[1]梁英　高敏　王萍芝　薛燕萍　李鹏　刘强.动静态平衡训练治疗慢性踝关节不稳的 疗效研究[J].中华老年骨科与康复电子杂志,2015,(02):23-28.[doi:10.3877/cma.j.issn.2096-0263.2015.02.005]
　Liang Ying,Gao Min,Wang Pingzhi,et al.Effect of dynamic and static balance training on ankle instability[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2015,(02):23-28.[doi:10.3877/cma.j.issn.2096-0263.2015.02.005]
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动静态平衡训练治疗慢性踝关节不稳的 疗效研究()
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中华老年骨科与康复电子杂志[ISSN:1674-3911/CN:11-9292/R]

卷:
期数:
2015年02期
页码:
23-28
栏目:
康复医学
出版日期:
2015-11-05

文章信息/Info

Title:
Effect of dynamic and static balance training on ankle instability
作者:
梁英　高敏　王萍芝　薛燕萍　李鹏　刘强
山西大医院康复医学科，骨科
Author(s):
Liang Ying;  Gao Min;  Wang Pingzhi;  Xue Yanping;  Li Peng;  Liu Qiang
Department of Rehabilitation Medicine, Department of Orthopaedics, Shanxi Da Yi Hospital,
关键词:
康复; 　训练; 　踝关节; 　本体感觉
Keywords:
Rehabilitation; 　Exercise; 　Ankle joint; 　Proprioception
DOI:
10.3877/cma.j.issn.2096-0263.2015.02.005
摘要:
目的　观察动静态平衡训练对慢性踝关节不稳（chronic ankle instability，CAI）患者 的本体感觉功能及稳定性的影响。方法　前瞻性收集2013 年12 月至2015 年3 月收治的符合纳入及 排除标准的CAI 患者32 例，随机分为对照组（n=16）和试验组（n=16）。对照组患者行踝泵运动训 练；试验组在此基础上增加动静态平衡训练。随访治疗4 周后，分别比较两组患者训练前后踝关节 不稳定评价问卷（cumberland ankle instability tool，CAIT）评分、平均轨迹误差（average trace error， ATE）和平均负重力量差三种指标的差异。结果　32 例患者均获得满意随访，随访时间为4 ～ 8 周， 平均5 周。训练前试验组患者的CAIT 评分为（10.69±5.62）分，对照组为（12.88±7.37）分，两组比 较差异无统计学意义（t=-0.945，P=0.352），而训练后试验组（16.38±7.23）高于对照组（11.56±5.37）， 差异具有统计学意义（t=2.138，P=0.041）。训练前试验组与对照组ATE 和平均负重力量差比较，差 异无统计学意义（t=0.268，P=0.790；t=-1.444，P=0.603），而训练后试验组患者的ATE 和平均负重 力量差均低于对照组，差异具有统计学意义（t=-2.077，P=0.046；t=-2.615，P=0.014）。其中试验组 患者的CAIT 评分升高了53.22%，ATE 降低了33.41%，平均负重力量差降低了24.27%。结论　动静 态平衡训练可以明显增强CAI 患者踝关节的运动控制能力及稳定性，有效改善患者的本体感觉及踝 关节功能。
Abstract:
　Objective　To observe the clinical effect of proprioception and stability in patients with chronic ankle instability (CAI) using dynamic and static balance training. Methods　32 CAI patients between December 2013 and March 2015 were enrolled prospectively according to inclusive criteria and randomly divided into control group (n=16) and treatment group (n=16). Both group were processed with ankle pump exercises as physical therapy, in addition, treatment group took extra static balance training as well. After following participants for 4 weeks, differences between the two groups in terms of cumberland ankle instability tool (CAIT) score, average trace error (ATE) and average load power were compared. Results　All of 32 cases were followed-up after postoperative 4-8 weeks, with an average of 5 weeks, and all cases obtained satisfactory results. There was no significant differences in CAIT score between control group (12.88±7.37) and treatment group (10.69±5.62) before training (P>0.05). The CAIT score of training group (16.38±7.23) was higher than that of control group (11.56±5.37) after training, and the difference was statistically significant (P<0.05). There was no significant differences in both the ATE and the average load power before training between control group and treatment group (P>0.05). Both ATE and average load power scores of treatment group were lower than that of control group after training, and the difference was statistically significant (P<0.05). In the treatment group after training, the CAIT score showed a 53.22% increase, the ATE score reduced by 33.41%, and the average load power reduced by 24.27%. Conclusion Dynamic and static balance training can significantly improve the proprioception and stability of patients with CAI.

参考文献/References:

1 赵定麟, 赵杰, 王义生. 骨与关节损伤 [M] . 北京: 科学出版社, 2007: 1096-1102. 2 De Vries JS, Krips R, Sierevelt IN, et al. Interventions for treating chronic ankle instability [J]. Cochrane Database Syst Rev, 2006, 18 (4): CD004124. 3 Hertel J. Functional anatomy,pathomechanics,and pathophysiology of lateral ankle instability [J].J Athl Train, 2002, 37(4): 364-375. 4 Van Rijn RM, Van Os AG, Bernsen RM, et al. What is the clinical course of acute ankle sprains? A systematic literature review [J]. Am J Med, 2008, 121(4): 324-331, e6. 5 徐华平, 全莉娟, 邱智. PRO-KIN 平衡仪训练对踝关节损伤的疗 效 [J]. 实用临床医学, 2012, 13(6): 63-64. 6 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. 7 高娜, 建洪, 谢地, 等. 踝关节平衡装置训练对功能性踝关节不稳 患者腓骨长肌反应时的影响 [G], 北京, 2014. 北京: 中华医学会, 2014: 1-51. 8 Gribble PA, Delahunt E, Bleakley C, et al. Selection criteria for patients with chronic ankle instability in controlled research: a position statement of the International Ankle Consortium [J]. J Orthop Sports Phys Ther, 2013, 43(8): 585-591. 9 Wriqht CL, Amold BL, Ross SE, et al.Recalibration and validation of the cumberland ankle instability tool cutoff score for individuals with chronic ankle instability [J]. Arch Phys Med Rehabil, 2014, 95(10): 1853-1859. 10 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. 11 李男, 檀志宗. 功能性踝关节不稳的研究进展 [J]. 体育科研, 2012, 33(4): 80-84, 88. 12 Liaw MY, Chen CL, Pei YC, et al. Comparison of the static and dynamic balance performance in young, middle-aged, and elderly healthy People [J]. Chang Gung Med J, 2009, 32(3): 297-304.

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备注/Memo

备注/Memo:
山西省科技攻关计划项目（20090311058-3）
更新日期/Last Update: 2015-12-30