软式支具对慢性踝关节不稳患者的即时疗效

doi:10.3969/j.issn.1006-9771.2022.07.007

Abstract

Abstract:

Objective To investigate the immediate effect of wearing a soft ankle brace on dynamic and static balance function and biomechanics of affected lower limbs during walking in chronic ankle instability (CAI) patients.

Methods From January to August, 2021, 40 CAI patients from Musculoskeletal Rehabilitation Center, Beijing Rehabilitation Hospital, Capital Medical University were measured dynamic and static balance indexes with Zebris FDM-System and Y balance test, before and after wearing a soft ankle brace; while the kinetics indexes and surface electromyography of the affected lower extremities during walking were collected with Zebris FDM-System and a surface electromyography telemeter simultaneously.

Results The velocity and area of center of pressure reduced in both open and closed eye modes (|t| > 2.876, P < 0.01), the Y-balance scores increased in all the directions (|t| > 21.212, P< 0.001) after wearing brace; while the peak pressures and impulses increased in the midfoot and medial forefoot regions (|t| > 2.057, P < 0.05), and decreased in the lateral heel, lateral forefoot and toe regions (|t| > 2.464, P < 0.05), and the root mean square of surface electromyography increased in the tibialis anterior and lateral gastrocnemius (|t| > 2.159, P < 0.05) during walking.

Conclusion Wearing soft brace can immediately improve dynamic and static balance of CAI patients, and optimize plantar kinetic distribution and enhance activation of the anterior tibial and the lateral head of gastrocnemius of the affected limb during walking, to improve motor control of CAI patients.

Key words: chronic ankle instability, soft brace, balance, plantar kinetics

CLC Number:

R684.7

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.

Figures/Tables 6

References 36

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	项目	n	佩戴前	佩戴后	t值	P值
睁眼模式	COP椭圆面积/mm²	40	133.75±30.08	97.28±22.43	7.014	< 0.001
睁眼模式	COP移动速度/mm·s^-1	40	9.60±2.39	7.83±1.60	4.168	< 0.001
闭眼模式	COP椭圆面积/mm²	40	165.70±40.59	138.80±30.94	4.329	< 0.001
闭眼模式	COP移动速度/mm·s^-1	40	12.98±3.12	11.40±2.78	2.876	0.006

项目	n	佩戴前	佩戴后	t值	P值
前向	40	67.15±1.54	70.49±1.84	25.514	< 0.001
后内向	40	90.83±2.44	94.44±2.36	21.212	< 0.001
后外向	40	95.60±1.91	100.34±2.27	29.225	< 0.001
综合成绩	40	84.53±1.20	88.42±1.24	42.982	< 0.001

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

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

肌肉	n	佩戴前	佩戴后	t值	P值
胫前肌	40	24.21±8.78	25.70±8.72	2.159	0.037
腓肠肌外侧头	40	22.07±3.70	23.35±4.92	2.353	0.024
腓肠肌内侧头	40	21.15±7.46	21.57±5.32	0.516	0.609

Immediate effect of soft brace on chronic ankle instability

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