【摘要】：研究目的:觀察PNF(Propriceptive Neuromuscular Facilitation)技術(shù)聯(lián)合核心穩(wěn)定性訓(xùn)練對功能性踝關(guān)節(jié)不穩(wěn)(Functionality Ankle Instability,FAI)患者康復(fù)的影響。研究方法:選取FAI患者20例,隨機(jī)分為實(shí)驗(yàn)組(Experimental Group,EG)和對照組(Control Group,CG),每組10例。共進(jìn)行12次康復(fù)訓(xùn)練,隔天進(jìn)行一次。CG進(jìn)行常規(guī)康復(fù)訓(xùn)練,踝關(guān)節(jié)肌力訓(xùn)練和本體感覺訓(xùn)練。EG進(jìn)行PNF技術(shù)聯(lián)合核心穩(wěn)定性訓(xùn)練。采用Cumberland踝關(guān)節(jié)不穩(wěn)定評價問卷(Cumberland Ankle Instability Tool,CAIT)、踝關(guān)節(jié)等速向心肌力測試、踝關(guān)節(jié)本體感覺測試、星形偏移平衡測試(Star Excursion Balance Text,SEBT)進(jìn)行評定。研究結(jié)果:訓(xùn)練前兩組CAIT評分、等速肌力測試、本體感覺測試、SEBT測試無顯著性差異(P0.05);兩組訓(xùn)練后CAIT評分和訓(xùn)練前比較均有非常顯著性差異(P0.01),EG訓(xùn)練后CAIT評分和CG比較有顯著性差異(P0.05);兩組訓(xùn)練后踝關(guān)節(jié)等速肌力測試、本體感覺測試和訓(xùn)練前比較有顯著性差異(P0.05),EG訓(xùn)練后踝關(guān)節(jié)等速肌力測試、本體感覺測試和CG比較無顯著性差異(P0.05);EG訓(xùn)練后SEBT測試和訓(xùn)練前比較有顯著性差異(P0.05),EG訓(xùn)練后SEBT測試在PLAT、POST、PMED、MED、AMED5個方向上和CG比較有顯著性差異(P0。05),CG訓(xùn)練后SEBT測試和訓(xùn)練前比較無顯著性差異(P0.05)。結(jié)論:1.PNF技術(shù)聯(lián)合核心穩(wěn)定性訓(xùn)練可以促進(jìn)FAI患者的康復(fù),改善FAI患者踝關(guān)節(jié)的功能(肌力、本體感覺),并可以提高FAI患者下肢動態(tài)平衡能力。2.PNF技術(shù)聯(lián)合核心穩(wěn)定性訓(xùn)練比踝關(guān)節(jié)肌力訓(xùn)練結(jié)合本體感覺訓(xùn)練提升下肢動態(tài)平衡能力效果更加明顯。
[Abstract]:Objective: to observe the effect of PNFs combined with core stability training on the rehabilitation of patients with functional Ankle instability. Methods: twenty patients with FAI were randomly divided into experimental group (EG) and control group (CG) with 10 cases in each group. A total of 12 rehabilitation exercises were conducted. The routine rehabilitation training was performed once every other day. The ankle muscle strength training and proprioceptive training. EG were used for PNF combined core stability training. Cumberland Ankle instability tool test (Cumberland Ankle stability tool CAIT), ankle concentric muscle force test, ankle proprioceptive sensation test, star excursion balance test (SEBT) were used. Results: before training, two groups of CAIT score, isokinetic muscle strength test, There was no significant difference in proprioceptive test and SEBT test (P0.05); there was significant difference between the two groups after training (P0.01) and before training (P0.01). There was significant difference between the two groups after training (P0.05). There was a significant difference between proprioceptive test and pre-training (P0.05) ankle isokinetic muscle strength test after EG training. There was no significant difference between proprioceptive test and CG (P0.05) there was significant difference between SEBT test after EG training and before training (P0.05) SEBT test after EG training was significantly different from CG in five directions (P0.05) SEBT test and pre-training SEBT test after CG training were compared with CG (P0.05). There was no significant difference (P0.05). Conclusion: 1. PNF technique combined with core stability training can promote the recovery of FAI patients and improve the ankle function (muscle strength) in FAI patients. PNF technique combined with core stability training is more effective than ankle muscle strength training combined with proprioceptive training to improve lower limb dynamic balance ability.
【學(xué)位授予單位】：武漢體育學(xué)院
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R873

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