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中西医结合康复方案对急性踝关节扭伤后期的影响:一项随机对照试验研究方案

The effects of integrated traditional Chinese and western medicine rehabilitation programs on post-acute ankle sprain: A randomized controlled trial study protocol.

作者信息

Gao Hang, Chen Xiao, Ren Jiayi, Zhang Xinglai, Hu Yuqian, Ma Zhao, Gu Yuanjia, Tao Jiming, Yuan Weian

机构信息

Rehabilitation of Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Pu Dong New District, Shanghai, China.

Shi's Traumatology Medical Center of Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Pu Dong New District, Shanghai, China.

出版信息

PLoS One. 2025 Jan 30;20(1):e0318535. doi: 10.1371/journal.pone.0318535. eCollection 2025.

Abstract

BACKGROUND

Ankle sprain is a common clinical disease, which has the highest incidence rate among joint and ligament injuries. And acute ankle sprains can easily develop into chronic ankle instability, thereby increasing the difficulty of treatment. The current clinical guidelines for post-acute ankle sprains are still controversial. Pain and functional impairment are the most significant symptoms after ankle sprain. The main purpose of this study is to explore the safety and effectiveness of the intervention of integrated traditional Chinese and Western medicine rehabilitation programs on post-acute ankle sprains.

METHODS

This study is a single center, prospective, intervention randomized controlled trial with a control group. 174 patients of 18-35 years old with post-acute ankle sprain will be included. A randomized controlled study is conducted and divided into a control group and an experimental group. The control group receive routine treatment, while the experimental group receive integrated traditional Chinese and western medicine rehabilitation programs. The intervention lasted for a total of 2 weeks. The main outcome measures are Visual Analog Scale and Short Form McGill Pain Questionnaire; the secondary outcome measures are the Foot Ankle Ability Assessment Scale, AOFAS Ankle Posterior Foot Scale, torque and gait. This study protocol aims to evaluate the safety and effectiveness of integrated traditional Chinese and western medicine rehabilitation programs by comparing the results of two groups before and after treatment. This protocol will follow the SPIRIT guidance.

DISCUSSION

At present, there is a lack of rehabilitation management for post-acute ankle sprains. Therefore, this study has the potential to improve the healthcare for post-acute ankle sprains patients and might be used for future standardized evidence-based rehabilitation concepts.

TRIAL REGISTRATION

The trial was registered at Chinese Clinical Trial Registry https://www.chictr.org.cn/showproj.html?proj=234465 (Registration No.: ChiCTR2400087456). Date: 2024-07-29.

摘要

背景

踝关节扭伤是一种常见的临床疾病,在关节和韧带损伤中发病率最高。急性踝关节扭伤很容易发展为慢性踝关节不稳定,从而增加治疗难度。目前关于急性踝关节扭伤后的临床指南仍存在争议。疼痛和功能障碍是踝关节扭伤后最显著的症状。本研究的主要目的是探讨中西医结合康复方案干预急性踝关节扭伤后的安全性和有效性。

方法

本研究为单中心、前瞻性、有对照组的干预随机对照试验。将纳入174例年龄在18 - 35岁的急性踝关节扭伤患者。进行随机对照研究,分为对照组和试验组。对照组接受常规治疗,试验组接受中西医结合康复方案。干预共持续2周。主要观察指标为视觉模拟评分法和简化麦吉尔疼痛问卷;次要观察指标为足踝能力评估量表、美国足踝外科协会踝关节后足评分、扭矩和步态。本研究方案旨在通过比较两组治疗前后的结果来评估中西医结合康复方案的安全性和有效性。本方案将遵循《标准方案条目:建议与阐释》(SPIRIT)指南。

讨论

目前,急性踝关节扭伤后缺乏康复管理。因此,本研究有潜力改善急性踝关节扭伤患者的医疗保健,并可能用于未来标准化的循证康复理念。

试验注册

该试验已在中国临床试验注册中心https://www.chictr.org.cn/showproj.html?proj=234465(注册号:ChiCTR2400087456)注册。日期:2024年7月29日。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2bcd/11781713/2a9315516230/pone.0318535.g001.jpg

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