Postgraduate Program in Rehabilitation Sciences, Laboratory of Evaluation and Rehabilitation of Locomotive Apparatus, Federal University of Santa Catarina/UFSC, Araranguá, Santa Catarina, Brazil; Laboratory of Evaluation and Rehabilitation of Locomotive Apparatus, Federal University of Santa Catarina/UFSC, Araranguá, Santa Catarina, Brazil.
Postgraduate Program in Rehabilitation and Functional Performance, Medical School of Ribeirão Preto/USP, Ribeirão Preto, SP, Brazil.
Gait Posture. 2023 Mar;101:60-65. doi: 10.1016/j.gaitpost.2023.01.020. Epub 2023 Jan 26.
A sprain describes an excessive amount of force or strain on a ligament, which may or may not lead to its rupture. Orthoses are among the most common modalities prescribed as a conservative treatment for ankle instability and sprain.
We aimed to analyse the effect of neoprene orthosis on the balance and functionality of healthy individuals and volunteers with lateral ankle sprains METHODS: We evaluated 12 healthy volunteers (control group) and 12 volunteers diagnosed with a sprain and/or instability (patient group). A total of 14 men and 10 women participated in the study, with an average age of 26.15 (± 4.40) years. The volunteers' tasks consisted of performing vertical bipodal and unipodal jumps on a force platform, which were recorded in a video from the lateral view of the lower limb for posterior evaluation of the knee and ankle angles. Mann-Whitney and Wilcoxon tests were used for comparisons, considering p < 0.05 level of significance.
The control group presented a decrease in ground reaction force when using Orthosis during the bipodal jump (p < 0.05). A decrease in anteroposterior force displacement was also observed in the left unipodal jump (p < 0.01). The patient group presented an increase in force and moment of medial-lateral displacement for both bipodal (p < 0.02) and left unipodal jumps with Orthosis (p < 0.02). A kinematic analysis showed that the control group presented the smallest knee flexion angle (p < 0.01), while the patient group presented the smallest dorsiflexion ankle angle in the bipodal jump when using orthosis (p < 0.01).
We concluded that orthosis had influence on individuals' balance and joint angles. In healthy individuals presented better balance with and without orthosis and greater flexion with orthosis in the bipodal jump, regarding to the patient group presented smaller oscillations in the unipodal jump with orthosis and showed smaller knee flexion and ankle dorsiflexion.
扭伤是指韧带受到过度的力或张力,可能导致韧带撕裂。矫形器是治疗踝关节不稳定和扭伤的最常见保守治疗方法之一。
我们旨在分析氯丁橡胶矫形器对健康个体和外侧踝关节扭伤/不稳定志愿者平衡和功能的影响。
我们评估了 12 名健康志愿者(对照组)和 12 名被诊断为扭伤和/或不稳定的志愿者(患者组)。共有 14 名男性和 10 名女性参与了这项研究,平均年龄为 26.15(±4.40)岁。志愿者的任务包括在力量平台上进行垂直双足和单足跳跃,从下肢的侧视图录制视频,以便对膝盖和脚踝角度进行后向评估。采用 Mann-Whitney 和 Wilcoxon 检验进行比较,以 p < 0.05 为显著性水平。
对照组在双足跳跃时使用矫形器时地面反作用力减小(p < 0.05)。左单足跳跃时前-后力位移也减小(p < 0.01)。患者组在双足和左单足跳跃时,使用矫形器时,内侧-外侧力和力矩均增加(p < 0.02)。运动学分析显示,对照组的膝关节屈曲角度最小(p < 0.01),而患者组在双足跳跃时使用矫形器时踝关节背屈角度最小(p < 0.01)。
我们得出结论,矫形器对个体的平衡和关节角度有影响。在健康个体中,无论是否使用矫形器,平衡都更好,双足跳跃时使用矫形器时膝关节屈曲更大,而患者组在单足跳跃时使用矫形器时,摆动幅度更小,膝关节屈曲和踝关节背屈角度更小。