慢性踝关节不稳的临床检查方法与评分量表系统

The clinical measures and scoring systems for chronic ankle instability

慢性踝关节不稳定是踝扭伤后最常见的遗留问题。本文回顾、检索了慢性踝关节不稳定临床评价方法的相关文献,并进行了综述。对检索文献进行质量评价显示,目前针对慢性踝关节不稳的文献大多为3组和4组证据等级,缺少高等级的研究;进一步的研究方向应当采用更高证据等级的实验设计进行。针对慢性踝关节不稳定的临床评价包括主观评价和客观评价,综合本研究纳入的文献,主观评价的量表中,推荐采用Karlsson评分系统进行评分与随访,同时建议采用AOFAS评分、VAS评分、FAOS及FAAM评分系统;客观评价建议采用前抽屉试验和距骨倾斜试验,此外应考虑采纳重返运动做为评价项目之一。

Chronic ankle instability is the most common residual problem after ankle sprain.This article reviews and retrieves the literature on clinical evaluation of chronic ankle instability.The quality evaluation of the literature retrieval shows that most of the current literature for chronic ankle instability is3and4groups of evidence level,the lack of high-grade research;further research direction should use a higher level of evidence experimental design.The clinical evaluation of chronic ankle instability includes subjective evaluation and objective evaluation.The Karlsson scoring system is recommended for scoring and follow-up according to the literature included in this study and the scale of subjective evaluation.At the same time,AOFAS score,VAS score,FAOS and FAAM scoring system were recommended,anterior drawer test and talus tilt test were recommended for objective evaluation,and re-entry exercise should be considered as one of the evaluation items.