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首页> 外文期刊>Athletic therapy today : >Anterior-to-Posterior Ankle Joint Mobilizations Improve Dynamic Postural Control in Chronic Ankle Instability Patients: A Critically Appraised Topic
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Anterior-to-Posterior Ankle Joint Mobilizations Improve Dynamic Postural Control in Chronic Ankle Instability Patients: A Critically Appraised Topic

机译：前后踝关节动员改善了慢性踝关节不稳定患者的动态姿势控制：一个批判性的主题

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摘要

Clinical Scenario: Balance impairment is common in patients with chronic ankle instability (CAI), especially during dynamic tasks. Manual therapies, such as ankle joint mobilizations are known to improve clinician-oriented outcomes such as dorsiflexion range of motion, but their impact on sensorimotor outcomes such as dynamic postural control and the retention of benefits remains less clear. Focused Clinical Question: Do anterior-to-posterior ankle joint mobilizations improve dynamic postural control in patients with CAI relative to a control condition and are those benefits retained after termination of the treatment? Summary of Key Findings: Three studies quantified the immediate effect and two studies quantified the retained benefit of anterior-to-posterior ankle joint mobilizations on improving Star Excursion Balance Test (SEBT) reach distances. Two studies demonstrated large immediate improvements in SEBT reach distances and those same investigations found that those large improvements were retained. Clinical Bottom Line: Ankle joint mobilization appears to improve SEBT reach distances and those improvements are retained. Strength of Recommendation: Strength of recommendation is a B due to inconsistent moderate-quality patient-oriented evidence.
机译：临床情景：平衡损伤在慢性踝关节不稳定（CAI）的患者中是常见的，特别是在动态任务期间。已知手动疗法，例如踝关节动员，改善临床医生导向的结果，如背积尺寸的运动，但它们对动态姿势控制等传感器结果的影响，仍然不太清楚。专注的临床问题：前后踝关节动员改善CAI患者的动态姿势控制相对于对照条件，终止治疗后保留的益处吗？关键发现摘要：三项研究量化了直接效应，两项研究量化了前后踝关节动员的保留益处，改善星形偏移平衡试验（SEBT）到达距离。两项研究表明，SEBT达到距离的大量改善，同样的调查发现，保留了那些大的改进。临床底线：踝关节动员似乎改善了SEBT到达距离，并保留了这些改进。建议强度：建议的力量是A B由于中等质量患者导向的证据不一致。

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