Shen Liu , Jiafu Tang , Guangjun Hu , Yinghong Xiong , Weixiu Ji , Daqi Xu
{"title":"血流限制训练提高了对慢性踝关节不稳患者进行常规干预的疗效","authors":"Shen Liu , Jiafu Tang , Guangjun Hu , Yinghong Xiong , Weixiu Ji , Daqi Xu","doi":"10.1016/j.smhs.2023.11.001","DOIUrl":null,"url":null,"abstract":"<div><p>As a new means of rehabilitation, blood flow restriction training (BFRT) is widely used in the field of musculoskeletal rehabilitation. To observe whether BFRT can improve the efficacy of routine rehabilitation intervention in patients with chronic ankle instability (CAI). Twenty-three patients with CAI were randomly divided into a routine rehabilitation group (RR Group) and a routine rehabilitation + blood flow restriction training group (RR + BFRT Group) according to the Cumberland Ankle Instability Tool (CAIT) score. The RR Group was treated with routine rehabilitation means for intervention, and the RR + BFRT Group was treated with a tourniquet to restrict lower limb blood flow for rehabilitation training based on routine training. Before and after the intervention, the CAIT score on the affected side, standing time on one leg with eyes closed, comprehensive scores of the Y-balance test, and surface electromyography data of tibialis anterior (TA) and peroneus longus (PL) were collected to evaluate the recovery of the subjects. Patients were followed up 1 year after the intervention. After 4 weeks of intervention, the RR + BFRT Group CAIT score was significantly higher than the RR Group (19.33 VS 16.73, <em>p</em> < 0.05), the time of standing on one leg with eyes closed and the comprehensive score of Y-balance were improved, but there was no statistical difference between groups (<em>p</em> > 0.05). RR + BFRT Group increased the muscle activation of the TA with maximum exertion of the ankle dorsal extensor (<em>p</em> < 0.05) and had no significant change in the muscle activation of the PL with maximum exertion of the ankle valgus (<em>p</em> > 0.05). There was no significant difference in the incidence of resprains within 1 year between the groups (36.36% VS 16.67%, <em>p</em> > 0.05). The incidence of ankle pain in the RR + BFRT Group was lower than that in the RR Group (63.64% VS 9.09%, <em>p</em> < 0.01). Therefore, four-weeks BFRT improves the effect of the routine intervention, and BFRT-related interventions are recommended for CAI patients with severe ankle muscle mass impairment or severe pain.</p></div>","PeriodicalId":33620,"journal":{"name":"Sports Medicine and Health Science","volume":"6 2","pages":"Pages 159-166"},"PeriodicalIF":2.3000,"publicationDate":"2023-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666337623000811/pdfft?md5=4b5548bb99964401f548960172e28121&pid=1-s2.0-S2666337623000811-main.pdf","citationCount":"0","resultStr":"{\"title\":\"Blood flow restriction training improves the efficacy of routine intervention in patients with chronic ankle instability\",\"authors\":\"Shen Liu , Jiafu Tang , Guangjun Hu , Yinghong Xiong , Weixiu Ji , Daqi Xu\",\"doi\":\"10.1016/j.smhs.2023.11.001\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><p>As a new means of rehabilitation, blood flow restriction training (BFRT) is widely used in the field of musculoskeletal rehabilitation. To observe whether BFRT can improve the efficacy of routine rehabilitation intervention in patients with chronic ankle instability (CAI). Twenty-three patients with CAI were randomly divided into a routine rehabilitation group (RR Group) and a routine rehabilitation + blood flow restriction training group (RR + BFRT Group) according to the Cumberland Ankle Instability Tool (CAIT) score. The RR Group was treated with routine rehabilitation means for intervention, and the RR + BFRT Group was treated with a tourniquet to restrict lower limb blood flow for rehabilitation training based on routine training. Before and after the intervention, the CAIT score on the affected side, standing time on one leg with eyes closed, comprehensive scores of the Y-balance test, and surface electromyography data of tibialis anterior (TA) and peroneus longus (PL) were collected to evaluate the recovery of the subjects. Patients were followed up 1 year after the intervention. After 4 weeks of intervention, the RR + BFRT Group CAIT score was significantly higher than the RR Group (19.33 VS 16.73, <em>p</em> < 0.05), the time of standing on one leg with eyes closed and the comprehensive score of Y-balance were improved, but there was no statistical difference between groups (<em>p</em> > 0.05). RR + BFRT Group increased the muscle activation of the TA with maximum exertion of the ankle dorsal extensor (<em>p</em> < 0.05) and had no significant change in the muscle activation of the PL with maximum exertion of the ankle valgus (<em>p</em> > 0.05). There was no significant difference in the incidence of resprains within 1 year between the groups (36.36% VS 16.67%, <em>p</em> > 0.05). The incidence of ankle pain in the RR + BFRT Group was lower than that in the RR Group (63.64% VS 9.09%, <em>p</em> < 0.01). Therefore, four-weeks BFRT improves the effect of the routine intervention, and BFRT-related interventions are recommended for CAI patients with severe ankle muscle mass impairment or severe pain.</p></div>\",\"PeriodicalId\":33620,\"journal\":{\"name\":\"Sports Medicine and Health Science\",\"volume\":\"6 2\",\"pages\":\"Pages 159-166\"},\"PeriodicalIF\":2.3000,\"publicationDate\":\"2023-11-23\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.sciencedirect.com/science/article/pii/S2666337623000811/pdfft?md5=4b5548bb99964401f548960172e28121&pid=1-s2.0-S2666337623000811-main.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Sports Medicine and Health Science\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2666337623000811\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"SPORT SCIENCES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Sports Medicine and Health Science","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2666337623000811","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"SPORT SCIENCES","Score":null,"Total":0}
引用次数: 0
摘要
作为一种新的康复手段,血流限制训练(BFRT)在肌肉骨骼康复领域得到了广泛应用。为了观察血流限制训练是否能提高慢性踝关节不稳定(CAI)患者常规康复干预的疗效。根据坎伯兰踝关节不稳定性工具(CAIT)评分,将23名CAI患者随机分为常规康复组(RR组)和常规康复+血流限制训练组(RR+BFRT组)。RR 组采用常规康复手段进行干预治疗,RR + BFRT 组在常规训练的基础上采用止血带限制下肢血流进行康复训练。干预前后,收集患侧 CAIT 评分、闭眼单腿站立时间、Y 平衡测试综合评分、胫骨前肌(TA)和腓骨长肌(PL)表面肌电图数据,以评估受试者的恢复情况。干预1年后对患者进行随访。干预4周后,RR + BFRT组的CAIT评分明显高于RR组(19.33 VS 16.73, p <0.05),闭眼单腿站立时间和Y-平衡综合评分有所改善,但组间无统计学差异(p >0.05)。RR+BFRT组在踝关节背伸最大用力时增加了TA的肌肉激活(p <0.05),而在踝关节外翻最大用力时PL的肌肉激活无明显变化(p >0.05)。两组在 1 年内的再损伤发生率无明显差异(36.36% VS 16.67%,p > 0.05)。RR + BFRT 组的踝关节疼痛发生率低于 RR 组(63.64% VS 9.09%,P < 0.01)。因此,为期四周的BFRT能提高常规干预的效果,建议对踝关节肌肉严重受损或疼痛严重的CAI患者进行BFRT相关干预。
Blood flow restriction training improves the efficacy of routine intervention in patients with chronic ankle instability
As a new means of rehabilitation, blood flow restriction training (BFRT) is widely used in the field of musculoskeletal rehabilitation. To observe whether BFRT can improve the efficacy of routine rehabilitation intervention in patients with chronic ankle instability (CAI). Twenty-three patients with CAI were randomly divided into a routine rehabilitation group (RR Group) and a routine rehabilitation + blood flow restriction training group (RR + BFRT Group) according to the Cumberland Ankle Instability Tool (CAIT) score. The RR Group was treated with routine rehabilitation means for intervention, and the RR + BFRT Group was treated with a tourniquet to restrict lower limb blood flow for rehabilitation training based on routine training. Before and after the intervention, the CAIT score on the affected side, standing time on one leg with eyes closed, comprehensive scores of the Y-balance test, and surface electromyography data of tibialis anterior (TA) and peroneus longus (PL) were collected to evaluate the recovery of the subjects. Patients were followed up 1 year after the intervention. After 4 weeks of intervention, the RR + BFRT Group CAIT score was significantly higher than the RR Group (19.33 VS 16.73, p < 0.05), the time of standing on one leg with eyes closed and the comprehensive score of Y-balance were improved, but there was no statistical difference between groups (p > 0.05). RR + BFRT Group increased the muscle activation of the TA with maximum exertion of the ankle dorsal extensor (p < 0.05) and had no significant change in the muscle activation of the PL with maximum exertion of the ankle valgus (p > 0.05). There was no significant difference in the incidence of resprains within 1 year between the groups (36.36% VS 16.67%, p > 0.05). The incidence of ankle pain in the RR + BFRT Group was lower than that in the RR Group (63.64% VS 9.09%, p < 0.01). Therefore, four-weeks BFRT improves the effect of the routine intervention, and BFRT-related interventions are recommended for CAI patients with severe ankle muscle mass impairment or severe pain.