与急性侧脚扭伤患者的脚残疾相关的临床损伤
Young-Hyun Lee1, Kang-Jun Lee1, Seung-Hee Nam1
1Department of Sport Science, Sungkyunkwan University, Suwon-si, Republic of Korea.
Frontiers in public health
|July 17, 2025
概括
胀和疼痛是导致急性侧脚扭伤 (ALAS) 后脚残疾的关键因素. 早期管理这些障碍可以改善身体活跃的个体从ALAS中恢复的结果.
科学领域:
- 整形外科 整形外科 整形外科
- 运动医学 运动医学
- 康复科学 康复科学 康复科学
背景情况:
- 急性侧脚扭伤 (ALAS) 是活跃人口中普遍存在的伤害.
- 在ALAS之后的脚残疾是多因素的,但有助于因素需要进一步阐明.
- 了解这些因素对于有效的患者管理和康复至关重要.
研究的目的:
- 研究诊断为ALAS的患者的特定临床损伤和脚残疾之间的关联.
- 确定哪些临床因素最显著地预测受伤后的功能限制和残疾.
主要方法:
- 一项涉及55名患者的横截面研究,该研究是在维持ALAS后两周内进行的.
- 临床损伤的评估,包括炎症症状 (疼痛,胀),运动范围和关节松 (前部抽测试,反转塔拉尔倾斜测试).
- 使用每日生活活动 (ADL) 和体育 (S) 分量表的脚和脚能力测量 (FAAM) 来量化脚残疾.
主要成果:
- 多重回归模型解释了FAAM分数差异的约70%.
- 在FAAM-ADL和FAAM-S分级中,胀和疼痛是关节残疾最重要的预测因素.
- 关节松 (反转性塔拉尔倾斜测试) 对运动相关功能产生了负面影响,而脚运动受限与残疾有积极的相关性.
结论:
- 临床损伤,特别是胀和疼痛,与ALAS后的脚残疾密切相关.
- 这些发现强调了在早期康复方案中解决炎症症状和关节稳定的重要性.
- 建议针对性干预以减少胀,疼痛管理和恢复关节稳定为重点,以优化ALAS患者的康复.
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