《中国康复理论与实践》 ›› 2022, Vol. 28 ›› Issue (7): 783-788.doi: 10.3969/j.issn.1006-9771.2022.07.007
收稿日期:
2022-03-05
修回日期:
2022-05-30
出版日期:
2022-07-25
发布日期:
2022-08-08
通讯作者:
马玉宝
E-mail:myb-sreha@ccmu.edu.cn
作者简介:
高维广(1995-),男,汉族,山东临沂市人,硕士,康复治疗师,主要研究方向:运动损伤的预防与康复。|马玉宝,男,博士,主管治疗师,主要研究方向:运动损伤的预防与康复。
基金资助:
GAO Weiguang1,LIU Shuhui1,MA Yubao2a(),LOU Yabing2b
Received:
2022-03-05
Revised:
2022-05-30
Published:
2022-07-25
Online:
2022-08-08
Contact:
MA Yubao
E-mail:myb-sreha@ccmu.edu.cn
Supported by:
摘要:
目的 探讨佩戴踝关节软式支具对慢性踝关节不稳(CAI)患者动、静态平衡功能及步行模式下患侧下肢生物力学的即时疗效。
方法 2021年1月至8月,首都医科大学附属北京康复医院肌骨康复中心门诊CAI患者40例,采用平板式足底压力测试系统、Y平衡测试于患者佩戴支具前后进行评定,表面肌电图同步采集步行模式下患侧足底动力学指标和下肢主要肌群表面肌电信号。
结果 佩戴支具后,睁、闭眼模式下压力中心椭圆面积和移动速度均明显减小(|t| > 2.876, P < 0.01);Y平衡测试各方向评分均显著增大(|t| > 21.212, P < 0.001);步行模式下患侧中足区和前足内侧区峰值压力和冲量增大(|t| > 2.057, P < 0.05),足跟外侧区、前足外侧区、足趾区峰值压力和冲量减少(|t| > 2.464, P < 0.05);患侧下肢胫前肌、腓肠肌外侧头振幅均方根增大(|t| > 2.159, P < 0.05)。
结论 佩戴软式支具后可以即刻显著改善CAI患者动、静态平衡功能,优化步行模式下患侧足底动力学分布,增强胫前肌、腓肠肌外侧头激活程度,从而改善运动控制能力。
中图分类号:
高维广,刘淑惠,马玉宝,娄亚兵. 软式支具对慢性踝关节不稳患者的即时疗效[J]. 《中国康复理论与实践》, 2022, 28(7): 783-788.
GAO Weiguang,LIU Shuhui,MA Yubao,LOU Yabing. Immediate effect of soft brace on chronic ankle instability[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(7): 783-788.
表3
佩戴支具前后各部位峰值压力比较"
部位 | n | 佩戴前 | 佩戴后 | t值 | P值 |
---|---|---|---|---|---|
足跟内侧区 | 40 | 2.74±0.50 | 2.69±0.49 | 1.232 | 0.225 |
足跟外侧区 | 40 | 2.60±0.57 | 2.49±0.57 | 2.827 | 0.007 |
中足区 | 40 | 1.63±0.68 | 2.32±0.79 | 9.815 | < 0.001 |
前足内侧区 | 40 | 1.44±0.48 | 1.51±0.44 | 2.363 | 0.023 |
前足中部区 | 40 | 3.32±1.09 | 3.26±1.09 | 1.566 | 0.125 |
前足外侧区 | 40 | 1.24±0.40 | 1.16±0.39 | 2.452 | 0.019 |
足趾区 | 40 | 1.66±0.71 | 1.58±0.71 | 2.464 | 0.018 |
表4
佩戴支具前后各部位冲量比较 单位:%"
部位 | n | 佩戴前 | 佩戴后 | t值 | P值 |
---|---|---|---|---|---|
足跟内侧区 | 40 | 18.21±5.50 | 17.86±5.40 | 1.449 | 0.155 |
足跟外侧区 | 40 | 16.32±5.25 | 15.41±5.37 | 3.433 | 0.001 |
中足区 | 40 | 12.18±6.19 | 18.05±7.64 | 9.999 | < 0.001 |
前足内侧区 | 40 | 9.60±3.39 | 10.06±3.40 | 2.057 | 0.047 |
前足中部区 | 40 | 24.39±6.65 | 22.40±6.72 | 5.650 | < 0.001 |
前足外侧区 | 40 | 9.32±2.70 | 8.33±2.45 | 4.850 | < 0.001 |
足趾区 | 40 | 9.40±4.66 | 8.35±4.51 | 3.566 | 0.001 |
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