Kim Kewwan, Jeon Kyoungkyu
Division of Sport Science, Incheon National University, Republic of Korea.
Sport Science Institute, Incheon National University, Republic of Korea.
J Phys Ther Sci. 2016 May;28(5):1443-7. doi: 10.1589/jpts.28.1443. Epub 2016 May 31.
[Purpose] The aim of the present study was to construct an integrated rehabilitation exercise program to prevent chronic pain and improve motor ability in cases of ankle injury and re-injury. [Subjects and Methods] Twenty-six male soccer players who required functional strength exercises due to repeated ankle injury were the subjects. A 12-week rehabilitation exercise program was constructed with the aim of improving muscle strength in the ankle and dynamic coordination of the lower limb. Muscle strength and dynamic coordination were evaluated using the Y Balance Test, and isokinetic muscle strength of ankle dorsiflexion, plantarflexion, inversion, and eversion were measured before and after the 12-week program. [Results] Following 12 weeks of rehabilitation exercise, there were statistically significant improvements in the ratios of dorsiflexor strength to plantarflexor strength, eversion strength, and inversion strength on the left side. The other variables showed no significant changes. [Conclusion] The rehabilitation exercise program for chronic ankle instability helped to reduce pain, and to restore normal joint range of motion, muscle strength and endurance, and functional ability. Active protocols to improve complex functions need to be developed to complement these results.
[目的] 本研究旨在构建一个综合康复锻炼计划，以预防踝关节损伤和再次损伤后的慢性疼痛，并提高运动能力。[对象与方法] 选取26名因反复踝关节损伤而需要进行功能力量训练的男性足球运动员作为研究对象。构建了一个为期12周的康复锻炼计划，旨在增强踝关节肌肉力量和改善下肢动态协调性。使用Y平衡测试评估肌肉力量和动态协调性，并在12周训练计划前后测量踝关节背屈、跖屈、内翻和外翻的等速肌力。[结果] 经过12周的康复锻炼，左侧背屈肌力量与跖屈肌力量之比、外翻力量和内翻力量有统计学意义的改善。其他变量无显著变化。[结论] 慢性踝关节不稳的康复锻炼计划有助于减轻疼痛，恢复正常关节活动范围、肌肉力量和耐力以及功能能力。需要制定积极的方案来改善复杂功能，以补充这些结果。
