按压肌筋膜触发点对功能性踝关节不稳患者的 疗效研究.

Objective：To explore the effect of pressing the myofascial trigger point on the basis of balance training in patients with functional ankle instability （FAI). Method：A total of 29 patients with functional ankle instability who were treated in the rehabilitation department of southwest university hospital from May to August 2021 were selected and randomly divided into an experimental group of 15 and a control group of 14. The experimental group received the technique of pressing myofascial trigger points on the basis of ankle balance training, while the control group using the BOSU ball for ankle balance training. Visual analogue pain scale (VAS) assessment，ankle function scale score（American Orthopedic Foot and Ankle Score，AOFAS）and Y-balance test were performed in the two groups at baseline, 4-week and 8-week after intervention, respectively. Result: Before treatment，there was no significant difference between the two groups in the evaluation indicators (P>0.05). After 8 weeks of treatment，the VAS pain scores in both groups were significantly decreased (P<0.05), the comprehensive value of Y-balance test was significantly improved （P<0.01), and the AOFAS ankle function scores were significantly improved (P<0.05）. The experimental group outperformed the control group in all of the above evaluation indicators after treatment (P<0.05). Conclusion: Eight- week balance training and balance training combined with MTrPs therapy have significant clinical rehabilitation effects on FAI patients. Balance training combined with compression MTrPs therapy has better rehabilitation benefits in reducing pain, promoting ankle function, and improving dynamic balance in patients with FAI. [ABSTRACT FROM AUTHOR]