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关节动员是否有效地改善了慢性脚不稳定? 一个系统的审查和元分析
Qimei Jiang1, Xiaoping Zhou1, Rubing Yan1
1Department of Rehabilitation, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing, China.
Frontiers in medicine
|January 30, 2026
概括
关节动员 (JM) 有效地改善了慢性脚不稳定 (CAI) 患者的脚功能和运动范围 (ROM). 然而,JM并没有显示CAI患者的疼痛水平有显著改善.
科学领域:
- 整形外科 整形外科 整形外科
- 运动医学 运动医学
- 物理疗法物理治疗
背景情况:
- 慢性脚不稳定 (CAI) 是一种常见的疾病,影响运动员和非运动员.
- 关于特定干预措施的有效性,如CAI联合动员 (JM) 的证据有限.
- 需要进行系统的评估,以了解JM在管理CAI中的作用.
研究的目的:
- 系统地评估联合动员 (JM) 的有效性,以改善慢性脚不稳定 (CAI) 的结果.
- 评估JM对CAI患者脚功能,疼痛和运动范围 (ROM) 的影响.
主要方法:
- 在六个主要数据库中进行了系统的文献搜索,截至2025年3月10日.
- 包括随机对照试验 (RCT),重点关注CAI的JM干预.
- 主要结局:脚功能 (CAIT);次要结局:疼痛和ROM. 计算了标准化平均差异 (SMD) 和95%的置信区间 (CI).
主要成果:
- 八个RCT涉及318名患有CAI的受试者被纳入了元分析.
- 在CAI患者中,关节动员显著改善了脚功能 (SMD = 1.62) 和ROM (SMD = 1.18).
- 在JM和对照组之间,没有发现足疼痛减少的显著差异 (SMD = -0.27).
结论:
- 关节动员是一种有效的治疗方法,可以增强慢性脚不稳定症患者的脚功能和ROM.
- 吉姆似乎没有显著缓解与慢性脚不稳定性相关的疼痛.
- 进一步的研究可能会探索结合疗法来解决CAI中的疼痛.
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