Bassett Sandra F, Prapavessis Harry
School of Physiotherapy, Auckland University of Technology, Private Bag 92006, Auckland 1142, New Zealand.
Phys Ther. 2007 Sep;87(9):1132-43. doi: 10.2522/ptj.20060260. Epub 2007 Jul 3.
To some extent, favorable treatment outcomes for physical therapy intervention programs depend on patients attending their clinic appointments and adhering to the program requirements. Previous studies have found less-than-optimal levels of clinic attendance, and a viable option might be physical therapy intervention programs with a large component of home treatment. This study investigated the effects of a standard physical therapy intervention program--delivered primarily at either the clinic or home--on ankle function, rehabilitation adherence, and motivation in patients with ankle sprains.
Forty-seven people with acute ankle sprains who were about to start a course of physical therapy intervention participated in the study.
Using a prospective design, subjects were randomly assigned to either a clinic intervention group or a home intervention group. Ankle function and motivation were measured before and after rehabilitation, and adherence to the clinic- and home-based programs was measured throughout the study.
The groups had similar scores for post-treatment ankle function, adherence, and motivation. The home intervention group had a significantly higher percentage of attendance at clinic appointments and better physical therapy intervention program completion rate.
Home-based physical therapy intervention appears to be a viable option for patients with sprained ankles.
在一定程度上，物理治疗干预方案的良好治疗效果取决于患者按时到诊所就诊并遵守方案要求。以往研究发现诊所就诊率未达最佳水平，一个可行的选择可能是包含大量家庭治疗内容的物理治疗干预方案。本研究调查了主要在诊所或家中实施的标准物理治疗干预方案对踝关节扭伤患者踝关节功能、康复依从性和积极性的影响。
47名即将开始物理治疗干预疗程的急性踝关节扭伤患者参与了本研究。
采用前瞻性设计，将研究对象随机分为诊所干预组或家庭干预组。在康复前后测量踝关节功能和积极性，并在整个研究过程中测量对基于诊所和家庭的方案的依从性。
两组在治疗后踝关节功能、依从性和积极性方面得分相似。家庭干预组在诊所预约就诊的出勤率显著更高，物理治疗干预方案完成率也更高。
对于踝关节扭伤患者，家庭物理治疗干预似乎是一个可行的选择。
