功能性动作筛查对慢性踝关节不稳评价的效度研究

Validation Study of Functional Movement Screening on Chronic Ankle Instability Evaluation

目的探讨功能性动作筛查对慢性踝关节不稳评价的效度分析。方法选取24名慢性踝关节不稳受试者作为实验组,同时选取24名与实验组相匹配的受试者作为对照组。运用足踝功能障碍指数量表和功能性动作筛查对所有受试者进行测试,功能性动作筛查包括深蹲、跨栏架和直线弓箭步。结果实验组的功能性动作筛查分数、跨栏架分数、直线弓箭步分数、足踝功能障碍指数和足踝功能障碍运动指数与对照组具有显著性差异(p<0.05);足踝功能障碍指数与功能性动作筛查分数和直线弓箭步分数都呈现高度相关,且差异显著(r=0.807,p<0.01;r=0.896,p<0.01);功能性动作筛查分数与足踝功能障碍运动指数也高度相关,且具有显著性差异(r=0.818,p<0.01)。结论功能性动作筛查能够有效地识别和评价慢性踝关节不稳的功能障碍,与深蹲和跨栏架测试相比,直线弓箭步测试能够更好地识别慢性踝关节不稳患者的功能缺陷。

Objective To investigate the validity of functional movement screening on the evaluation of chronic ankle instability. Methods Twenty -four chronic ankle instability subjects as an experimental group, and twenty-four healthy subjects asa control group, were matched in age, height, weight, gender, and activity level. All participants were measured by the Foot and Ankle Disability Index and evaluated with the functional movement screening. The functional movement screen included the deep squat, the hurdle race and the in-line lunge. Results There were significant differences in scores on the FMS score, the hurdle step score ,the in-line lunge score, FADI and FADI-sport between the two groups （p〈0.05）. The FADI was strongly correlated with FMS score and the in-line lunge score, and had significant differences（r=0.807, p〈0.01; r=0.896, p〈0.01）. The FMS score was strongly correlated with FADI -sport, and had significant differences （r =0.818, p〈0.01）.Conclusion The FMS can effectively detect and evaluate functional deficits of chronic ankle instability. Compared with the deep squat and hurdle lunge test, the in-line lunge test can better identify the functional defects in patients with chronic ankle instability.