Hazañas Ruiz S, Gálvez Alcaraz L, Cepas Soler J A
Centro de Salud El Palo, Unidad docente de Medicina Familiar y Comunitaria, Málaga.
Aten Primaria. 1999 Apr 30;23(7):425-8.
To proof that functional treatment is better than the orthopedic one in the slight ankle sprain.
Clinical trial.
A primary care center, a outpatient clinic and a teaching hospital in Malaga.
80 patients treated in emergence room for ankle ligament injuries. They were systematically sampled, 40 in each group of treatment.
Functional stabilization or elastic adhesive bandaging during 7 days without support. Immobilization after the acute phase permitting then the support. Orthopedic stabilization or subsequent ferule during 21 days, followed by ankle rehabilitation.
We compared the healing time, treatment acceptance, absent of work time and need of rehabilitation in both groups. Functional stability is more effective than the orthopedic one: 1.39 times better in terms of curing, 7 times in terms of personal hygiene, 4.25 times in terms of need of rest, 5.5 times better in terms of need of rehabilitation.
We confirm the initial hypothesis of the advantage of the functional treatment.
证明在轻度踝关节扭伤中，功能疗法优于矫形疗法。
临床试验。
马拉加的一家初级保健中心、一家门诊诊所和一家教学医院。
80例因踝关节韧带损伤在急诊室接受治疗的患者。采用系统抽样，每组治疗40例。
7天内进行功能稳定或弹性绷带包扎，无需支撑。急性期后固定，随后允许支撑。矫形稳定或随后使用护具21天，然后进行踝关节康复。
我们比较了两组的愈合时间、治疗接受度、缺勤时间和康复需求。功能稳定比矫形疗法更有效：治愈率高1.39倍，个人卫生方面高7倍，休息需求方面高4.25倍，康复需求方面高5.5倍。
我们证实了功能疗法具有优势的最初假设。
