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针刺治疗急性外侧踝关节扭伤快速止痛及恢复运动功能:基于红外热成像的随机对照试验方案

Acupuncture for Rapid Pain Relief and Restoration of Motor Function in Acute Lateral Ankle Sprains: A Randomized Controlled Trial Protocol Based on Infrared Thermography.

作者信息

Wen Wen, Jin Yuhao, Deng Yuanzheng, Zhao Siwen, Tang Xin, Li Wenjun, Song Lixuan, Lv Zijian, Guo Taipin, Liang Fanrong

机构信息

School of Second Clinical Medicine/The Second Affiliated Hospital, Yunnan University of Chinese Medicine, Kunming, People's Republic of China.

University Hospital, Yunnan Minzu University, Kunming, People's Republic of China.

出版信息

J Pain Res. 2025 Aug 27;18:4387-4399. doi: 10.2147/JPR.S538205. eCollection 2025.

Abstract

PURPOSE

Acute lateral ankle sprain (ALAS) is a prevalent clinical sports injury disease, rapid relief of symptoms and return to normal functional activity are urgent needs of ALAS patients. The aim of this study is to observe the immediate therapeutic effect of acupuncture on ALAS patients in the short term and to evaluate the efficacy at different time points through a multidimensional assessment system, which is expected to provide a simple, rapid, safe and effective therapeutic option for ALAS patients.

PATIENTS AND METHODS

This is a single-center, prospective, randomized clinical trial. About 177 eligible ALAS patients will be randomly assigned in a 1:1:1 ratio to the Group A, Group B and Group C. All three groups of patients will be professionally instructed to move their ankle joints in different directions. Group A will receive real acupuncture treatment and Group B will receive sham acupuncture treatment. Each group will receive one treatment of 10 minutes.

PLANNED OUTCOMES

The primary outcome is the change in pain intensity 10 minutes after treatment compared to before treatment, measured using the visual analog scale (VAS). Secondary outcomes will include pain VAS scores at 0, 1, 3 minutes of treatment; Range of motion (ROM) scores for ankle joint mobility and changes in Infrared Thermography (IRT) of the area of ankle pain at 0, 1, 3, 10 minutes of treatment. Other outcomes include the blinding assessment, the expected treatment effect assessment, and the rescue analgesia rate. The statistical analysis of this trial will be performed using SPSS software.

CONCLUSION

The results of this study may provide evidence-based medical evidence for the treatment of ALAS with acupuncture, and it is expected that the findings of this study will provide a simple, rapid, safe and effective treatment option for patients with ALAS.

摘要

目的

急性外侧踝关节扭伤(ALAS)是一种常见的临床运动损伤疾病,快速缓解症状并恢复正常功能活动是ALAS患者的迫切需求。本研究旨在观察针刺对ALAS患者的短期即时治疗效果,并通过多维评估系统评估不同时间点的疗效,期望为ALAS患者提供一种简单、快速、安全且有效的治疗选择。

患者与方法

这是一项单中心、前瞻性、随机临床试验。约177例符合条件的ALAS患者将按1:1:1的比例随机分为A组、B组和C组。所有三组患者将接受专业指导,进行不同方向的踝关节活动。A组将接受真针刺治疗,B组将接受假针刺治疗。每组接受一次10分钟的治疗。

预期结果

主要结果是治疗后10分钟与治疗前相比疼痛强度的变化,采用视觉模拟量表(VAS)测量。次要结果将包括治疗0、1、3分钟时的疼痛VAS评分;踝关节活动度的活动范围(ROM)评分以及治疗0、1、3、10分钟时踝关节疼痛区域的红外热成像(IRT)变化。其他结果包括盲法评估、预期治疗效果评估和补救镇痛率。本试验的统计分析将使用SPSS软件进行。

结论

本研究结果可能为针刺治疗ALAS提供循证医学证据,期望本研究结果能为ALAS患者提供一种简单、快速、安全且有效的治疗选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67c7/12399894/429eb3a4fc68/JPR-18-4387-g0001.jpg

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