Medstar Health Physical Therapy, MD.
Georgetown University, School of Medicine.
Sports Med Arthrosc Rev. 2021 Jun 1;29(2):146-152. doi: 10.1097/JSA.0000000000000304.
Chronic lateral ankle instability often causes adults to require a surgical intervention with subsequent physical therapy to assist with returning to their prior level of function. This systematic review is hoping to provide an up to date understanding of surgical procedures performed to correct chronic lateral ankle instability and establish a protocol for others to follow when treating adults who are status-post chronic lateral ankle instability surgery. This review looked at level I to III research studies that included surgical interventions to correct chronic lateral ankle instability as well as a rehabilitation protocol. This study found implementation of a rehabilitation protocol after surgical intervention could improve balance and subjective functional outcomes. It also determined that early weight-bearing may allow for early strengthening as range of motion returns faster. Further research is required utilizing larger randomized studies to better evaluate the outcomes of specific rehabilitation protocols in this patient population.
慢性外侧踝关节不稳定常导致成年人需要手术干预,随后进行物理治疗以帮助恢复到之前的功能水平。本系统评价旨在提供最新的理解,了解手术治疗慢性外侧踝关节不稳定的方法,并为治疗慢性外侧踝关节不稳定手术后的成年人制定一个治疗方案。本研究回顾了 I 级至 III 级研究,包括手术干预以纠正慢性外侧踝关节不稳定和康复方案。这项研究发现,手术后实施康复方案可以改善平衡和主观功能结果。它还确定,早期负重可以允许更快地恢复运动范围时早期加强。需要进一步利用更大的随机研究来更好地评估特定康复方案在该患者人群中的结果。