CAJ | 학술논문

目的：探讨正规康复指导对功能性踝关节不稳(FAI)患者踝关节功能的影响。方法32例FAI患者随机分为两组，治疗组(n=16)在物理治疗师的指导下，在医院内行4周下肢功能及姿势控制训练；对照组(n=16)在家中按照康复计划自行训练。训练前后进行单腿站立试验(OLST)及足踝功能障碍指数(FADI)评定。结果训练后，治疗组OLST评分明显减低(P<0.01)，且低于对照组(P<0.05)；对照组OLST评分与训练前无显著性差异(P>0.05)。训练后，治疗组FADI评分明显提高(P<0.01)，且高于对照组(P<0.05)；对照组FADI评分与训练前无显著性差异(P>0.05)。结论正规指导下的综合康复训练有助于恢复FAI患者踝关节本体感觉及踝关节稳定控制能力。
목적：탐토정규강복지도대공능성과관절불은(FAI)환자과관절공능적영향。방법32례FAI환자수궤분위량조，치료조(n=16)재물리치료사적지도하，재의원내행4주하지공능급자세공제훈련；대조조(n=16)재가중안조강복계화자행훈련。훈련전후진행단퇴참립시험(OLST)급족과공능장애지수(FADI)평정。결과훈련후，치료조OLST평분명현감저(P<0.01)，차저우대조조(P<0.05)；대조조OLST평분여훈련전무현저성차이(P>0.05)。훈련후，치료조FADI평분명현제고(P<0.01)，차고우대조조(P<0.05)；대조조FADI평분여훈련전무현저성차이(P>0.05)。결론정규지도하적종합강복훈련유조우회복FAI환자과관절본체감각급과관절은정공제능력。
Objective To investigate the effect of comprehensive rehabilitation direction on functional ankle instability (FAI). Methods 32 consecutive patients with FAI were divided into 2 groups. The rehabilitation group (n=16) finished their rehabilitation program under the instruction of physiotherapists in the hospital, and the control group (n=16) exercised at home by written instruction. All the patients were tested with One Leg Standing Test (OLST) and Foot and Ankle Disability Index (FADI) for the injured ankle before and 4 weeks after train-ing. Results The scores of both OLST and FADI improved after training in the rehabilitation group (P<0.01), but did not in the control group (P>0.05);and improved more in the rehabilitation group than in the control group (P<0.05). Conclusion The comprehensive rehabili-tation direction is effctive on FAI.