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复发性和首次踝关节扭伤的疼痛程度、活动范围和足部体积无差异。

Pain Level, Range of Motion, and Foot Volume Do Not Differ in Recurrent and First-Time Ankle Sprains.

作者信息

Weerasekara Ishanka, Tennakoon Sampath U B, Suraweera Hilary J

机构信息

Department of Physiotherapy, Faculty of Allied Health Sciences (IW), University of Peradeniya, Peradeniya, Sri Lanka.

Department of Community Medicine, Faculty of Medicine (SUBT), University of Peradeniya, Peradeniya, Sri Lanka.

出版信息

Foot Ankle Spec. 2020 Apr;13(2):116-122. doi: 10.1177/1938640019843331. Epub 2019 Apr 15.

Abstract

. This study aims to describe the clinical features in terms of pain perception, ankle range of motion, and foot volume in participants with recurrent ankle sprains compared with first-time sprains. . Individuals with grade I and II ankle sprains were referred to physiotherapy care for further rehabilitation by their general practitioner. Primary outcome measures were range of movement, pain, and foot volume. Recurrences were described according to engagement in sport. . A total of 115 participants were recruited (age = 22.2 ± 6.9 years; female, 84). Neither pain level (P = .822), nor range of motion (dorsiflexion P = .452; plantar flexion P = .436; inversion P = .383; eversion P = .657), nor foot volume (P = .654) were significantly different between the groups: individuals with first-time sprain or with recurrences. . Pain and high existence of other lower-limb injuries were reported disregarding the presence of a recurrence. Clinically, it is difficult to differentiate recurrent sprain from a first-time ankle sprain by means of foot volume, range of movement, or pain intensity.

摘要

本研究旨在描述复发性踝关节扭伤参与者与首次扭伤参与者在疼痛感知、踝关节活动范围和足部体积方面的临床特征。I级和II级踝关节扭伤患者由其全科医生转介接受物理治疗以进行进一步康复。主要结局指标为活动范围、疼痛和足部体积。根据运动参与情况描述复发情况。共招募了115名参与者(年龄=22.2±6.9岁;女性84名)。两组之间的疼痛程度(P=0.822)、活动范围(背屈P=0.452;跖屈P=0.436;内翻P=0.383;外翻P=0.657)和足部体积(P=0.654)均无显著差异:首次扭伤或复发的个体。无论是否复发,均报告有疼痛和其他下肢损伤的高发生率。临床上,很难通过足部体积、活动范围或疼痛强度将复发性扭伤与首次踝关节扭伤区分开来。

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