功能性治疗与巴黎石膏治疗1级和2级外侧踝关节扭伤的疗效评估。

Assessment of functional treatment versus plaster of Paris in the treatment of grade 1 and 2 lateral ankle sprains.

作者信息

Naeem Muhammad, Rahimnajjad Muhammad Kazim, Rahimnajjad Nasir Ali, Idrees Zaki, Shah Ghazanfar Ali, Abbas Ghulam

机构信息

, B-8, Akbar Apartments, Bleak House Road, Civil Lines, Cantt. Karachi, Karachi, 74200, Pakistan,

出版信息

J Orthop Traumatol. 2015 Mar;16(1):41-6. doi: 10.1007/s10195-014-0289-8. Epub 2014 Mar 27.

DOI:10.1007/s10195-014-0289-8

PMID:24671488

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4348498/

Abstract

BACKGROUND

Despite the common occurrence of ankle sprains, no treatment is considered to be the gold standard for the management of such sprains. We assessed functional treatment versus plaster of Paris (POP) for the treatment of lateral ankle sprains, with pain and function employed as the outcome measures.

MATERIALS AND METHODS

126 Patients were eligible for inclusion. They were assigned to either the functional treatment Tubigrip (TG) group or the POP group after applying block randomization. Characteristics such as age, dominant ankle, and gender were assessed at baseline. Pain and functional assessments were done using the visual analog scale (VAS) and the Karlsson score (KS) at baseline (at the start of the study) and during the 2nd and 6th weeks, respectively. Data on other subjective parameters, such as the number of painkillers used, the number of days taken off work, and the number of sleepless nights, were requested from the patients at the end of the study. SPSS version 16 was used for analysis, and p < 0.05 was taken to indicate significance.

RESULTS

60 Patients completed the trial in each group. The mean ages were 28.77 ± 6.72 in the TG group and 29.83 ± 6.30 in the POP group (p = 0.034). There was a slight female predominance. Right and left ankles were equally involved in the TG group, while left ankles were mainly involved in the POP group. Mean differences in VAS and KS between the two groups were statistically significant at the end of the study. The mean number of painkillers used by the patients in the TG group was higher than the number used in the POP group (p < 0.001). The mean number of days taken off work was 4.18 ± 1.73 days in the TG group, and 6.25 ± 2.73 days in the POP group (p < 0.001). The mean number of sleepless nights was higher in the POP group.

CONCLUSION

The results of our study indicate that functional treatment provides better functional support and pain reduction than a below-knee POP cast.

LEVEL OF EVIDENCE

Level I.

摘要

背景

尽管踝关节扭伤很常见，但目前尚无一种治疗方法被视为此类扭伤管理的金标准。我们评估了功能治疗与石膏固定（POP）治疗外侧踝关节扭伤的效果，以疼痛和功能作为结局指标。

材料与方法

126例患者符合纳入标准。采用区组随机化方法将他们分为功能治疗弹力绷带（TG）组或POP组。在基线时评估年龄、优势踝和性别等特征。分别在基线（研究开始时）、第2周和第6周使用视觉模拟量表（VAS）和卡尔松评分（KS）进行疼痛和功能评估。在研究结束时向患者询问其他主观参数的数据，如使用止痛药的数量、休假天数和失眠夜数。使用SPSS 16版进行分析，p<0.05表示有统计学意义。

结果

每组各有60例患者完成试验。TG组的平均年龄为28.77±6.72岁，POP组为29.83±6.30岁（p = 0.034）。女性略占优势。TG组左右踝受累程度相同，而POP组主要是左踝受累。研究结束时，两组之间VAS和KS的平均差异具有统计学意义。TG组患者使用止痛药的平均数量高于POP组（p<0.001）。TG组的平均休假天数为4.18±1.73天，POP组为6.25±2.73天（p<0.001）。POP组的平均失眠夜数更多。