按压肌筋膜触发点对功能性踝关节不稳患者的疗效研究

关键词：肌筋膜触发点  平衡训练  踝关节  功能性踝关节不稳  疼痛

Keywords:myofascial trigger points  balance training  ankle  functional ankle instability  pain

摘要：

      摘要 目的：探讨按压肌筋膜触发点在功能性踝关节不稳（functional ankle instability， FAI）患者中的临床疗效。 方法：选取西南大学医院康复医学中心门诊2021年5月—8月就诊的功能性踝关节不稳患者29例，随机分为试验组15例和对照组14例。试验组在踝关节平衡训练基础上增加按压肌筋膜触发点技术，对照组采用BOSU球进行踝关节平衡训练。分别在基线、干预第4周后和干预第8周后对两组患者进行疼痛视觉模拟评分（visual analogue scale， VAS）评估、踝关节功能量表评分（American Orthopedic Foot and Ankle Score，AOFAS）和Y平衡测试（Y-balance test， YBT）评估。 结果：治疗前，两组患者在评估的各项指标上无明显差异（P>0.05）。治疗8周后，两组患者在VAS疼痛评分上均有显著降低（P<0.05），Y平衡测试综合数值得到显著改善（P<0.01），AOFAS踝关节功能评分得到显著提高（P<0.05）。治疗后，试验组在上述各项评估指标中均显著优胜于对照组（P<0.05）。 结论：为期8周的平衡训练和平衡训练联合按压MTrPs治疗均对FAI患者有显著的临床康复疗效，而平衡训练联合按压MTrPs治疗在缓解FAI患者的疼痛、促进踝关节功能和动态平衡的改善等方面具有更好的康复效益。

Abstract:

      Abstract Objective： To explore the effect of pressing the myofascial trigger point on the basis of balance training in patients with functional ankle instability （FAI）. Method： A total of 29 patients with functional ankle instability who were treated in the rehabilitation department of southwest university hospital from May to August 2021 were selected and randomly divided into an experimental group of 15 and a control group of 14. The experimental group received the technique of pressing myofascial trigger points on the basis of ankle balance training, while the control group using the BOSU ball for ankle balance training. Visual analogue pain scale （VAS） assessment， ankle function scale score（American Orthopedic Foot and Ankle Score，AOFAS）and Y-balance test were performed in the two groups at baseline, 4-week and 8-week after intervention, respectively. Result: Before treatment， there was no significant difference between the two groups in the evaluation indicators （P>0.05）. After 8 weeks of treatment， the VAS pain scores in both groups were significantly decreased （P<0.05）， the comprehensive value of Y-balance test was significantly improved （P<0.01）， and the AOFAS ankle function scores were significantly improved （P<0.05）. The experimental group outperformed the control group in all of the above evaluation indicators after treatment (P<0.05). Conclusion: Eight-week balance training and balance training combined with MTrPs therapy have significant clinical rehabilitation effects on FAI patients. Balance training combined with compression MTrPs therapy has better rehabilitation benefits in reducing pain, promoting ankle function, and improving dynamic balance in patients with FAI.