外侧踝关节扭伤与慢性踝关节不稳：一项批判性综述。

Lateral Ankle Sprain and Chronic Ankle Instability: A Critical Review.

作者信息

Kobayashi Takumi, Gamada Kazuyoshi

机构信息

Department of Physical Therapy, Hokkaido Chitose Institute of Rehabilitation Technology, Hokkaido, Japan (TK)Department of Rehabilitation, Hiroshima International University, Hiroshima, Japan (KG).

Department of Physical Therapy, Hokkaido Chitose Institute of Rehabilitation Technology, Hokkaido, Japan (TK)Department of Rehabilitation, Hiroshima International University, Hiroshima, Japan (KG)

出版信息

Foot Ankle Spec. 2014 Aug 1;7(4):298-326. doi: 10.1177/1938640014539813. Epub 2014 Jun 24.

DOI:10.1177/1938640014539813

PMID:24962695

Abstract

UNLABELLED

Many studies investigated the contributing factors of chronic ankle instability, but a consensus has not yet been obtained. The objective of this critical review is to provide recent scientific evidence on chronic ankle instability, including the epidemiology and pathology of lateral ankle sprain as well as the causative factors of chronic ankle instability. We searched MEDLINE from 1964 to December 2013 using the terms ankle, sprain, ligament, injury, chronic, functional, mechanical, and instability. Lateral ankle sprain shows a very high recurrence rate and causes considerable economic loss due to medical care, prevention, and secondary disability. During the acute phase, patients with ankle sprain demonstrate symptoms such as pain, range of motion deficit, postural control deficit, and muscle weakness, and these symptoms may persist, leading to chronic ankle instability. Although some agreement regarding the effects of chronic ankle instability with deficits in postural control and/or concentric eversion strength exists, the cause of chronic ankle instability remains controversial.

LEVELS OF EVIDENCE

Therapeutic Level IV: Review of Level IV studies.

摘要

未标注

许多研究探讨了慢性踝关节不稳的相关因素，但尚未达成共识。本综述的目的是提供有关慢性踝关节不稳的最新科学证据，包括外侧踝关节扭伤的流行病学和病理学以及慢性踝关节不稳的致病因素。我们使用“踝关节”“扭伤”“韧带”“损伤”“慢性”“功能”“机械”和“不稳”等关键词，检索了1964年至2013年12月期间的MEDLINE数据库。外侧踝关节扭伤复发率极高，且因医疗护理、预防和继发性残疾造成了可观的经济损失。在急性期，踝关节扭伤患者会出现疼痛、活动范围受限、姿势控制缺陷和肌肉无力等症状，这些症状可能持续存在，导致慢性踝关节不稳。尽管对于慢性踝关节不稳与姿势控制缺陷和/或同心外翻力量不足之间的关系存在一些共识，但慢性踝关节不稳的原因仍存在争议。