本体感觉神经肌肉促进技术联合神经肌肉电刺激对慢性踝关节不稳的效果

doi:10.3969/j.issn.1006-9771.2023.07.002

《中国康复理论与实践》 ›› 2023, Vol. 29 ›› Issue (7): 750-755.doi: 10.3969/j.issn.1006-9771.2023.07.002

• 专题运动系统功能康复 • 上一篇下一篇

本体感觉神经肌肉促进技术联合神经肌肉电刺激对慢性踝关节不稳的效果

任艺^1a, 王蕊^1a, 章耀华^1b()

1.首都医科大学附属北京康复医院，a.健康管理中心；b. 骨科一康复中心，北京市 100144

收稿日期:2022-04-18 修回日期:2023-07-06 出版日期:2023-07-25 发布日期:2023-08-30
通讯作者: 章耀华， E-mail： zhangyaohua1016@sina.com
作者简介:任艺(1989-)，女，汉族，北京市人，技师，主要从事骨关节损伤康复。
基金资助:
首都医科大学附属北京康复医院科研人才启动基金项目(2019R-008)

Effect of proprioceptive neuromuscular facilitation combined with neuromuscular electrical stimulation on chronic ankle instability

REN Yi^1a, WANG Rui^1a, ZHANG Yaohua^1b()

1. a. Health Management Center; b. Orthopedic Rehabilitation Center, Beijing Rehabilitation Hospital of Capital Medical University, Beijing 100144, China

Received:2022-04-18 Revised:2023-07-06 Published:2023-07-25 Online:2023-08-30
Contact: ZHANG Yaohua, E-mail: zhangyaohua1016@sina.com
Supported by:
Beijing Rehabilitation Hospital, Capital Medical University Foundation for Scientific Research Talents(2019R-008)

摘要/Abstract

摘要：

目的观察本体感觉神经肌肉促进技术联合神经肌肉电刺激对慢性踝关节不稳(CAI)患者的临床疗效。

方法 2016年4月至2021年12月，北京康复医院CAI患者48例随机分为对照组和观察组，各24例。两组均采用常规康复，观察组增加本体感觉神经肌肉促进技术和神经肌肉电刺激，共8周。治疗前后，采用疼痛视觉模拟量表(VAS)、踝跖屈/背屈相对峰力矩、Y平衡测试(YBT)和足踝功能障碍指数(FADI)进行评定。

结果治疗后，观察组VAS评分、踝跖屈/背屈相对峰力矩、YBT和FADI均改善(|t| > 2.208, P < 0.05)，对照组VAS评分和踝背屈相对峰力矩改善(|t| > 2.156, P < 0.05)，观察组VAS评分、踝跖屈/背屈相对峰力矩、YBT和FADI均优于对照组(|t| > 2.067, P < 0.05)。

结论本体感觉神经肌肉促进技术联合神经肌肉电刺激能缓解CAI患者的疼痛，增加踝关节周围肌力，从而改善踝关节稳定性，提高平衡功能。

关键词: 慢性踝关节不稳, 本体感觉神经肌肉促进技术, 神经肌肉电刺激, 康复

Abstract:

Objective To observe the effect of proprioceptive neuromuscular facilitation combined with neuromuscular electrical stimulation on chronic ankle instability (CAI).

Methods From April, 2016 to December, 2021, 48 patients with CAI were randomly divided into control group (n = 24) and observation group (n = 24). Both groups accepted routine rehabilitation, and the observation group accepted proprioceptive neuromuscular facilitation combined with neuromuscular electrical stimulation additionally, for eight weeks. They were assessed with Visual Analogue Scale (VAS), peak torque to body weight of ankle dorsiflexors and plantarflexors (AD/W, AP/W), Y Balance Test (YBT) and Foot and Ankle Disability Index (FADI) before and after treatment.

Results After treatment, VAS score, AD/W, AP/W, YBT and FADI improved in the observation group (|t| > 2.208, P < 0.05), while VAS score and AP/W improved in the control group (|t| > 2.156, P < 0.05); and all the VAS score, AD/W, AP/W, YBT and FADI were better in the observation group than in the control group (|t| > 2.067, P < 0.05).

Conclusion Proprioceptive neuromuscular facilitation combined with neuromuscular electrical stimulation can effectively relieve the pain of patients with CAI, and increase the muscle strength around the ankle, to improve the stability and balance.

Key words: chronic ankle instability, proprioceptive neuromuscular facilitation, neuromuscular electrical stimulation, rehabilitation

中图分类号:

R686

任艺, 王蕊, 章耀华. 本体感觉神经肌肉促进技术联合神经肌肉电刺激对慢性踝关节不稳的效果[J]. 《中国康复理论与实践》, 2023, 29(7): 750-755.

REN Yi, WANG Rui, ZHANG Yaohua. Effect of proprioceptive neuromuscular facilitation combined with neuromuscular electrical stimulation on chronic ankle instability[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(7): 750-755.

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组别	n	性别(男/女)/n	年龄/岁	身高/cm	体质量/kg	病程/月
对照组	24	12/12	32.56±5.13	165.71±5.45	65.13±7.28	9.54±4.11
观察组	24	13/11	37.98±7.34	166.43±4.27	62.61±8.16	8.91±3.15
χ²/t值		0.052	-0.692	-0.771	1.021	0.304
P值		0.851	0.489	0.452	0.214	0.667

组别	n	治疗前	治疗后	t值	P值
对照组	24	5.06±2.67	2.93±1.84	3.409	0.002
观察组	24	4.96±2.58	2.06±1.52	5.176	< 0.001
t值		0.143	2.067
P值		0.887	0.043

组别	n	治疗前	治疗后	t值	P值
对照组	24	0.64±0.37	0.83±0.45	-2.008	0.053
观察组	24	0.61±0.27	1.13±0.41	-6.163	< 0.001
t值		0.424	-2.791
P值		0.673	0.007

组别	n	治疗前	治疗后	t值	P值
对照组	24	0.23±0.15	0.31±0.17	-2.156	0.039
观察组	24	0.25±0.17	0.43±0.24	-3.336	0.002
t值		-0.459	-2.270
P值		0.647	0.027

组别	n	治疗前	治疗后	t值	P值
对照组	24	83.37±20.04	84.22±18.93	-0.165	0.870
观察组	24	82.88±16.67	94.75±12.90	-3.628	0.001
t值		0.108	-2.600
P值		0.914	0.012

本体感觉神经肌肉促进技术联合神经肌肉电刺激对慢性踝关节不稳的效果

Effect of proprioceptive neuromuscular facilitation combined with neuromuscular electrical stimulation on chronic ankle instability

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组别	n	治疗前	治疗后	t值	P值
对照组	24	91.68±15.84	92.78±16.96	-0.248	0.806
观察组	24	91.43±20.50	102.28±18.92	-2.208	0.035
t值		0.550	-2.115
P值		0.957	0.038

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