The Clinical Effect Study On The Treatment Of Chronic Ankle Instability By Triple Therapy

ObjectiveObserving the changes in the results of ankle isokinetic muscle test, proprioception test,AOFA score and analyzing the result of clinical evaluation curative effect after the treatment of chronic ankle instability by triple therapy, which consist of manipulation maneuver,herbalfumigation and functional exercise,and finally contrasting the testing,scoring and evaluating results of the treatment of chronic ankle instability by functional exercise combined with ultrashort wave,than investigating clinical value of the triple therapy.Methods35 patients diagnosed with unilateral chronic ankle instability were selected associating with inclusion criteria and exclusion criteria,and were divded into two groups randomly,which one would be treated by triple therapy as treatment group(n=16)and the another one would be treated by functional exercise combined with ultrashort wave as control group(n=19).Each groups were made a statistical analysis on the age,gender,disease duration,weight.And the two groups were confirmed that the deference was not statistically significant(P﹥0.05).The two groups would be tested by the Biodex System 3 dynamometer in ankle isokinetic muscle strength and proprioception,be marked according to AOFAS system,and would be evaluated according to the standards for diagnosis and curative effect of Chinese medical symptom,beforeand 4 weeks after the treatment.The clinical therapeutic effect on the treatment group contrasting with control group would be anaylised bySPSS 17.0 according to the finally recording resultResults①In priortreatment,comparing the resulds in isokinetic muscle and proprioception test of two groups,the affected side ankle E/I and APT value significantly is lower than the healthy one(P<0.05),on the contrary,the affected side ankle JPSA,JPSP and KT value is higher than the healthy side(P<0.05),it indicates that chronic ankle instability patients have muscle strength and proprioception deficiency.②4 weeks after the treatment,the affected side ankle E/I and APT value and AOFAS scores of two groups both exceed the previous level and the deference had statistically significant(P<0.05),having the similarity results of the affected side ankle proprioception test results. And the treatment group total effectiveness is 93.8% and cure rate is 56.3%,the control group total effectiveness is 84.2% and cure rate is 52.5%,according to the standards for curative effect.It shows that both triple therapy and functional exercise combined with ultrashort wave are helpful for improving the ankle muscle strength,proprioception and function finally.But,comparing the two groups,all observation indexes level of the treatment group higher than control group(P<0.05),it means that triple therapy more helpful than functional exercise combined with ultrashort wave.ConclusionsBoth triple therapy and functional exercise combined with ultrashort wave can restore the ankle muscle strength,proprioception and improve symptom of chronic ankle instability patients.But,the treatment group shows a better therapeutic effectiveness than the control group,and is more advantageous to improve the symptoms of chronic ankle instability,it is worthwhile to generalize.