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Clinical study on Tuina plus physical agents for lateral collateral ligament injury of ankle in gymnasts

推拿联合物理因子治疗体操运动员踝关节外侧副韧带损伤临床研究

  • Clinical Study
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Journal of Acupuncture and Tuina Science Aims and scope Submit manuscript

Abstract

Objective

To compare the efficacy of Tuina (Chinese therapeutic massage) plus physical agents and physical agents alone for lateral collateral ligament injury of ankle in gymnasts, and to explore the feasibility of Tuina for injury intervention in competitive athletes.

Methods

A total of 64 gymnasts with types I–II lateral collateral ligament injury of ankle were selected and divided into a control group and an observation group according to a full analysis set based on the intention-to-treat principle, with 32 cases in each group. Patients in the control group received ultrasound and microwave treatment, while those in the observation group received additional Tuina manipulations. The efficacy was evaluated by total effective rate, visual analog scale (VAS) score, and American Orthopedic Foot and Ankle Society ankle-hindfoot scale (AOFAS-AHS) score.

Results

The total effective rate was 96.9% in the observation group and 90.6% in the control group. There was no statistical difference in the total effective rate between the two groups (P>0.05). The markedly effective rate was 75.0% in the observation group and 46.9% in the control group. The markedly effective rate in the observation group was higher than that in the control group (P<0.05). After treatment, the VAS scores of both groups showed a downward trend, and there were statistical differences between different treatment time points in the same group (P<0.05). After one and three months of treatment, the VAS scores of the observation group were lower than those of the control group (P<0.05). There were statistical differences in the AOFAS-AHS score before and after treatment within the same group (P<0.05). After one month of treatment, there was no statistical difference in the AOFAS-AHS score between the two groups (P>0.05). After three months of treatment, the AOFAS-AHS score in the observation group was higher than that in the control group, indicating statistical significance (P<0.05). There was an interaction between time and group (P<0.05).

Conclusion

Tuina plus physical agents can improve the symptoms of lateral collateral ligament injury of ankle in gymnasts. This combined treatment is superior to physical agents alone in relieving pain and improving joint functions. Therefore, Tuina plus physical agents can be used as a treatment for lateral collateral ligament injury of ankle in gymnasts.

摘要

目的

比较推拿手法联合物理因子疗法与单纯物理因子疗法治疗体操运动员踝关节外侧副韧带损伤的疗效, 探索中医推拿疗法干预竞技体育运动员损伤的可行性。

方法

选取踝关节外侧副韧带I-II型损伤的体操运动员64例, 采用全分析集意向性入组原则, 分为对照组和观察组, 每组32例。 对照组接受超声波和微波治疗, 观察组在对照组治疗基础上加用中医推拿手法治疗。 采用总有效率、视觉模拟量表(VAS)评分、美国足踝矫形学会踝-后足量表(AOFAS-AHS)评分进行疗效评估。

结果

治疗后观察组总有效率为96.9%, 对照组为90.6%, 两组总有效率差异无统计学意义(P>0.05)。 观察组显效率为75.0%, 对照组为46.9%, 观察组显效率高于对照组(P<0.05)。 治疗后两组VAS评分均呈下降趋势, 同组不同治疗时间点间差异有统计学意义(P<0.05)。 治疗1月及3月后, 观察组VAS评分均低于对照组(P<0.05)。 两组AOFAS-AHS评分治疗前后组内差异均有统计学意义(P<0.05)。 治疗1月后两组AOFAS-AHS评分无统计学差异(P>0.05)。治疗3月后, 观察组AOFAS-AHS评分高于对照组, 差异具有统计学意义(P<0.05)。 时间与组别存在交互作用(P<0.05)。

结论

推拿联合物理因子治疗可改善体操运动员踝关节外侧副韧带损伤的症状, 在减轻疼痛及改善关节功能方面均优于单独物理因子治疗; 推拿联合物理因子治疗可作为体操运动员踝关节外侧副韧带损伤的治疗方案。

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Acknowledgments

This work was supported by Shanghai Leading Clinical Specialty of Shanghai Municipal Health Commission (上海市卫生健康委员会上海市临床重点专科, No. shslczdzk04001); Research Project of Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine (上海中医药大学附属岳阳中西医结合医院科研课题, 2019YYQ11).

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Authors and Affiliations

  1. Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, 200437, China

    Lijun Hu  (胡丽君), Junliang Wang  (王峻良), Kunpeng Liu  (刘鲲鹏) & Fei Gu  (顾非)

  2. Sports Hospital of Shanghai Elite Sport Training Administrative Center, Shanghai, 202162, China

    Gang Liu  (刘刚)

Authors
  1. Lijun Hu  (胡丽君)
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  2. Junliang Wang  (王峻良)
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  3. Gang Liu  (刘刚)
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  4. Kunpeng Liu  (刘鲲鹏)
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  5. Fei Gu  (顾非)
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Corresponding author

Correspondence to Junliang Wang  (王峻良).

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There is no potential conflict of interest in this article.

Statement of Informed Consent

Informed consent was obtained from all individual participants.

First Author: HU Lijun, master degree candidate

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Hu, L., Wang, J., Liu, G. et al. Clinical study on Tuina plus physical agents for lateral collateral ligament injury of ankle in gymnasts. J. Acupunct. Tuina. Sci. 20, 309–315 (2022). https://doi.org/10.1007/s11726-022-1328-2

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  • DOI: https://doi.org/10.1007/s11726-022-1328-2

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