本体感觉神经肌肉促进技术联合神经肌肉电刺激对慢性踝关节不稳的效果

doi:10.3969/j.issn.1006-9771.2023.07.002

Abstract

Abstract:

Objective To observe the effect of proprioceptive neuromuscular facilitation combined with neuromuscular electrical stimulation on chronic ankle instability (CAI).

Methods From April, 2016 to December, 2021, 48 patients with CAI were randomly divided into control group (n = 24) and observation group (n = 24). Both groups accepted routine rehabilitation, and the observation group accepted proprioceptive neuromuscular facilitation combined with neuromuscular electrical stimulation additionally, for eight weeks. They were assessed with Visual Analogue Scale (VAS), peak torque to body weight of ankle dorsiflexors and plantarflexors (AD/W, AP/W), Y Balance Test (YBT) and Foot and Ankle Disability Index (FADI) before and after treatment.

Results After treatment, VAS score, AD/W, AP/W, YBT and FADI improved in the observation group (|t| > 2.208, P < 0.05), while VAS score and AP/W improved in the control group (|t| > 2.156, P < 0.05); and all the VAS score, AD/W, AP/W, YBT and FADI were better in the observation group than in the control group (|t| > 2.067, P < 0.05).

Conclusion Proprioceptive neuromuscular facilitation combined with neuromuscular electrical stimulation can effectively relieve the pain of patients with CAI, and increase the muscle strength around the ankle, to improve the stability and balance.

Key words: chronic ankle instability, proprioceptive neuromuscular facilitation, neuromuscular electrical stimulation, rehabilitation

CLC Number:

R686

REN Yi, WANG Rui, ZHANG Yaohua. Effect of proprioceptive neuromuscular facilitation combined with neuromuscular electrical stimulation on chronic ankle instability[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(7): 750-755.

Figures/Tables 6

References 36

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组别	n	性别(男/女)/n	年龄/岁	身高/cm	体质量/kg	病程/月
对照组	24	12/12	32.56±5.13	165.71±5.45	65.13±7.28	9.54±4.11
观察组	24	13/11	37.98±7.34	166.43±4.27	62.61±8.16	8.91±3.15
χ²/t值		0.052	-0.692	-0.771	1.021	0.304
P值		0.851	0.489	0.452	0.214	0.667

组别	n	治疗前	治疗后	t值	P值
对照组	24	5.06±2.67	2.93±1.84	3.409	0.002
观察组	24	4.96±2.58	2.06±1.52	5.176	< 0.001
t值		0.143	2.067
P值		0.887	0.043

组别	n	治疗前	治疗后	t值	P值
对照组	24	0.64±0.37	0.83±0.45	-2.008	0.053
观察组	24	0.61±0.27	1.13±0.41	-6.163	< 0.001
t值		0.424	-2.791
P值		0.673	0.007

组别	n	治疗前	治疗后	t值	P值
对照组	24	0.23±0.15	0.31±0.17	-2.156	0.039
观察组	24	0.25±0.17	0.43±0.24	-3.336	0.002
t值		-0.459	-2.270
P值		0.647	0.027

组别	n	治疗前	治疗后	t值	P值
对照组	24	83.37±20.04	84.22±18.93	-0.165	0.870
观察组	24	82.88±16.67	94.75±12.90	-3.628	0.001
t值		0.108	-2.600
P值		0.914	0.012

Effect of proprioceptive neuromuscular facilitation combined with neuromuscular electrical stimulation on chronic ankle instability

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组别	n	治疗前	治疗后	t值	P值
对照组	24	91.68±15.84	92.78±16.96	-0.248	0.806
观察组	24	91.43±20.50	102.28±18.92	-2.208	0.035
t值		0.550	-2.115
P值		0.957	0.038

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