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髋关节强化方案对慢性踝关节不稳定患者的影响。

The Influence of Hip-Strengthening Program on Patients with Chronic Ankle Instability.

机构信息

Graduate School of Physical Therapy, Sahmyook University, Seoul 01795, Republic of Korea.

Department of Physical Therapy, Sahmyook University, Seoul 01795, Republic of Korea.

出版信息

Medicina (Kaunas). 2024 Jul 24;60(8):1199. doi: 10.3390/medicina60081199.

Abstract

: Repetitive ankle sprains lead to mechanical instability of the ankle. Patients with chronic ankle instability may experience decreased muscle strength and limited postural control. This study investigated the effects of a hip-strengthening exercise program on muscle strength, balance, and function in patients with chronic ankle instability. : A total of 30 patients participated in the study and were randomly assigned to the two groups. Among the 30 participants, 14 were assigned to the hip joint-strengthening exercise group and 16 to the control group. The experimental group underwent a hip-strengthening exercise program and received training for 40 min per session twice a week for four weeks. The control group received the same frequency, duration, and number of sessions. Measurements were performed before and after the training period to assess changes in hip strength, balance, and function. : In the within-group and between-group comparisons, both groups showed significant differences in hip joint strength, static balance, dynamic balance, and function (FAAM; foot and ankle ability measures) ( < 0.05). Statistically significant differences were observed in the time × group interaction effects among the hip abductors and external rotation in hip joint strength, path length in static balance, posterolateral and posteromedial in dynamic balance, and FAAM-ADL and FAAM-SPORT functions ( < 0.05). : Accordingly, this study confirmed that hip joint-strengthening exercises have a positive effect on the strength, balance, and function of patients with chronic ankle instability, and we believe that hip joint-strengthening exercises will be recommended as an effective intervention method for patients suffering from chronic ankle instability.

摘要

: 反复的踝关节扭伤会导致踝关节的机械不稳定。慢性踝关节不稳定的患者可能会出现肌肉力量下降和姿势控制受限的情况。本研究旨在探讨髋关节强化锻炼对慢性踝关节不稳定患者肌肉力量、平衡和功能的影响。

: 共有 30 名患者参与了这项研究,并被随机分为两组。在这 30 名参与者中,有 14 名被分配到髋关节强化锻炼组,16 名被分配到对照组。实验组接受髋关节强化锻炼计划,每周两次,每次 40 分钟,共四周。对照组接受相同的频率、时长和次数的训练。在训练前后进行测量,以评估髋关节力量、平衡和功能的变化。

: 在组内和组间比较中,两组在髋关节力量、静态平衡、动态平衡和功能(FAAM;足部和踝关节能力测量)方面均表现出显著差异( < 0.05)。在髋关节力量的髋关节外展肌和外旋肌、静态平衡的路径长度、动态平衡的后外侧和后内侧以及 FAAM-ADL 和 FAAM-SPORT 功能方面,观察到时间×组交互作用的统计学显著差异( < 0.05)。

: 因此,本研究证实髋关节强化锻炼对慢性踝关节不稳定患者的力量、平衡和功能有积极影响,我们认为髋关节强化锻炼将被推荐为治疗慢性踝关节不稳定患者的有效干预方法。

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