| 郭建业,马 明,孙武东,徐 亮,张 鹏,商小锐,郑增宾.Mulligan技术治疗慢性踝关节不稳定的疗效观察[J].中国康复医学杂志,2020,(12):1460~1465 |
| Mulligan技术治疗慢性踝关节不稳定的疗效观察 点此下载全文 |
| 郭建业 马 明 孙武东 徐 亮 张 鹏 商小锐 郑增宾 |
| 东南大学附属中大医院康复医学科，江苏省南京市，210009 |
| 基金项目：江苏省体育局重大体育科研课题（ST191101）;南京市体育局体育科研局管课题（NJTY2018—201） |
| DOI：10.3969/j.issn.1001-1242.2020.12.010 |
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| 摘要： |
| 摘要
目的：观察Mulligan技术在慢性踝关节不稳定（chronic ankle instabiliy, CAI）患者中的临床疗效。
方法：选取东南大学附属中大医院康复医学科门诊与病房2019年3月—2019年8月就诊的慢性踝关节不稳患者58例，随机分为试验组和对照组各29例。试验组在踝周肌群等速肌力训练的基础上加上Mulligan治疗技术，对照组采用等速测试训练仪进行踝关节背伸、跖屈、内翻、外翻肌力量训练。分别在干预前和干预8周后对两组患者进行踝关节活动度的测量、Y-平衡测试评估（Y-balance test）、踝关节本体感觉位置觉评估、足踝功能量表（foot and ankle ability measure, FAAM）评分。
结果：治疗前，两组患者在评价的各项指标上没有明显差异（P＞0.05）。治疗8周后，两组患者在踝关节活动度（背伸、跖屈、内翻、外翻）上都明显提高（P＜0.05），Y-平衡测试（正前向、后内向、后外向）数值明显提高（P<0.05）。踝关节本体感觉位置觉等速评估，试验组角度差值明显减少（P＜0.05），对照组角度差值没有明显减少（P＞0.05）。两组患者足踝功能量表（FAAM）评分（日常活动部分、体育活动部分）明显提高（P＜0.05）。治疗后，试验组上述各项评价指标显著优于对照组（P＜0.05）。
结论：Mulligan治疗技术在慢性踝关节不稳定的治疗上有效果。等速踝周力量训练辅以Mulligan治疗技术，能够提高踝关节本体感觉位置觉功能，能更好地增加慢性踝关节不稳定患者的踝关节活动度，改善患者的功能。 |
| 关键词：Mulligan技术 踝关节 慢性踝关节不稳 等速力量训练 本体感觉位置觉 |
| Observation of therapeutic effect of Mulligan technique on chronic ankle instability Download Fulltext |
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| Department of Rehabilitation Medicine, Zhongda Hospital Affiliated to Southeast University, Jiangsu, Nanjing, 210009 |
| Fund Project: |
| Abstract: |
| Abstract
Objective: To observe the clinical effect of Mulligan technique in patients with chronic ankle instability(CAI).
Method: Fifty-eight patients with CAI were selected from the outpatient department and ward of Rehabilitation Medicine Department of Zhong Da Hospital Affiliated to Southeast University from March 2019—August 2019. They were randomly divided into experimental group and control group with 29 patients in each group. The experimental group added Mulligan treatment technology on the basis of isokinetic training of ankle muscles strength, while the control group used isokinetic testing and training instrument for strength training of ankle dorsiflexion, plantar flexion, varus and valgus. The ankle joint activity, Y-balance test , evaluation of proprioceptive position perception of ankle joint and foot and ankle ability measure(FAAM) scores were measured taken before and 8 weeks after the intervention respectively.
Result: Before treatment, there was no significant difference in evaluation indexes between the two groups (P>0.05). After 8 weeks of treatment, the ankle joint activity (dorsiflexion, plantar flexion, varus and valgus) and the value of Y-balance test (forward, backward, backward and outward) of the two groups were significantly improved(P<0.001), and the experimental group improved much more than control group(P<0.001). The angle difference of ankle proprioceptive position sensation isokinetic evaluation was significantly decreased in experimental group (P<0.001), but not the control group（P=0.700). the scores FAAM were significantly improved (P<0.05).
Conclusion: Mulligan therapy is effective in the treatment of CAI. Isokinetic periankle strength training assisted by Mulligan therapy can improve the proprioceptive position perception function of the ankle joint, and other functions of patients with chronic ankle instability. |
| Keywords:Mulligan technique ankle joint chronic ankle instability isokinetic strength training proprioceptive position sense |
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