针灸对踝关节外侧韧带损伤后期本体感觉恢复的影响

摘要

Objective To compare the efficacy differences between acupuncture-moxibustion and physiotherapy interventions in improving proprioception of athletes with lateral collateral ligament injury of the ankle joint.Methods Thirty patients with injured lateral collateral ligament of ankle joint were randomly divided into acupuncture group (n =15) and physiotherapy group (n =15).Patients of the acupuncture group were treated by acupuncture and moxibustion stimulation of Qiuxu(GB 40),Kunlun(BL 60),Shenmai (BL 62),Jiexi (ST 41),and Ashi-points,etc.,and those of the physiotherapy group treated with TDP irradiation of the regional lateral malleolus.The treatment of the two groups was conducted once the other day,3 times each week,continuously for 8 weeks.Before and after the treatment,the ankle-joint's active and passive repositioning error angles were measured by using a joint angle ruler.Results The average error angle values of active and passive reposition tests of the injured ankle-joint were 4.98 ± 1.11 and 4.78± 1.13 before the treatment,and 3.67± 0.58 and 3.51 ± 0.64 after the treatment,respectively in the acupuncture group,being reduced significantly after the treatment (both P＜0.01).No significant changes of the average error angle values of both active and passive reposition tests of the ankle-joint were found after the treatment in the physiotherapy group (P＞0.05).Comparison between two groups showed that the average error angle,average active and passive reposition angles of the injured ankle in the acupuncture group were evidently lower than those in the physiotherapy group (P＜0.01).Conclusion Acupuncture and moxibustion can effectively improve the proprioception of the injured lateral collateral ligament of the ankle joint in athletes,which is superior to conventional physiotherapy in the therapeutic effect.%目的:观察针灸与常规理疗对踝关节外侧韧带损伤后本体感觉恢复影响的差异.方法:30例踝关节外侧韧带损伤后本体感觉受损的运动员随机分成针灸组(15例)和理疗组(15例).针灸组给予针灸治疗,主穴取丘墟、昆仑、申脉、解溪、阿是穴,疼痛部位以膀胱经为主配列缺,胆经为主配通里,胃经为主配内关；理疗组在外踝处给予TDP治疗器连续照射.两组均每周治疗3次,连续治疗8周.治疗前后用F-JDC型关节角度尺进行测量,以踝关节主动复位和被动复位误差角度作为观察指标.结果:针灸组损伤侧主动复位误差角度由治疗前的4.98±1.11减至3.67±0.58,被动复位误差角度由治疗前的4.78±1.13减至3.51±0.64,差异均有统计学意义(均P＜0.01)；理疗组的本体感觉各指标治疗前后相比差异均无统计学意义(均P＞0.05).治疗后针灸组损伤侧的主动及被动复位误差角度均小于理疗组(P＜0.01).结论:针灸对踝关节外侧韧带损伤后本体感觉恢复有明显的促进作用,效果优于常规理疗.