功能性踝关节不稳者的动态平衡能力研究

    Research of Dynamic Balance Ability in Individuals with Functional Ankle Instability

    • 摘要: 目的:探讨功能性踝关节不稳(FAI)者的单足和双足动态平衡能力。方法:采用Balance-check动态平衡仪对32名单侧FAI者、18名双侧FAI者和20名正常人进行睁眼状态下的双足和单足的动态平衡能力测试,双足测试时间为60s,单足为30s。使用单因素方差分析来分析各指标值在两组间的差异,而对组内两侧间的差异采用配对样本t检验进行分析,检验水准选α=0.05。结果:双足站立时,双侧FAI组和单侧FAI组各动态平衡指标的值与对照组间的差异均具有统计学意义(P<0.01);而在双侧FAI组和单侧FAI组双足动态平衡能力的比较中,仅在Score和Grade指标值间的差异具有统计学意义(P<0.05)。单足站立时,双侧FAI组和单侧FAI组动态平衡能力与对照组相比,在多数指标值间的差异均具有统计学意义(P<0.05);单侧FAI组患侧与健侧在Score和Grade指标值间的差异具有统计学意义(P<0.05);单侧FAI组与双侧FAI组的单足动态平衡能力在Score和Grade指标值间的差异均具有统计学意义(P<0.05)。结论:双侧FAI者和单侧FAI者的动态平衡能力都弱于同类正常人,双侧FAI者尤甚;单侧FAI者患侧的(单足)动态平衡能力也略弱于健侧,而双侧FAI者两侧间的(单足)动态平衡能力具有一定的对称性。

       

      Abstract: Objective:To explore the dynamic balance ability of single-foot and double-foot standing in individuals with unilateral functional ankle instability(FAI).Methods:Balancecheck dynamic balance instrument was used to assess the dynamic balance ability under singlefoot and double-foot standing for 32 individuals with unilateral FAI,18 individuals with bilateral FAI and 20 healthy individuals,among 60s double-foot standing testing,30s single-foot standing.ANOVA test was used to compare the balance ability among the three groups,while for the difference between the two sides within the group,paired t-test analysis was used,the significance level was set at 0.05.Results:When double-foot standing,there was significant difference in the dynamic balance indexes among the three groups(P<0.01);there was significant difference in Score and Grade between bilateral FAI group and unilateral FAI group(P<0.05).Under single foot standing,there was significant difference in the values of most dynamic balance indexes among the three groups(P<0.05);while there was significant difference in the values of Score and Grade indexes between the foot with ankle instability and the other foot in unilateral FAI group(P<0.05).Under single foot standing,there was significant difference in Score and Grade between bilateral FAI group and unilateral FAI group(P <0.05).Conclusions:Both bilateral FAI and unilateral FAI individuals' dynamic balance ability were weaker than healthy individuals,the bilateral FAI individuals' were even weaker;the dynamic balance ability of the injured side for unilateral FAI individuals was also slightly weaker than those of the uninjured side,while the single foot dynamic balance ability with unilateral FAI individuals had some symmetry.

       

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