Sensory-Targeted Ankle Rehabilitation Strategies for Chronic Ankle Instability.
Sensory-Targeted Ankle Rehabilitation Strategies for Chronic Ankle Instability.
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DOI：
10.1249/mss.0000000000000859
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发表时间：
2016-05
影响因子：
4.1
通讯作者：
Wikstrom EA
中科院分区：
文献类型：
--
作者：
McKeon PO;Wikstrom EA
踝关节韧带受体受损的感觉输入不足被认为是慢性踝关节不稳定(Cai)患者感觉运动障碍的原因。靶向其他有活性的感觉受体可能会增强这些患者的感觉运动控制。这项随机对照试验的目的是评估为期2周的感觉定向康复策略(STAR)对脑梗塞患者以患者和临床医生为导向的结果的影响。80例自报性脑梗塞患者参与研究。所有患者都完成了以患者为中心的问卷调查，包括自我报告功能、负重挺举测试(WBLT)和闭眼单肢平衡测试。在基线测试后，患者被随机分为四个STAR组：关节松动组(JM)、足底推拿组(PM)、小腿三头肌伸展组(TS)或对照组(CON)。干预组中的每个患者在两周内都接受了六次五分钟的星级治疗。所有受试者在干预后立即重新评估以患者和临床医生为中心的措施，并完成一个月的随访，包括以患者为中心的措施。使用独立t检验和Hedge的g效应大小(ES)将三星组的变化分数与CON进行比较，可信区间(CI)为95%。JM组的WBLT改善最大。PM对单肢平衡的改善最有意义。所有STAR组都改善了以患者为导向的结果，其中JM在干预后立即产生的效果最有意义，PM在一个月的随访中具有最大意义。每一种STAR疗法都为脑梗塞患者以患者和临床医生为中心的康复结果做出了独特的贡献。JM和PM似乎都显示出最大的潜力来改善那些有CAI的人的感觉运动功能。
Deficient sensory input from damaged ankle ligament receptors is thought to contribute to sensorimotor deficits in those with chronic ankle instability (CAI). Targeting other viable sensory receptors may then enhance sensorimotor control in these patients. The purpose of this randomized controlled trial was to evaluate the effects of 2 weeks of sensory-targeted rehabilitation strategies (STARS) on patient- and clinician-oriented outcomes in those with CAI. Eighty patients with self-reported CAI participated. All patients completed patient-oriented questionnaires capturing self-reported function as well as the weight-bearing lunge test (WBLT) and an eyes closed single limb balance test. After baseline testing, patients were randomly allocated to four STARS groups: joint mobilization (JM), plantar massage (PM), triceps surae stretching (TS), or control (CON). Each patient in the intervention groups received six, five-minute treatments of their respective STARS over two weeks. All subjects were reassessed on patient and clinician oriented measures immediately following the intervention and completed a one-month follow up that consisted of patient-oriented measures. Change scores of the three STARS groups were compared to the CON using independent t-tests and Hedge’s g effect sizes (ES) with 95% confidence intervals (CI). The JM group had the greatest WBLT improvement. PM had the most meaningful single limb balance improvement. All STARS groups improved patient-oriented outcomes with JM having the most meaningful effect immediately after the intervention and PM at the one-month follow up. Each STARS treatment offers unique contributions to the patient and clinician oriented rehabilitation outcomes of those with CAI. Both JM and PM appear to demonstrate the greatest potential to improve sensorimotor function in those with CAI.