Lazarou Lazaros, Kofotolis Nikolaos, Pafis Georgios, Kellis Eleftherios
J Back Musculoskelet Rehabil. 2018;31(3):437-446. doi: 10.3233/BMR-170836.
BACKGROUND: Following ankle sprain, residual symptoms are often apparent, and proprioceptive training is a treatment approach. Evidence, however, is limited and the optimal program has to be identified. OBJECTIVE: To investigate the effects of two post-acute supervised proprioceptive training programs in individuals with ankle sprain. METHODS: Participants were recruited from a physiotherapy center for ankle sprain rehabilitation. In a pre-post treatment, blinded-assessor design, 22 individuals were randomly allocated to a balance or a proprioceptive neuromuscular facilitation (PNF) group. Both groups received 10 rehabilitation sessions, within a six-week period. Dorsiflexion range of motion (ROM), pain, functional and balance performance were assessed at baseline, at the end of training and eight weeks after training. RESULTS: Follow-up data were provided for 20 individuals. Eight weeks after training, statistically significant (p< 0.017) improvements were found in dorsiflexion ROM and most functional performance measures for both balance and PNF groups. Eight weeks after training, significant (p< 0.017) improvements in the frontal plane balance test and pain were observed for the balance group. CONCLUSIONS: Balance and PNF programs are recommended in clinical practice for improving ankle ROM and functional performance in individuals with sprain. Balance programs are also recommended for pain relief.
背景:踝关节扭伤后,残留症状往往很明显,本体感觉训练是一种治疗方法。然而,证据有限,必须确定最佳方案。 目的:研究两种急性后期监督下的本体感觉训练方案对踝关节扭伤患者的影响。 方法:从一家踝关节扭伤康复理疗中心招募参与者。在一项治疗前后、评估者盲法设计中,22名个体被随机分配到平衡训练组或本体感觉神经肌肉促进(PNF)训练组。两组均在六周内接受10次康复治疗。在基线、训练结束时和训练后八周评估背屈活动范围(ROM)、疼痛、功能和平衡表现。 结果:为20名个体提供了随访数据。训练八周后,平衡训练组和PNF训练组的背屈ROM以及大多数功能表现指标均有统计学显著改善(p<0.017)。训练八周后,平衡训练组在额面平衡测试和疼痛方面有显著改善(p<0.017)。 结论:临床实践中推荐平衡训练和PNF训练方案,以改善扭伤患者的踝关节ROM和功能表现。平衡训练方案也推荐用于缓解疼痛。
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