首页|期刊导航|中国康复理论与实践|电针透针对功能性踝关节不稳的效果

电针透针对功能性踝关节不稳的效果OA

Effect of piercing electroacupuncture on functional ankle instability

中文摘要英文摘要

目的 探讨电针透针对功能性踝关节不稳患者踝关节肌力、动态平衡功能和主观稳定性的效果. 方法 选取2024年4月至2025年7月山东第二医科大学附属中医院收治的功能性踝关节不稳患者48例,随机分为对照组(n=24)和试验组(n=24).对照组接受多模态功能训练,试验组在对照组基础上加用电针透针治疗,共6周.治疗前后采用等速肌力测试系统测量踝关节跖屈、背屈、内翻和外翻相对峰力矩,采用Y平衡测试和坎伯兰踝关节不稳量表(CAIT)进行评定. 结果 两组各脱落1例.治疗后,两组各角速度下的跖屈、背屈、内翻和外翻相对峰力矩,Y平衡测试各方向标准化距离和综合评分,以及CAIT评分均较治疗前明显提高(|t|>2.891,P<0.01);除背屈肌力外,试验组各项指标均优于对照组(|t|>2.104,P<0.05). 结论 联合电针透针可进一步改善功能性踝关节不稳患者的踝周肌力、动态平衡功能和主观稳定性.

Objective To explore the effect of piercing electroacupuncture on ankle muscle strength,dynamic balance and subjective stability in patients with functional ankle instability(FAI). Methods A total of 48 patients with FAI admitted to the Affiliated Hospital of Traditional Chinese Medicine,Shandong Second Medical University from April,2024 to July,2025 were enrolled and randomly divided into control group(n=24)and experimental group(n=24).The control group received multimodal functional training,while the experimental group received piercing electroacupuncture in addition,for six weeks.Relative peak torque of ankle plantarflexion,dorsiflexion,inversion and eversion were measured with isokinetic muscle strength testing system before and after treatment,while Y-Balance Test(YBT)and Cumberland Ankle Instability Tool(CAIT)were ad-opted for evaluation. Results One case dropped out in each group.Relative peak torque of ankle plantarflexion,dorsiflexion,inversion and eversion at each angular velocity,the normalized distance in each direction and composite score of YBT,as well as the score of CAIT increased in both groups after treatment(|t|>2.891,P<0.01),while all the indicators were better in the experimental group than in the control group(|t|>2.104,P<0.05),except dorsiflexion muscle strength. Conclusion Combination of piercing electroacupuncture can further improve perimalleolar muscle strength,dynamic balance and subjective stability in patients with FAI.

董海涛;崔震洋;高强;李俊;李静

山东第二医科大学附属中医院骨伤康复科,山东 潍坊市 261000山东第二医科大学康复医学院,山东 潍坊市 261000山东第二医科大学康复医学院,山东 潍坊市 261000山东第二医科大学附属中医院骨伤康复科,山东 潍坊市 261000山东第二医科大学附属中医院骨伤康复科,山东 潍坊市 261000

医药卫生

功能性踝关节不稳透针电针多模态功能训练

functional ankle instabilitypiercing acupunctureelectroacupuncturemultimodal functional training

《中国康复理论与实践》 2026 (4)

437-444,8

山东第二医科大学附属医院科技发展项目(No.2023FYQ014) Supported by Science and Technology Development Program of the Affiliated Hospital of Shandong Second Medical University(No.2023FYQ014)

10.3969/j.issn.1006-9771.2026.04.007

评论