《中国康复理论与实践》

《中国康复理论与实践》 ›› 2014, Vol. 20 ›› Issue (5): 467-469.

• 论文 • 上一篇    下一篇

康复指导在功能性踝关节不稳康复中的意义

刘欣，张云鹏，王磊，卢占斌，陈先，黄玉国，郁冰   

  1. 1.唐山市第二医院，a.康复科；b.创伤四科，河北唐山市063000；2.河北联合大学冀唐学院图书馆，河北唐山市063000。
  • 收稿日期:2013-09-04 修回日期:2014-01-02 出版日期:2014-05-25 发布日期:2014-05-25

Effect of Comprehensive Rehabilitation Direction on Functional Ankle Instability

LIU Xin, ZHANG Yun-peng, WANG Lei, et al.   

  1. Department of Rehabilitation Medicine, The Second Hospital of Tangshan, Tangshan 063000, Hebei, China
  • Received:2013-09-04 Revised:2014-01-02 Published:2014-05-25 Online:2014-05-25

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摘要： 目的探讨正规康复指导对功能性踝关节不稳(FAI)患者踝关节功能的影响。方法32 例FAI 患者随机分为两组，治疗组(n=16)在物理治疗师的指导下，在医院内行4 周下肢功能及姿势控制训练；对照组(n=16)在家中按照康复计划自行训练。训练前后进行单腿站立试验(OLST)及足踝功能障碍指数(FADI)评定。结果训练后，治疗组OLST评分明显减低(P<0.01)，且低于对照组(P<0.05)；对照组OLST评分与训练前无显著性差异(P>0.05)。训练后，治疗组FADI 评分明显提高(P<0.01)，且高于对照组(P<0.05)；对照组FADI评分与训练前无显著性差异(P>0.05)。结论正规指导下的综合康复训练有助于恢复FAI 患者踝关节本体感觉及踝关节稳定控制能力。

关键词: 功能性踝关节不稳, 姿势控制, 单腿站立试验, 足踝功能障碍指数, 康复指导

Abstract: Objective To investigate the effect of comprehensive rehabilitation direction on functional ankle instability (FAI). Methods 32 consecutive patients with FAI were divided into 2 groups. The rehabilitation group (n=16) finished their rehabilitation program under the instruction of physiotherapists in the hospital, and the control group (n=16) exercised at home by written instruction. All the patients were tested with One Leg Standing Test (OLST) and Foot and Ankle Disability Index (FADI) for the injured ankle before and 4 weeks after training.Results The scores of both OLST and FADI improved after training in the rehabilitation group (P<0.01), but did not in the control group (P>0.05); and improved more in the rehabilitation group than in the control group (P<0.05). Conclusion The comprehensive rehabilitation direction is effctive on FAI.

Key words: functional ankle instability, postural control, One Leg Standing Test, Foot and Ankle Disability Index, rehabilitation direction