清宫外踝理筋手法治疗陈旧性踝关节损伤的临床研究

Clinical Research of Qinggong External Malleolus Manipulation Treatment of Oboslete Ankle Injury

目的:对比研究清宫外踝理筋手法治疗陈旧性踝关节扭伤的疗效。方法:选取陈旧性踝关节扭伤患者89例,其中治疗组52例,对照组37例(部分病例脱落),治疗组进行清宫外踝理筋手法治疗,对照组进行功能疗法锻炼治疗。对比观察治疗1个疗程及末次随访时两组患者疼痛VAS评分、AOFAS踝关节评分、距骨倾斜角度等结果的差异。结果:两组患者治疗1个疗程及末次随访时较治疗前疼痛评分均有降低,AOFAS评分也同步提高,但治疗组较对照组改善明显,两组结果差异有统计学意义(P<0.05)。两组患者治疗前后,治疗组与对照组在距骨倾斜度改善方面均无效果,差异无统计学意义(P>0.05)。结论:清宫外踝理筋手法治疗陈旧性踝关节扭伤在缓解疼痛、改善患者踝关节功能方面临床疗效明显,并且优于功能疗法组,但不能改变踝关节的解剖结构。

Objective：A comparative study on the effect of cleansing of the ankle and ankle in the treatment of old ankle sprain.Methods：89patients with old ankle sprain were selected,including 52 patients in the treatment group and 37 patients in the control group（part of the cases）.The patients in the treatment group were treated with the treatment of the external organs of the uterus and the control group was treated with functional therapy.The differences in pain VAS score,AOFAS ankle score,and talus tilt angle were observed between the two groups after treatment and at the last follow-up.Results：Two groups of patients after treatment and the last follow-up than the pain before treatment scores were reduced.AOFAS score improved synchronously.The treatment group was significantly improved compared with the control group.The results were statistically significant.There was no significant difference in the improvement of talus inclination between the treatment group and the control group,the difference was not statistically significant.Conclusion：Treatment of old ankle sprain in the relief of pain and improve the function of ankle joint in patients with clinical efficacy is obvious,and better than the functional therapy group,But it can not change the anatomical structure of the ankle.