距腓前韧带修复后肌内效贴抗阻平衡训练△
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R687

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军队护理创新与培育专项计划(创新)项目(编号:2121HL053)


Kinesio taping and resistance-balance training after arthroscopic anterior talofibular ligament repair
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    摘要:

    [目的] 探讨距腓前韧带(anterior talofibular ligament, ATFL) 修复后肌内效贴抗阻平衡训练的临床效果。[方法]2020 年1 月—2021 年12 月47 例ATFL 损伤患者纳入本研究,均行镜下ATFL 增强修复。随机分为两组,试验组24 例给予肌内效贴抗阻平衡训练,传统组23 例给予常规康复训练,比较两组早期临床资料。[结果] 两组患者均顺利手术,无严重并发症。随访平均(11.6±1.2) 周,随时间推移,两组VAS 评分、AOFAS 评分、CAIT 评分、单腿提踵、腓骨肌力均显著改善(P<0.05)。术后10 周,试验组的VAS 评分[(2.9±1.5) vs (4.1±2.1), P<0.05]、CAIT 评分[(24.0±1.4) vs (22.1±1.4), P<0.05]、单腿提踵[(5.5±0.7) cm vs (4.5±0.6) cm, P<0.05]、AOFAS 评分[(76.8±1.9) vs (75.2±1.8), P<0.05] 和腓骨肌力[2/3/4/5: (0/1/10/13) vs (0/4/14/4), P<0.05] 显著优于传统组。[结论] 应用肌内效贴联合抗阻平衡训练能缓解疼痛,增加踝关节周围肌肉力量、提高踝关节稳定性、改善踝关节功能。

    Abstract:

    [Objective] To evaluate the early-stage consequences of kinesio taping and resistance-balance training after arthroscopicanterior talofibular ligament (ATFL) repair. [Methods] From January 2020 to December 2021, 47 patients with ATFL injury were includedin this study, and underwent endoscopic ATFL enhanced repair. They were randomly divided into two groups, 24 patients in the trial groupwere given kinesio taping and resistance-balance training after surgery, while other 23 patients in the traditional group were given routine re-habilitation training. The early clinical data of the two groups were compared. [Results] All patients in both groups were successfully operat-ed on without serious complications. Over time of follow-up lasted for (11.6±1.2) weeks on a mean, the VAS, AOFAS and CAIT scores, aswell as single leg calf raise and peroneal muscle strength significantly improved in both groups (P<0.05). At 10 weeks postoperatively, the tri-al group proved significantly superior to the traditional group in terms of VAS [(2.9±1.5) vs (4.1±2.1), P<0.05], CAIT [(24.0±1.4) vs (22.1±1.4), P<0.05], the single leg heel raise [(5.5±0.7) cm vs (4.5±0.6) cm, P<0.05], AOFAS [(76.8±1.9) vs (75.2±1.8), P<0.05] and peronealstrength [2/3/4/5, (0/1/10/13) vs (0/4/14/4), P<0.05]. [Conclusion] The kinesio taping and resistance-balance training after arthroscopic an-terior talofibular ligament (ATFL) repair do relieve pain, increase muscle strength around ankle, improve ankle stability and function.

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赵根a,李涵a,李宝a,等. 距腓前韧带修复后肌内效贴抗阻平衡训练△[J]. 中国矫形外科杂志, 2023, 31 (23): 2197-2201. DOI:10.3977/j. issn.1005-8478.2023.23.16.
ZHAO Gena, LI Hana, LI Baoa, et al. Kinesio taping and resistance-balance training after arthroscopic anterior talofibular ligament repair[J]. Orthopedic Journal of China , 2023, 31 (23): 2197-2201. DOI:10.3977/j. issn.1005-8478.2023.23.16.

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  • 收稿日期:October 21,2022
  • 最后修改日期:June 29,2023
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  • 在线发布日期: December 27,2023
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