[1]陈兆军△ 常青 吴俊德 李永恒 张晓亮 张岩峰 潘旭月.肌骨超声观察外踝理筋手法治疗陈旧性踝关节扭伤39例[J].中国中医骨伤科杂志,2018,26(07):42-46.
　CHEN Zhaojun CHANG Qing WU Junde LI Yongheng ZHANG Xiaoliang ZHANG Yanfeng PAN Xuyue.Musculoskeletal Ultrasound Observation of Treatment of Chronic Ankle Sprain by Massage Therapy Acted on External Ankle[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2018,26(07):42-46.
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肌骨超声观察外踝理筋手法治疗陈旧性踝关节扭伤39例()
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《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:
42-46
栏目:
临床论著
出版日期:
2018-07-02

文章信息/Info

Title:
Musculoskeletal Ultrasound Observation of Treatment of Chronic Ankle Sprain by Massage Therapy Acted on External Ankle
文章编号:
1005-0205(2018)07-0042-05
作者:
陈兆军1△ 常青1 吴俊德1 李永恒1 张晓亮1 张岩峰1 潘旭月1
1北京中医药大学第三附属医院(北京,100029) △通信作者 E-mail:zhaojunchen66@126.com
Author(s):
CHEN Zhaojun1△ CHANG Qing1 WU Junde1 LI Yongheng1 ZHANG Xiaoliang1 ZHANG Yanfeng1 PAN Xuyue1
1The Third Affiliated Hospital of Beijing University of Chinese Medicine, Beijing 100029, China.
关键词:
肌骨超声;  外踝理筋手法;  机理探讨
Keywords:
Keywords: musculoskeletal ultrasound;  massage therapy;  mechanism discussion
分类号:
R684.7
文献标志码:
A
摘要:
目的:通过肌骨超声技术直观观察外踝理筋手法治疗陈旧性踝关节扭伤的疗效。方法:选取踝关节扭伤患者39例,于清宫外踝理筋手法治疗前、治疗疗程结束后及治疗后平均18.6个月随访时,对踝关节患侧、健侧的距腓前韧带、跟腓韧带、距腓后韧带进行高频超声检查,对比观察记录踝关节患侧、健侧外侧3条韧带的厚度; 韧带纤维的连续性,踝关节运动过程中的韧带张力,外侧副韧带周围组织肿胀面积等。结果:39例患者全部得到随访。手法治疗前患侧相比健侧超声下见踝关节外侧三条副韧带连续性好,但韧带肿胀,有不同程度变厚,回声不均匀,以距腓前韧带、跟腓韧带明显,距腓后韧带患侧健侧差别较小; 踝关节做背伸、跖屈、内翻、外翻活动动态下距腓前韧带及跟腓韧带无回声变化区域患侧较健侧有增大或扩展,提示张力弹性患侧较健侧差,距腓后韧带健侧、患侧变化不大。手法治疗后患侧距腓前韧带、跟腓韧带厚度回声变薄,宽度变小,差异有统计学意义(P<0.05),距腓后韧带变化不大,差异无统计学意义(P>0.05); 动态下距腓前韧带、跟腓韧带张力改善明显。随访时患侧韧带厚度、周围组织肿胀区域与动态张力观察与健侧基本接近。结论:运用外踝理筋手法治疗陈旧性踝关节扭伤,经过肌骨超声检查证实可以对踝关节外侧距腓前韧带、跟腓韧带的厚度、宽度、动态张力弹性等方面有明显改善。
Abstract:
Abstract Objective:To discuss the mechanism of massage therapy on chronic ankle sprain by musculoskeletal ultrasound. Methods: A total of 39 cases of chronic ankle sprain were enrolled and treated by Qing Gong massage therapy. The ultrasound examination was made mainly on the anterior talofibular ligament, calcaneofibular and posterior talofibular ligament of both limbs before and after treatment and at an average follow-up time of 18.6 months. The evaluation included the thickness of the lateral collateral ligament, continuity of ligament fibers, ligament tension during joint movement and the swelling area around the lateral collateral ligament, all the cases were compared on both side. Results: All 39 patients were followed up. The result revealed that before massage treatment the continuity of lateral collateral ligament is good in each side,while in the injured side the ligament appeared thicker, more swelling and with uneven echo which showed significant difference in anterior talofibular ligament(ATL)and the calcaneofibular ligament(CL).With the dynamic movement of ankle, such as dorsal flexion, plantar flexion, varus and valgus activities, anechoic area of the ALT and the CL enlarged, which proved poor elasticity in the injured side, while in the posterior talofibular ligament(PTL)there was no obvious difference. After the treatment the echoic area was thinner and the width decreased in ATL ligaments and the CL(P<0.05), but for the PTL the improvement was not significant(P>0.05). Besides, in the dynamic examination, the tension of the TL and the CL was significantly improved. The lateral ligament thickness, the swelling area of the surrounding tissue and the dynamic tension observation were close to the healthy side. Conclusion: It is confirmed that by musculoskeletal ultrasound examination, the use of massage therapy on chronic ankle sprain can significantly improve the thickness, width and the dynamic tension of the anterior talofibular and the calcaneofibular ligament.

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备注/Memo

备注/Memo:
基金项目:北京市首都发展基金项目(首发2016-3-7031)
更新日期/Last Update: 2018-07-02