慢性踝外侧不稳定肌内效贴联合核心训练△

Effect of kinesiology taping combined with core stability training on chronic lateral ankle instability

摘要:

[目的]观察肌内效贴联合核心稳定性训练对慢性踝外侧不稳(chronic lateral ankle instability, CLAI)治疗效果。[方法]2014 年 10 月—2020 年 12 月 50 例 CLAI 患者按照随机数字表法分为两组， 25 例在常规组基础上增加肌内效贴(kinesiolo- gy taping, KT)和核心稳定性训练(core stabilization training, CST)(KT-CST 组)，25 采用常规康复训练(常规组)。比较两组临床及检测资料。[结果] 治疗后 KT-CST 组 VAS 评分 [(2.1±1.4) vs (3.0±1.0), P＜0.05]、FADI 评分 [(101.0±18.0) vs (88.0±13.9), P＜ 0.05] 均显著优于常规组。此外，治疗后 KT-CST 组 AF/W [(1.1±0.3)Nm/kg vs (0.8±0.5)Nm/kg, P＜0.05]、AE/W [(0.6±0.2)Nm/kg vs (0.4±0.2)Nm/kg, P＜0.05]、YBT [(95.2±14.3) vs (88.0±15.7), P＜0.05] 均显著优于常规组。[结论]肌内效贴联合核心稳定性训练能够有效增加 CLAI 患者踝关节周围肌肉力量，从而增加踝关节的稳定性，改善踝关节功能，提高患者的平衡能力。

Abstract:

[Objective] To evaluate the therapeutic outcomes of kinesiology taping (KT) combined with core stability training (CST) for chronic lateral ankle instability (CLAI). [Methods] From October 2014 to December 2020, 50 patients with CLAI were divided into two groups according to random number table method. Of them, 25 patients receive KT and CST on the base of routine exercise (the KT-CST group), while the other 25 patients received the routine exercise only (the routine group). The clinical and test data of the two groups were compared. [Results] The KT-CST group proved significantly superior to the routine group in terms of VAS score [(2.1±1.4) vs (3.0±1.0), P＜ 0.05] and FADI score [(101.0±18.0) vs (88.0±13.9), P＜0.05] after treatment. In addition, the KT -CST group was also significantly better than the routine group in terms of AF/W [(1.1±0.3)Nm/kg vs (0.8±0.5)Nm/kg, P＜0.05], AE/W [(0.6±0.2)Nm/kg vs (0.4±0.2)Nm/kg, P＜0.05], YBT [(95.2±14.3) vs (88.0±15.7), P＜0.05]. [Conclusion] The kinesiology taping combined with core stability training does effectively in- crease the muscle strength around the ankle, thereby increasing ankle stability and function with improved balance capacity for chronic an- kle instability.