School of Paramedical Science, 37552Mashhad University of Medical Sciences, Mashhad, Iran.
Orthopaedic Research Center, 37552Mashhad University of Medical Sciences, Mashhad, Iran.
Clin Rehabil. 2023 Mar;37(3):362-372. doi: 10.1177/02692155221134993. Epub 2022 Nov 4.
To compare the effects of ankle integral and conventional physiotherapy on pain, range of motion, balance, disability, and treatment effectiveness in patients with chronic ankle instability (CAI).
Two-arm, parallel-group, randomized, double-blind, controlled trial.
60 patients with unilateral CAI.
integral physiotherapy (n = 30) or conventional physiotherapy (n = 30).
Visual Analog Scale (VAS), dorsiflexion and plantarflexion range of motion, Star Excursion Balance Test (SEBT), Single Leg Hop (SLH) test, Foot and Ankle Outcome Score (FAOS), Lower Extremity Functional Score (LEFS), global rating of change, were gathered pre and post-intervention.
The ANOVA results revealed statistically significant interaction for FAOS, and LEFS outcome measures ( < 0.05) and the mean change results showed there were a favorable clinical difference incline toward the integral group (mean = 20.14 (14.95-25.37), mean = 29.46 (24.09-34.83)). There were no interactions between group and time among other outcome measures ( > 0.05). The group main effect did not show any statistical significance ( > 0.05).
Hip strengthening and balance exercises added to ankle rehabilitation could be more favorable on improving the patients' functional ability.
比较踝关节整体治疗和常规物理治疗对慢性踝关节不稳（CAI）患者疼痛、活动范围、平衡、残疾和治疗效果的影响。
双臂、平行组、随机、双盲、对照试验。
60 名单侧 CAI 患者。
整体物理治疗（n=30）或常规物理治疗（n=30）。
视觉模拟评分（VAS）、背屈和跖屈活动范围、星型偏移平衡测试（SEBT）、单腿跳跃（SLH）测试、足踝结果评分（FAOS）、下肢功能评分（LEFS）、整体变化评分在干预前后均有收集。
方差分析结果显示 FAOS 和 LEFS 结果测量存在统计学显著的交互作用（<0.05），平均变化结果显示整体组有更有利的临床改善倾向（均值=20.14（14.95-25.37），均值=29.46（24.09-34.83））。其他结果测量指标中没有组间和时间的交互作用（>0.05）。组间主要效应没有统计学意义（>0.05）。
在踝关节康复中增加髋关节强化和平衡练习可能更有利于改善患者的功能能力。
