Department of Physical Education, Yonsei University, Seoul, Republic of Korea; International Olympic Committee Research Centre KOREA, Seoul, Republic of Korea.
Department of Physical Education, Yonsei University, Seoul, Republic of Korea; International Olympic Committee Research Centre KOREA, Seoul, Republic of Korea; Institute of Convergence Science, Yonsei University, Seoul, Republic of Korea.
Phys Ther Sport. 2021 Sep;51:22-28. doi: 10.1016/j.ptsp.2021.06.006. Epub 2021 Jun 26.
To identify differences in patient-reported outcome questionnaires and spatiotemporal gait parameters during walking between individuals with and without chronic ankle instability (CAI) and to identify relationships between patient-oriented outcome and spatiotemporal gait parameters.
Twenty-four individuals with CAI and 24 controls were included in this study.
All participants completed the Foot and Ankle Ability Measure including the Activities of Daily Living and Sport Subscales, the Western Ontario and McMasters Universities Osteoarthritis Index (WOMAC), the Lower Extremity Functional Scale, and the Korean version of the EuroQol 5-Dimension (KEQ-5D). Participants walked in a laboratory setting to collect spatiotemporal gait parameter data.
All questionnaire scores from the male CAI group were lower than those from the control group. The female group yielded lower questionnaire scores than the controls, with an exception for KEQ-5D. The differences between the female CAI and female control groups in temporal gait parameters were significant. Correlations were observed between the WOMAC scores of the male participants and spatiotemporal gait parameters. In females, there were correlations between the patient-reported outcomes and spatiotemporal gait parameters.
CAI patients need treatment not only for ankle function but also lower extremity function and gait performance.
比较慢性踝关节不稳（CAI）患者与无 CAI 患者在行走过程中患者报告的结局问卷和时空步态参数的差异，并确定患者导向结局与时空步态参数之间的关系。
本研究纳入了 24 名 CAI 患者和 24 名对照者。
所有参与者均完成了足部和踝关节能力量表，包括日常生活活动和运动子量表、西安大略和麦克马斯特大学骨关节炎指数（WOMAC）、下肢功能量表和韩国版欧洲五维健康量表（KEQ-5D）。参与者在实验室环境中行走以收集时空步态参数数据。
男性 CAI 组的所有问卷评分均低于对照组。女性组的问卷评分低于对照组，除 KEQ-5D 外。女性 CAI 组与女性对照组之间的时间步态参数存在显著差异。男性参与者的 WOMAC 评分与时空步态参数之间存在相关性。在女性中，患者报告的结局与时空步态参数之间存在相关性。
CAI 患者不仅需要治疗踝关节功能，还需要治疗下肢功能和步态表现。
