| 摘要: |
| ［摘要］ 目的 观察“小坠板”手法结合阿是超声治疗慢性踝关节扭伤的疗效。方法 选择广西壮族自治区人民医院门诊、急诊科诊断为慢性踝关节扭伤的患者63例，按随机数字表法将其分成两组。对照组31例，予常规推拿手法治疗。观察组32例，予“小坠板”手法结合阿是超声治疗仪治疗。3次/周，整个疗程共进行10次治疗。采用肌骨超声测量踝关节患侧及健侧的距腓前韧带、跟腓韧带的厚度（分治疗前、治疗结束、治疗结束后6个月随访），并进行疗效评价。结果 治疗结束观察组AOFAS踝-后足评分显著高于对照组（P<0.05），距腓前韧带、跟腓韧带的厚度改善优于对照组（P<0.05）。结论 与常规推拿手法治疗比较，“小坠板”手法结合阿是超声治疗慢性踝关节扭伤远期疗效更优，值得推广应用。 |
| 关键词: 手法 踝关节扭伤 正骨手法 阿是超声治疗仪 |
| DOI：10.3969/j.issn.1674-3806.2020.10.11 |
| 分类号:R 873.5 |
| 基金项目:广西卫健委科研课题（编号：Z20180780） |
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| Observation on the therapeutic effect of Speeder Board manipulation combined with Ashi ultrasonic therapeutic apparatus on chronic ankle sprain |
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LIANG Bin, LIAN Zhan-xiong, WANG Cheng, et al.
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Department of Massage, Center for Rehabilitation and Treatment, the People′s Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, China
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| Abstract: |
| ［Abstract］ Objective To observe the therapeutic effects of Speeder Board manipulation combined with Ashi ultrasonic therapeutic apparatus on chronic ankle sprain. Methods Sixty-three patients who were diagnosed with chronic ankle sprain were selected from the Department of Outpatient and the Department of Emergency of the People′s Hospital of Guangxi Zhuang Autonomous Region, and were divided into two groups according to the random number table method. The control group(n=31) received routine massage manipulation, while the observation group(n=32) was treated with Speeder Board manipulation combined with Ashi ultrasonic therapeutic apparatus. The two groups were treated three times a week, and a total of 10 treatments were performed throughout the course. The thickness of the anterior talofibular ligament and the calcaneofibular ligament on the affected side and the healthy side of the ankle joint were measured by musculoskeletal ultrasound before and after treatment, and a follow-up of 6 months after treatment. The therapeutic effect was evaluated. Results The American Orthopaedic Foot & Ankle Society(AOFAS) ankle-hindfoot scores in the observation group were significantly higher than those in the control group after treatment(P<0.05). The improvements of the thickness of the anterior talofibular ligament and the calcaneofibular ligament in the observation group were better than those in the control group(P<0.05). Conclusion The long-term effect of Speeder Board manipulation combined with Ashi ultrasonic therapeutic apparatus is better than that of the routine massage manipulation on chronic ankle sprain, and the combined therapy is worthy of popularization and application. |
| Key words: Manipulation Ankle sprain Bone-setting manipulation Ashi ultrasonic therapeutic apparatus |
