Burger M, Dreyer D, Fisher R L, Foot D, O'Connor D H, Galante M, Zalgaonkir S
J Back Musculoskelet Rehabil. 2018;31(2):221-229. doi: 10.3233/BMR-170804.
Ankle sprains are common musculoskeletal injuries in which the ligaments of the ankle partially or completely tear due to sudden stretching.
To critically appraise, evaluate and establish the best available evidence to determine the effectiveness of proprioceptive and neuromuscular training (PNT) compared to bracing in reducing the recurrence rate of ankle sprains in athletes.
The following seven databases were searched in June 2017: PubMed, Cochrane Library, PEDro, ScienceDirect, Scopus, SPORTDiscus, EBSCO Host: CINAHL. The main search terms used were "ankle sprains", "proprioceptive training", "neuromuscular training" and "bracing". The quality of the trials were critically appraised according to the PEDro scale. The RevMan 5© software was used to pool results.
Three studies met the inclusion criteria and the quality according to the PEDro scale ranged from 4/10-7/10. The pooled data showed no difference between PNT and bracing in reducing the recurrence rate of ankle sprains in athletes at 12 months after initiation of the study.
This systematic review of the overall effect suggested that current evidence (Level II) does not favour the use of PNT over bracing in reducing the recurrence rate of ankle sprains. Physiotherapists are advised to use either PNT or bracing according to the patients preference and their own expertise.
踝关节扭伤是常见的肌肉骨骼损伤，踝关节韧带因突然拉伸而部分或完全撕裂。
严格评估、评价并确立最佳现有证据，以确定与支具相比，本体感觉和神经肌肉训练（PNT）在降低运动员踝关节扭伤复发率方面的有效性。
2017年6月检索了以下七个数据库：PubMed、Cochrane图书馆、PEDro、ScienceDirect、Scopus、SPORTDiscus、EBSCO主机：CINAHL。使用的主要检索词为“踝关节扭伤”“本体感觉训练”“神经肌肉训练”和“支具”。根据PEDro量表对试验质量进行严格评估。使用RevMan 5©软件汇总结果。
三项研究符合纳入标准，根据PEDro量表，质量范围为4/10 - 7/10。汇总数据显示，在研究开始12个月后，PNT和支具在降低运动员踝关节扭伤复发率方面没有差异。
这项关于总体效果的系统评价表明，目前的证据（二级）不支持在降低踝关节扭伤复发率方面使用PNT优于支具。建议物理治疗师根据患者的偏好和自身专业知识使用PNT或支具。
