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外侧踝关节扭伤的早期活动治疗。慢性疼痛或功能受限踝关节的病程及危险因素。

Early mobilizing treatment in lateral ankle sprains. Course and risk factors for chronic painful or function-limiting ankle.

作者信息

Linde F, Hvass I, Jürgensen U, Madsen F

出版信息

Scand J Rehabil Med. 1986;18(1):17-21.

PMID:3715426
Abstract

In a prospective study, 150 patients with lesions of lateral ankle ligaments were treated with early mobilization without any fixation of the ankle. After 8 days, 67% were free from pain on ordinary walking and 81% had resumed work. After 1 month 90% were free from pain and 97% had resumed work. Sport was resumed by 70% of athletes after 1 month and 90% after 3 months. At the 1-year follow-up (n = 137), 18% were not fully recovered and experienced pain (14%) or functional instability (7%) or had not resumed sport at their normal level (7%). However, only 8% found the condition inconvenient. Athletes had an increased risk of residual symptoms (p less than 0.01) and residual symptoms occurred in 32% of top athletes after 1 year.

摘要

在一项前瞻性研究中,150例外侧踝关节韧带损伤患者接受了早期活动治疗,踝关节未进行任何固定。8天后,67%的患者在正常行走时无疼痛,81%的患者已恢复工作。1个月后,90%的患者无疼痛,97%的患者已恢复工作。1个月后,70%的运动员恢复了运动,3个月后这一比例为90%。在1年随访时(n = 137),18%的患者未完全康复,存在疼痛(14%)或功能不稳定(7%),或未恢复到正常水平的运动(7%)。然而,只有8%的患者觉得病情带来不便。运动员出现残留症状的风险增加(p小于0.01),1年后32%的顶级运动员出现残留症状。

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