PDF(Pubmed)
Abstract：
BACKGROUND: The aim of study was to observe the therapeutic effect of joint mobilization of Maitland on subjects with chronic ankle instability (CAI).
METHODS: 76 subjects with CAI were recruited for this randomized, single-blinded trial and randomized divided into experimental group (EG) and control group (CG). The CG was received conventional rehabilitation, and the EG added 8-weeks treatment of Maitland technology based on the CG. The visual analogue scale, ankle range of motion, Y-balance test, and Foot and Ankle Ability Measure scores (the daily living part of Foot and Ankle Ability Measure scores and the sport part of Foot and Ankle Ability Measure scores) were measured before and 8 weeks after the intervention respectively.
RESULTS: There was no significant difference on outcomes between the 2 groups before treatment (P > .05). After 8 weeks of intervention, the visual analogue scale, ankle range of motion (dorsiflexion, plantar flexion, and varus), the value of Y-balance test (forward extension distance, inner extension distance, and posterior extension distance), the daily living part of Foot and Ankle Ability Measure scores, and the sport part of Foot and Ankle Ability Measure scores of the 2 groups were significantly improved (P < .01), and the improvement of the EG showed remarkable than CG (P < .01).
CONCLUSIONS: Maitland therapy is effective in the treatment of CAI. Conventional rehabilitation assisted by Maitland therapy were beneficial to improve pain and functional state in patients with CAI than only routine rehabilitation.
METHODS: 76 subjects with CAI were recruited for this randomized, single-blinded trial and randomized divided into experimental group (EG) and control group (CG). The CG was received conventional rehabilitation, and the EG added 8-weeks treatment of Maitland technology based on the CG. The visual analogue scale, ankle range of motion, Y-balance test, and Foot and Ankle Ability Measure scores (the daily living part of Foot and Ankle Ability Measure scores and the sport part of Foot and Ankle Ability Measure scores) were measured before and 8 weeks after the intervention respectively.
RESULTS: There was no significant difference on outcomes between the 2 groups before treatment (P > .05). After 8 weeks of intervention, the visual analogue scale, ankle range of motion (dorsiflexion, plantar flexion, and varus), the value of Y-balance test (forward extension distance, inner extension distance, and posterior extension distance), the daily living part of Foot and Ankle Ability Measure scores, and the sport part of Foot and Ankle Ability Measure scores of the 2 groups were significantly improved (P < .01), and the improvement of the EG showed remarkable than CG (P < .01).
CONCLUSIONS: Maitland therapy is effective in the treatment of CAI. Conventional rehabilitation assisted by Maitland therapy were beneficial to improve pain and functional state in patients with CAI than only routine rehabilitation.
摘要：
背景：研究的目的是观察Maitland关节动员对慢性踝关节不稳（CAI）患者的治疗效果。
方法：本次随机招募了76名CAI患者，采用单盲试验,随机分为实验组(EG)和对照组(CG)。CG接受了常规康复治疗，EG在CG的基础上增加了Maitland技术的8周治疗。视觉模拟量表，踝关节的活动范围,Y平衡试验,分别在干预前和干预后8周测量足踝能力测量得分（足踝能力测量得分的日常生活部分和足踝能力测量得分的运动部分）。
结果：治疗前两组间的结局无显著差异（P>0.05）。经过8周的干预，视觉模拟量表，踝关节活动范围（背屈，足底屈曲,andvarus),Y平衡测试的值(向前延伸距离，内延伸距离,和后延伸距离)，足踝能力测量得分的日常生活部分，2组运动部分足踝能力测定评分均有显著提高（P<0.01），EG的改善明显优于CG（P<0.01）。
结论：梅特兰疗法治疗CAI有效。Maitland疗法辅助常规康复治疗对改善CAI患者的疼痛和功能状态比单纯常规康复更有益。
方法：本次随机招募了76名CAI患者，采用单盲试验,随机分为实验组(EG)和对照组(CG)。CG接受了常规康复治疗，EG在CG的基础上增加了Maitland技术的8周治疗。视觉模拟量表，踝关节的活动范围,Y平衡试验,分别在干预前和干预后8周测量足踝能力测量得分（足踝能力测量得分的日常生活部分和足踝能力测量得分的运动部分）。
结果：治疗前两组间的结局无显著差异（P>0.05）。经过8周的干预，视觉模拟量表，踝关节活动范围（背屈，足底屈曲,andvarus),Y平衡测试的值(向前延伸距离，内延伸距离,和后延伸距离)，足踝能力测量得分的日常生活部分，2组运动部分足踝能力测定评分均有显著提高（P<0.01），EG的改善明显优于CG（P<0.01）。
结论：梅特兰疗法治疗CAI有效。Maitland疗法辅助常规康复治疗对改善CAI患者的疼痛和功能状态比单纯常规康复更有益。
