评估慢性踝关节不稳定患者的结局:功能表现测试测量身体功能和感知不稳定缺陷的能力。

Assessing Outcomes in People With Chronic Ankle Instability: The Ability of Functional Performance Tests to Measure Deficits in Physical Function and Perceived Instability.

出版信息

J Orthop Sports Phys Ther. 2018 May;48(5):372-380. doi: 10.2519/jospt.2018.7514. Epub 2018 Mar 30.

Abstract

Study Design Laboratory-based, cross-sectional study. Background Functional performance tests (FPTs) assess short bouts of unilateral hops for either distance or speed. More research is needed to identify specific FPTs that may be useful for measuring asymmetry outcomes related to functional performance and perceived instability deficits in individuals with chronic ankle instability (CAI). Objectives To identify FPTs that are sensitive to subjective and objective deficits associated with CAI. Methods Twenty-four subjects with unilateral CAI (10 male, 14 female; mean ± SD age, 20.7 ± 3.0 years) and 24 healthy, matched controls (10 male, 14 female; age, 20.1 ± 2.6 years) completed 5 unilateral FPTs in random order. Mean FPT scores and functional symmetry percentages were calculated and compared between groups using 2 separate 1-way multivariate analyses of variance (MANOVAs). Perceived instability symmetry percentages were compared between groups using a Mann-Whitney U analysis. Results There were no differences in the mean FPT scores (P>.05) or functional symmetry percentages (P>.05) between groups for any of the 5 FPTs. However, participants with CAI perceived greater instability when using their involved limb during the side hop (P = .02), 6-meter crossover hop (P = .003), lateral hop (P = .007), and figure-of-eight hop (P = .008). Conclusion There were no differences in mean functional scores between groups for all 5 FPTs, and each group performed symmetrically. Regardless, administering a visual analog scale following the completion of the side hop, 6-meter crossover hop, lateral hop, and figure-of-eight hop tests captures subjective reports of perceived instability in the involved limb that can be compared bilaterally throughout treatment. J Orthop Sports Phys Ther 2018;48(5):372-380. Epub 30 Mar 2018. doi:10.2519/jospt.2018.7514.

摘要

研究设计

基于实验室的横断面研究。

背景

功能性能测试(FPT)评估单侧跳跃的短时间距离或速度。需要更多的研究来确定特定的 FPT,这些 FPT 可能有助于测量与慢性踝关节不稳定(CAI)相关的功能表现和感知不稳定缺陷的不对称结果。

目的

确定对与 CAI 相关的主观和客观缺陷敏感的 FPT。

方法

24 名单侧 CAI 患者(10 名男性,14 名女性;平均年龄±标准差,20.7±3.0 岁)和 24 名健康、匹配的对照组(10 名男性,14 名女性;年龄,20.1±2.6 岁)按随机顺序完成 5 项单侧 FPT。使用 2 个单独的 1 路多元方差分析(MANOVA)比较组间平均 FPT 得分和功能对称性百分比。使用 Mann-Whitney U 分析比较组间感知不稳定对称性百分比。

结果

在任何 5 项 FPT 中,组间的平均 FPT 得分(P>.05)或功能对称性百分比(P>.05)均无差异。然而,患有 CAI 的参与者在使用受影响的肢体进行侧跳(P =.02)、6 米交叉跳(P =.003)、侧跳(P =.007)和八字跳(P =.008)时感知到更大的不稳定。

结论

在所有 5 项 FPT 中,组间的平均功能得分均无差异,且两组均表现出对称性。尽管如此,在完成侧跳、6 米交叉跳、侧跳和八字跳测试后,通过视觉模拟量表评估受影响肢体的感知不稳定情况,可在整个治疗过程中双侧比较。

J Orthop Sports Phys Ther 2018;48(5):372-380. Epub 30 Mar 2018. doi:10.2519/jospt.2018.7514.

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