肌内效贴治疗慢性踝关节不稳的即刻及短期疗效观察

目的：探索肌内效贴（KT）贴扎对慢性踝关节不稳（CAI）的即刻影响及短期疗效。方法：60例慢性CAI患者随机分为对照组和KT组各30例，对照组接受常规功能训练，KT组在此基础上辅以KT治疗，共治疗4周。分别在治疗前、治疗后即刻和治疗4周后采用等速肌力测试系统测试踝关节外翻平均峰值力矩（E-PT），并结合Y平衡测试（YBT）、Cumberland踝关节不稳问卷（CAIT）及自觉踝关节稳定性量表（PAI）对患者进行评定。结果：治疗后即刻较治疗前和对照组同时间比较，KT组YBT评分均明显提高（均P<0.05），PAI评分均明显降低（均P<0.05）。治疗4周后，2组E-PT、YBT评分、CAIT评分均较治疗前明显提高（均P<0.05），PAI评分明显降低（均P<0.05），且KT组YBT评分、CAIT评分较对照组同时间点比较均更高（均P<0.05），且PAI评分更低（P<0.05）。结论：肌内效贴治疗能即刻增强慢性踝关节不稳患者踝关节稳定性，在常规功能训练基础上结合肌内效贴治疗利于进一步改善其功能障碍。

Immediate and short-term effects of Kinesio taping on chronic ankle instability

Objective: To explore the immediate and short-term effects of Kinesio taping (KT) on chronic ankle instability (CAI). Methods: Sixty patients diagnosed as having CAI were randomly divided into control group (n=30) and KT group (n=30). The control group was given conventional functional exercise, and the KT group received KT treatment around the affected ankle additionally, for 4 weeks. Before taping, immediate and 4 weeks after taping, all patients were evaluated with Peak Torque of Evertor (E-PT) measured by the isokinetic system, and Y Balance Test (YBT), Cumberland Ankle Instability Tool (CAIT) and Perceived Ankle Instability scale (PAI) were combined to assess the efficacy. Results: Immediately after treatment, as compared with the control group and before treatment, the YBT score in KT group increased significantly (both P<0.05), and the PAI score decreased significantly (both P<0.05). After 4 weeks of treatment, E-PT, YBT and CAIT scores in both groups were significantly higher than those before treatment (all P<0.05), and PAI score was significantly lower (both P<0.05). YBT and CAIT scores in KT group were higher than those in control group at the same time point (both P<0.05), and PAI scores were significantly lower (P<0.05). Conclusion: KT can enhance the stability of ankle joint in CAI patients immediately after taping, and KT in combination with conventional functional exercise can generate better effects than the conventional functional exercise alone.