| Objective:Scientific observation of traditional Chinese medicine orthopedic treatment of old ankle sprain clinical efficacy,more objective assessment,verify the effectiveness of traditional Chinese medicine orthopedic techniques,in order to provide a reference for the clinical treatment of old ankle sprain.Method:From September 2015 to December 2016,74 patients with unilateral ankle sprain were collected from the clinic,and 66 patients met the criteria and the data were complete.33 cases on the left,33 cases on the right side.Including male patients in 29 cases,37 cases of female.Aged 16 to 64 years,mean 36 years old.Sprained to the shortest treatment time of 4 weeks,the longest 14 months,an average of 6.8 months.All cases were randomized to the surgical treatment group(treatment group)and functional exercise group(control group).The treatment group for traditional Chinese medicine orthopedic treatment,the specific methods are:1,hand touching heart,looking for points according to tendons;2,tactical reinforcement,line shake,pull,poke method;3,stroke along the line,light stroke work.The control group of functional exercise treatment,including:1,foot back exercise;foot plantar flexion exercise;3,ankle varus,valgus exercise;4,heel training and so on.The VAS score of pain,the degree of ankle swelling,the Baird-Jackson ankle score of AOFAS,the measurement of talus tilt angle and the specific mood scale of PANAS-X were monitored before and after treatment.Result:1.Of the 74 patients,66 were followed up for one month and the longest 6 months with an average of 4.2 months.2.VAS score:There was no significant difference in VAS score between the two groups before treatment(P>0.05).(P<0.01).Compared with the control group,the VAS score of the control group was lower than that of the control group(p<0.01),and the difference was statistically significant(p<0.01).The degree of VAS score in the treatment group was significantly better than that in the control group(p<0.01),the di:fference was statistically significant.3.Ankle joint swelling:the two groups of patients before treatment of the affected side of the ankle joint swelling was no statistically significant(p>0.05),comparable;after treatment,the two groups of patients with ipsilateral ankle joint swelling was no statistically significant P>0.05).4.AOFAS Rating:There was no significant difference in AOFAS scores between the two groups before treatment(p>0.05).The AOFAS scores of the two groups were significantly higher than those before treatment(p<0.05)The scores of the AOFAS scores in the two groups were significantly higher than those in the control group(p<0.05).5.Talus tilt angle situation:There was no significant difference(P>0.05)between the two groups before and after treatment,and there was no significant difference between the two groups(p>0.05).There was no significant difference between the two groups before and after treatment(p>0.05)(P>0.05).There was no significant difference between the two groups(p>0.05).There was no significant difference between the two groups(p>0.05).6.PANAS-X specific emotional scale score:Before and after treatment,the scores of the two groups were not statistically significant(p>0.05).In the treatment group,the scores of positive emotion were decreased and the negative emotion score decreased compared with before treatment(P<0.05).Compared with the control group,there were significant differences(P<0.05)between the control group and the control group(P<0.05).There was significant difference between the control group and the control group(P<0.05).The scores of positive emotion scores in the control group were significantly higher than those in the control group(P<0.05).Conclusion:1.The use of traditional Chinese medicine orthopedic treatment of old ankle sprain in relieving pain,improve the patient's ankle function in clinical efficacy is obvious,and better than the current Western medicine commonly used ankle function alone exercise group.2.Orthopedic and ankle exercises can not improve the anatomical relationship between the ankle joint,so the functional ankle instability is obvious,for the mechanical ankle instability treatment effect in general.3.There was no significant difference between the treatment group and the control group in improving the degree of ankle swelling.4.TCM orthopedic and functional exercise treatment of old ankle sprain and then improve the symptoms at the same time,have a positive effect on the patient's mood,but the effect of traditional Chinese medicine treatment group was significantly better than the functional exercise control group. |
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