Clinical Study Of Acupoint Application Combined With Exercise Therapy In The Treatment Of Ankle Instability

Ankle sprain is a disease that is almost inevitable in human's life.Ankle sprain is liable to cause organic damage to the ligament.No Achilles tendon exercise or fracture patients are treated by appliance fixation,external treatment or functional rehabilitation exercise.But in the actual process of ankle sprain,patients may have improper treatment in early stage of acute sprains,treatment is not timely,ankle sprain in the late many patients do not have functional recovery of consciousness,lack of exercise,the ankle feeling from fixed appliances,activity could not arrive before the sprain the activity level.It is often found that patients are prone to re sprain in their daily walk after rehabilitation,especially for patients who wear fixed fixtures for a long time.After repeated sprain,it is very easy for patients to repeat the above rehabilitation.During the process of rehabilitation,sprains from the braces and habitual sprains eventually develop into the process of ankle instability.The instability of the ankle is divided into mechanical instability and functional instability.The two kinds of instability are mainly different from the mechanical instability of the heel force line,accompanied by the pain of the lateral collateral ligament,and the front drawer test is positive.In this paper,the therapeutic effect of sports therapy combined with traditional Chinese medicine application on mechanical ankle instability is discussed in this paper.ObjectiveThis study aimed at the mechanical instability of ankle instability in contrast with simple exercise therapy,patients with ankle joint strength,simple acupoint herbal plaster and acupoint herbal plaster combined with exercise therapy on the mechanical instability of the ankle joint stability,more activity and peripheral sensory effect.At the same time,we analyzed and summarized different aspects of sports therapy and acupoint application to improve ankle instability,and put forward a more targeted and clearer treatment plan for patients with different ankle instability and actual needs.The therapeutic value and application prospect of the two treatments on mechanical ankle instability were discussed.Research methodsParticipants: The cases were from colleges and universities in Guangzhou,including Guangzhou University of Chinese Medicine,Guangzhou Institute of Physical Education,Guangdong Sands Training Base,South China University of Technology,South China Normal University,Guangdong University of Technology,South China Agricultural University and other colleges and universities,choose to meet the inclusion criteria Ninety-seven cases of mechanical ankle instability were collected.The collected cases were divided into three groups according to random principles: acupoint application group,exercise therapy group and acupoint application combined with exercise therapy group.The evaluation indicators include: VAS score,AOFAS ankle hindfoot score system(AOFAS Ankle Hindfoot Scale)active ankle joint position sense(Joint Position,Sense:Active,JPSA)and passive ankle joint position sense(Joint Position,Sense:Passive,JPSP,KT,RPT)RPT varus,valgus,EI moment.Intervention: acupoint application group received acupoint application with 2 ipsilateral side Ashi,Taixi,Shangqiu,JieXi,Kunlun,Zusanli,for 8 weeks.Exercise therapy group: to give the ankle plantar flexion centrifuge training,unilateral centrifuge heel,sitting position on the ball.Acupoint application combined with exercise therapy group was given acupoint application of acupoint selection of ipsilateral Ashi 2,ipsilateral Taixi,Shangqiu,JieXi,Kunlun,zusanli.Sit on the ball for 8 weeks.The data collection process: the use of SPSS23.0 statistics software package estimates,acupoint application group and acupoint application combined with exercise therapy group before treatment on sex,VAS score,AOFAS ankle hindfoot score system(AOFAS Ankle Hindfoot Scale)active ankle joint position sense(Joint Position,Sense:Active,JPSA)and passive ankle joint joint position sense(Joint Position,Sense:Passive,JPSP,KT,RPT)RPT EI varus,valgus torque observation variables and statistical analysis.Statistical methods: independent samples t test was used to compare before and after treatment VAS visual pain scores,AOFAS ankle hindfoot score system(AOFAS Ankle Hindfoot Scale)active ankle joint position sense(Joint Position,Sense:Active,JPSA)and passive ankle joint position sense(Joint Position,Sense:Passive,JPSP,KT,RPT)valgus RPT inversion,difference of EI moment,observed differences using paired t test before and after treatment between the three groups,the research between the three groups VAS pain score visual analysis of variance,AOFAS ankle hindfoot score system(AOFAS Ankle Hindfoot Scale)active ankle joint position sense(Joint Position Sense:Active,and JPSA)passive ankle joint position sense(Joint Position,Sense:Passive,JPSP,KT,RPT)RPT EI varus,valgus torque of different index of curative effect differences and specificity.The results of the study1.three groups of mechanical ankle instability in visual pain scores in patients with VAS,AOFAS ankle hindfoot score system(AOFAS Ankle Hindfoot Scale)active ankle joint position sense(Joint Position,Sense:Active,JPSA)and passive ankle joint position sense(Joint Position Sense: Passive,JPSP,KT,RPT)valgus,RPT varus,EI moment several small indicators of comparable variables were not statistically significant(P>0.05).2.Compared with three groups of 2.mechanical ankle instability patients after treatment were improved by independent variance test,compared to before the intervention of acupoint application combined with exercise therapy group score in VAS visual pain,AOFAS ankle hindfoot score system(AOFAS Ankle Hindfoot Scale)active ankle joint position sense(Joint Position Sense:Active.JPSA)and passive ankle joint position sense(Joint Position,Sense:Passive,JPSP,KT,RPT)RPT EI varus,valgus torque(P<0.05),acupoint application,exercise therapy and exercise therapy combined with Acupoint Application of three kinds of intervention methods,observation indexes of the treatment results with difference(P<0.05)3.three groups of mechanical ankle instability patients by multivariate analysis of variance showed altered levels of difference between groups,acupoint application combined with exercise therapy group and acupoint application group before and after the intervention of AOFAS ankle hindfoot scoring system(AOFAS Ankle Hindfoot Scale)active ankle joint position sense(Joint Position Sense:Active,JPSA)and passive ankle joint position sense(Joint Position,Sense:Passive,JPSP,KT,RPT)RPT EI varus,valgus torque the experimental group and the control group there were significant differences in different indicators(P<0.05).However,different groups have different characteristics of curative effect,which should be further discussed.The conclusions are as follows1.acupoint application combined with exercise therapy can improve the clinical symptoms of patients with mechanical ankle instability,especially around the ankle and the strength of muscle strength.It has good clinical effects on peripheral sensation and stability.2.acupoint application combined with exercise therapy group effect cycle is short and stable,method of acting period acupoint application group acupoint application of simple acupoint application relative acupoint application combined with exercise therapy group,but with acupoint application time and dosage gradually reach the required value,the efficacy of the two groups were consistent.acupoint application group mechanical ankle instability in patients with simple acupoint application of acupoint application after the VAS score,AOFAS ankle hindfoot score system(AOFAS Ankle Hindfoot Scale)active ankle joint position sense(Joint Position,Sense:Active,JPSA)and passive ankle joint position sense(Joint Position Sense:Passive,JPSP,KT,RPT)RPT varus,valgus,EI moment.The index of joint and Department of orthopedics showed negative evaluation,which improved with the time of treatment,and was positive after four weeks of acupoint application.To sum up,acupoint application combined with exercise therapy can improve the symptoms of ankle instability in patients with mechanical ankle instability.and positively regulate the survival joints and Department of orthopedics.Acupoint application combined with exercise therapy is effective and effective in the treatment of mechanical ankle instability.In the experimental period,the effect of acupoint application only can be basically achieved.Because there are some side effects of simple acupoint application of ankle instability drugs,certain types of ankle instability has aggravated the risk of suicide and drug for certain people,so the use of acupoint application combined with exercise therapy is a natural therapy for ankle instability in intervention is feasible and safe,simple operation and easy to accept provide a method to process,selection of patients with mechanical ankle instability in treatment of stability in the ankle,which is worth promoting and should be further investigated to further elucidate the mechanism.