康复理论与实践,2008,14(2):162-163.
[8] Button G,Pinney S.A meta-analysis of outcome rating scales in foot and ankle surgery:is there a valid,reliable,and responsive system[J].Foot Ankle Int,2004,25(8):521-525.
[9] 韩肖华,谢凌锋,黄晓琳.移动式平板训练对踝关节扭伤后本体感觉的影响[J].中国康复医学杂志,2012,27(6):547-550.
[10] 赵希云,张晓刚,宋敏,等.急性踝关节扭伤的中医治疗进展[J].中国中医急症,2016,25(4):675-677.
[11] 邬昌求,陈敏.巨刺疗法配合推拿治疗急性踝关节扭伤的临床观察[J].针灸临床杂志,2017,33(2):25-27.
[12] 余晓慧.针灸推拿治疗踝关节扭伤的临床观察[J].中国中医骨伤科杂志,2007,15(2):14-15.
[13] 李男,檀志宗.功能性踝关节不稳的研究进展[J].体育科研,2012,12(4):56-58.
[14] Han J,Anson J,Waddington G,et al.The role of ankle proprioception for balance control in relation to sports performance and injury[J].Biomed Res Int,2015,10(1):802-804.
[15] 翟宏伟,孙洁,巩尊科,等.本体感觉训练对踝关节功能障碍恢复的影响[J].中华物理医学与康复杂志,2016,38(2):147-149.
[16] Delahunt E,Monaghan K,Caulfield B.Altered neuromuscular control and ankle joint kinematics during walking in subjects with functional instability of the ankle joint[J].Am J Sports Med,2006,34(12):1970-1976.
[17] 梁炳寅,李坤,王予彬,等.本体感觉功能与慢性踝关节不稳相关性的初步研究[J].中国物理医学与康复杂志,2016,38(11):850-852.
[18] 杨晓龙,白雪,王志仲,等.踝关节本体感觉康复评定及训练的研究现状分析[J].实用骨科杂志,2014,20(10):922-924.

备注/Memo

备注/Memo:
基金项目:福建省科技厅科技平台建设项目(2015Y2001) 通信作者 E-mail:whm27@163.com
更新日期/Last Update: 2018-07-02