标准物理治疗方案对 I 级踝关节扭伤患者疼痛及踝关节等速肌力的影响。
Effects of the standard physiotherapy programme on pain and isokinetic ankle strength in individuals with grade I ankle sprain.
作者信息
Mohd Salim Nor S, Umar Muhammad A, Shaharudin Shazlin
机构信息
Exercise & Sports Science Program, School of Health Sciences, Universiti Sains Malaysia, Kota Bharu, Malaysia.
出版信息
J Taibah Univ Med Sci. 2018 Nov 30;13(6):576-581. doi: 10.1016/j.jtumed.2018.10.007. eCollection 2018 Dec.
OBJECTIVES
The isokinetic evaluation of the ankle joint is important in determining the effectiveness of the rehabilitation programme for the management of ankle sprains. This study aimed to determine the effects of physiotherapy programme on isokinetic variables in individuals with grade I ankle sprains.
METHODS
Seven patients with acute grade 1 ankle sprain (15 days of ankle sprain) were recruited. They were provided with 7 days of protection, optimal loading, ice, compression, and elevation (POLICE) treatment, and the standard physiotherapy programme consisted of towel stretching and balancing exercises on one leg. Pain scale score was recorded daily during the physiotherapy programme. The isokinetic ankle strengths of the patient's injured and uninjured legs were compared before and after the physiotherapy programme. Isokinetic tests were conducted in painless range of motion for the injured leg.
RESULTS
Pain was significantly reduced after the patients underwent the standard physiotherapy programme. No significant differences were observed in terms of the ankle peak torque, time to peak torque, and ankle plantar flexion-to-dorsiflexion ratio of the injured and uninjured legs. The injured leg showed significant improvement in terms of ankle eversion-to-inversion ratio (E:I) after 7 days of performing the standard physiotherapy programme.
CONCLUSION
Performing the standard physiotherapy programme for 1 week reduces pain and improves the ankle E:I in patients with grade 1 ankle sprain.
目的
踝关节等速评估对于确定踝关节扭伤康复计划的有效性至关重要。本研究旨在确定物理治疗方案对Ⅰ级踝关节扭伤患者等速变量的影响。
方法
招募了7例急性Ⅰ级踝关节扭伤患者（踝关节扭伤15天）。为他们提供了7天的保护、最佳负荷、冰敷、加压和抬高（POLICE）治疗，标准物理治疗方案包括毛巾拉伸和单腿平衡练习。在物理治疗方案实施期间每天记录疼痛量表评分。比较患者受伤腿和未受伤腿在物理治疗方案前后的等速踝关节力量。对受伤腿在无痛运动范围内进行等速测试。
结果
患者接受标准物理治疗方案后疼痛明显减轻。受伤腿和未受伤腿在踝关节峰值扭矩、达到峰值扭矩的时间以及踝关节跖屈与背屈比值方面未观察到显著差异。在执行标准物理治疗方案7天后，受伤腿在踝关节外翻与内翻比值（E:I）方面有显著改善。
结论
对Ⅰ级踝关节扭伤患者实施标准物理治疗方案1周可减轻疼痛并改善踝关节E:I。
Zotero 插件