Rose A, Lee R J, Williams R M, Thomson L C, Forsyth A
Fitness Assessment and Sports Injuries Centre, University of Edinburgh, United Kingdom.
Br J Sports Med. 2000 Oct;34(5):352-8. doi: 10.1136/bjsm.34.5.352.
To measure objectively functional standing balance in the acute stages of non-contact ankle sprain, and to compare patients with controls.
A Chattanooga balance machine was used to measure postural stability in patients with acute ankle sprain and uninjured controls over a two week period, in one and two legged stance, with eyes open and closed. Participants also completed the Olerud and Molander questionnaire to provide a subjective measure of ankle function.
There was a highly significant improvement in questionnaire scores for the patients during the study period (p<0.0001). Patients appeared to be less stable than controls in all balance tests, although the difference did not reach significance. There was evidence of improvement over time in the number of tests successfully completed on the injured leg in single legged stance with eyes closed (p = 0.043) between visits 1 and 3.
The patient group showed a subjective improvement, which supports clinical experience of treating acute ankle injuries. There is some evidence that on average the patient group appeared to be less stable than controls in all balance tests, although the difference did not reach statistical significance, even on the uninjured leg. There is a need to carry out further studies to confirm the results found in this pilot study and to investigate the hypotheses generated. It would be useful to evaluate a simple test that could be used clinically to monitor progress after ankle injury, and also to identify athletes with decreased functional stability, who may be more at risk of sustaining ankle injury.
客观测量非接触性踝关节扭伤急性期的功能性站立平衡，并将患者与对照组进行比较。
使用查塔努加平衡仪，在两周时间内，对急性踝关节扭伤患者和未受伤的对照组进行单腿和双腿站立、睁眼和闭眼状态下的姿势稳定性测量。参与者还完成了奥勒鲁德和莫兰德问卷，以提供踝关节功能的主观测量。
在研究期间，患者的问卷得分有极显著改善（p<0.0001）。在所有平衡测试中，患者似乎比对照组更不稳定，尽管差异未达到显著水平。有证据表明，在第1次和第3次就诊之间，单腿站立闭眼时受伤腿成功完成测试的次数随时间有所改善（p = 0.043）。
患者组有主观改善，这支持了治疗急性踝关节损伤的临床经验。有一些证据表明，平均而言，在所有平衡测试中患者组似乎比对照组更不稳定，尽管差异未达到统计学显著水平，即使在未受伤的腿上也是如此。需要进行进一步研究以证实本初步研究的结果并调查所产生的假设。评估一种可在临床上用于监测踝关节损伤后进展情况的简单测试，并识别功能稳定性下降、可能更易发生踝关节损伤的运动员，将是有益的。
