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手法治疗对青少年踝关节扭伤筋膜扭曲模型的影响:一项初步研究。

Effects of Manual Therapy on Fascial Distortion Model in Adolescent Ankle Sprain: A Pilot Study.

作者信息

Kollarics Attila, Gençosmanoğlu Harun, Biró Ede, Zámbó Édua Lilla, Király Bence, Hanzel Adrienn

机构信息

Department of Paediatrics, University of Pécs, Pécs, Hungary.

Department of Physiotherapy & Rehabilitation, Faculty of Health Sciences, Karabük University, Karabük, Türkiye.

出版信息

J Chiropr Med. 2024 Mar-Jun;23(1-2):13-22. doi: 10.1016/j.jcm.2024.02.006. Epub 2024 Sep 19.

Abstract

OBJECTIVES

The present study aimed to assess the feasibility of investigating the effects of manual therapy on ankle functional muscle strength, static balance, and disability in adolescent patients with an ankle sprain.

METHODS

The study was a nonrandomized prepost clinical feasibility trial. From September 2021 to February 2022, 31 patients with ankle sprain received manual therapy. Functional muscle strength of plantar flexor muscles and static balance were evaluated using the standing heel-rise and unipedal stance tests on the injured and healthy legs before and after the first and second sessions. Foot and Ankle Disability Index (FADI) assessed the disability at baseline, after the first and second sessions, in the third and sixth weeks.

RESULTS

Within-group analysis of the unipedal stance test with open and closed eyes and the standing heel-rise test showed that injured legs significantly improved after the first and second sessions, compared to uninjured legs ( < .05). Furthermore, there were significant differences among all repeated FADI measures ( < .05).

CONCLUSIONS

This study demonstrated that a study was feasible to measure ankle functional muscle strength, static balance, and disability in adolescent patients with an ankle sprain.

摘要

目的

本研究旨在评估对青少年踝关节扭伤患者进行手法治疗,以探究其对踝关节功能性肌肉力量、静态平衡和功能障碍影响的可行性。

方法

本研究为一项非随机的前后对照临床可行性试验。2021年9月至2022年2月,31例踝关节扭伤患者接受了手法治疗。在第一次和第二次治疗前后,通过站立提踵和单脚站立测试,对患侧和健侧下肢的跖屈肌功能性肌肉力量和静态平衡进行评估。采用足踝功能障碍指数(FADI)在基线、第一次和第二次治疗后、第三周和第六周评估功能障碍情况。

结果

单脚站立测试(睁眼和闭眼)和站立提踵测试的组内分析表明,与健侧相比,患侧在第一次和第二次治疗后有显著改善(P<0.05)。此外,所有重复的FADI测量结果之间存在显著差异(P<0.05)。

结论

本研究表明,对青少年踝关节扭伤患者测量踝关节功能性肌肉力量、静态平衡和功能障碍的研究是可行的。

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A Systematic Review of the Outcome Evaluation Tools for the Foot and Ankle.足踝部结局评估工具的系统评价
Foot Ankle Spec. 2019 Oct;12(5):461-470. doi: 10.1177/1938640018803747. Epub 2018 Oct 19.

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