踝关节不稳作为与踝关节扭伤复发相关的预后因素：系统评价。

Ankle instability as a prognostic factor associated with the recurrence of ankle sprain: A systematic review.

机构信息

Department of Health and Social Services, Graduate School of Saitama Prefectural University, Saitama, Japan.

Department of Physical Therapy, School of Health and Social Services, Saitama Prefectural University, Saitama, Japan.

出版信息

Foot (Edinb). 2023 Mar;54:101963. doi: 10.1016/j.foot.2023.101963. Epub 2023 Jan 18.

DOI:10.1016/j.foot.2023.101963

PMID:36709590

Abstract

DESIGN

Systematic review using PRISMA guidelines.

PURPOSE

To explore Relationship between ankle instability and ankle sprain recurrence in preventing recurrence of ankle sprains and to provide appropriate treatment.

METHODS

MEDLINE (the Cochrane Library) and the Physiotherapy Evidence Database (PEDro) were explored using key words related to ankle instability and ankle sprains in for April 2022. According to the inclusion criteria, studies that 1) targeted patients with ankle sprains, 2) assessed ankle instability, and 3) investigated ankle sprain recurrence rates, were extracted. The author names, publication year, patient characteristics, comparison groups, intervention methods, and outcome data (ankle instability and recurrence) were extracted. A correlation analysis between recurrence rate and ankle instability was conducted. In addition, A meta-analysis was performed on the correlation coefficients within each article.

RESULTS

Eight studies were extracted from 149 studies. A correlation analysis was conducted on five studies and meta-analysis was on three studies with the same post-intervention follow-up period and the same assessment methods for ankle instability and recurrence rate. Strong positive correlations were found for the same follow-up periods (r = 0.95: 95%CI [0.62-0.99]; 3-month, r = 0.97: 95%CI [0.75-0.10]; 1 year, p < .05). The correlation became stronger as the follow-up period increased. Furthermore, the meta-analysis showed that ankle instability as well as the main symptoms of sprain, such as pain and swelling, tended to be positively correlated with the recurrent rate of ankle sprains. These results suggest that ankle instability is strongly related to recurrence, and the longer the time since onset, the stronger the relationship.

CONCLUSIONS

Ankle instability was a prognostic factor associated with recurrence of ankle sprains in patients with ankle sprains. Therefore, ankle instability is one of important factor in preventing recurrence of ankle sprains.

摘要

设计

系统综述，采用 PRISMA 指南。

目的

探讨踝关节不稳与踝关节扭伤复发的关系，为预防踝关节扭伤复发提供合适的治疗方法。

方法

使用与踝关节不稳和踝关节扭伤相关的关键词，对 MEDLINE（Cochrane 图书馆）和物理治疗证据数据库（PEDro）进行检索，检索时间截至 2022 年 4 月。根据纳入标准，提取 1）针对踝关节扭伤患者，2）评估踝关节不稳，3）调查踝关节扭伤复发率的研究。提取作者姓名、出版年份、患者特征、对照组、干预方法和结局数据（踝关节不稳和复发）。对复发率与踝关节不稳之间的相关性进行分析。此外，对每篇文章中具有相同干预后随访期和踝关节不稳及复发率评估方法的相关性系数进行 meta 分析。

结果

从 149 项研究中提取出 8 项研究。对 5 项研究进行相关性分析，对具有相同干预后随访期和踝关节不稳及复发率评估方法的 3 项研究进行 meta 分析。对于相同的随访期，发现了强烈的正相关（r=0.95：95%CI [0.62-0.99]；3 个月，r=0.97：95%CI [0.75-0.10]；1 年，p<0.05）。随着随访时间的延长，相关性增强。此外，meta 分析表明，踝关节不稳以及扭伤的主要症状，如疼痛和肿胀，与踝关节扭伤的复发率呈正相关。这些结果表明，踝关节不稳与复发密切相关，且发病时间越长，两者之间的关系越强。