推拿结合运动疗法治疗慢性踝关节不稳的临床效果观察OA

Objective:To observe the clinical efficacy of massage combined with exercise therapy in the treatment of chronic ankle instability.Methods:A total of 40 patients with chronic ankle instability were randomly divided into a control group and a treatment group using a random number table,with 20 cases in each group.The control group received joint mobilization combined with exercise therapy for a total of 12 sessions,3 times per week.The treatment group received massage combined with exercise therapy for a total of 12 sessions,3 times per week.The Cumberland Ankle Instability Tool(CAIT)was used to assess ankle stability,and isokinetic muscle strength testing and surface electromyography(sEMG)were performed to assess the recovery of muscles surrounding the ankle joint.Results:After the respective treatment protocols,the treatment group demonstrated significantly greater improvements in CAIT scores,root mean square(RMS)values of the tibialis anterior,peroneus longus,and triceps surae muscles,as well as the mean peak torque of ankle dorsiflexion compared with the control group(P<0.05).However,no statistically significant differences were found between the treatment group and the control group in mean peak torque of plantarflexion,mean peak torque of inversion,or mean peak torque of eversion(P>0.05).Conclusion:Massage combined with exercise therapy demonstrates favorable clinical efficacy in the treatment of chronic ankle instability,with outcomes superior to those of joint mobilization combined with exercise therapy,and is worthy of clinical promotion.