Mojza Karolina, Krzak Krzysztof, Bączkowicz Dawid
Wydział Fizjoterapii, Akademia Wychowania Fizycznego we Wrocławiu, Polska / Faculty of Physiotherapy, University School of Physical Education in Wrocław, Poland.
Zakład Usprawniania Leczniczego "Bądź Zdrów" w Opolu, Polska / Rehabilitation Center "Bądź Zdrów" in Opole, Poland.
Ortop Traumatol Rehabil. 2018 Dec 31;20(6):455-463. doi: 10.5604/01.3001.0012.8392.
Ankle sprains can lead to functional deficits. However, few papers have investigated deficits following a single lateral ankle sprain as either assessed subjectively by the patient (e.g., with questionnaires) or measured objectively (e.g., by evaluation of postural stability). This paper aims to provide subjective and objective assessment of functional status in athletes after a single lateral ankle sprain.
A lateral ankle sprain group (LAS) consisted of 20 athletes after a single lateral ankle sprain (mean age 23 ± 1.78 years). A control group (CTRL) comprised 20 athletes with no history of injury (mean age 22.5 ± 2.67 years). Subjective assessment was based on the Foot and Ankle Disability Index questionnaire (FADI-Q). A Biodex Balance System SD dynamic platform was used to assess postural stability. Static and dynamic testing was performed in single-leg stance.
Statistically significant differences were noted during the comparison of the LAS and CTRL groups in FADI-Q in the following parts: FADI (p=0,017) and FADI TOTAL (p=0,049). Moreover, statistically significant differences were noted in the LAS group between subjects with instability (N-STAB) and without instability (STAB) of the ankle in the parts FADI (p=0,006), FADI SPORT (p=0,011) and FADI TOTAL (p=0,002). During static and dynamic postural stability testing, no significant differences were found between sprained and healthy limbs, between the LAS and CTRL groups, or between the STAB and N-STAB groups.
踝关节扭伤可导致功能缺陷。然而，很少有论文研究单次外侧踝关节扭伤后的功能缺陷，无论是通过患者主观评估（如使用问卷）还是客观测量（如通过姿势稳定性评估）。本文旨在对单次外侧踝关节扭伤后的运动员功能状态进行主观和客观评估。
外侧踝关节扭伤组（LAS）由20名单次外侧踝关节扭伤的运动员组成（平均年龄23±1.78岁）。对照组（CTRL）由20名无损伤史的运动员组成（平均年龄22.5±2.67岁）。主观评估基于足踝残疾指数问卷（FADI-Q）。使用Biodex Balance System SD动态平台评估姿势稳定性。在单腿站立时进行静态和动态测试。
在LAS组和CTRL组的FADI-Q比较中，以下部分存在统计学显著差异：FADI（p=0.017）和FADI总分（p=0.049）。此外，在LAS组中，踝关节不稳定（N-STAB）和无不稳定（STAB）的受试者在FADI（p=0.006）、FADI运动（p=0.011）和FADI总分（p=0.002）部分存在统计学显著差异。在静态和动态姿势稳定性测试中，扭伤肢体与健康肢体之间、LAS组与CTRL组之间或STAB组与N-STAB组之间均未发现显著差异。
