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张 冉,于惠贤,胡志伟,王建国,陈亚平.慢性功能性踝关节不稳患者踝部电流感觉阈值的研究[J].中国康复医学杂志,2019,(11):1323~1327
慢性功能性踝关节不稳患者踝部电流感觉阈值的研究    点此下载全文
张 冉  于惠贤  胡志伟  王建国  陈亚平
首都医科大学附属北京同仁医院康复科,北京东城区东交民巷1号,100730
基金项目:北京同仁医院科研骨干基金(TRYY-KYJJ-2015-010)
DOI:
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摘要:
      摘要 目的:探索慢性功能性踝关节不稳患者踝部电流感觉阈值(current perception threshold,CPT)与正常人的差异,及CPT与主观疼痛评分、足踝部功能评分、病程及身体质量指数(body mass index,BMI)的关系。 方法:测量慢性功能性踝关节不稳患者(n=30)外踝部位2000Hz、250Hz、5Hz CPT,与正常值数据库比较,同时测量患者疼痛数字模拟评分,分析CPT与疼痛数字模拟评分的相关性。 结果:慢性功能性踝关节不稳患者外踝部位2000Hz、250Hz、5Hz CPT分别为198.60±74.19、38.66±27.32、21.28±19.28,与正常人比较CPT均降低(P<0.05)。2000Hz、250Hz、5Hz CPT与疼痛数字模拟评分的相关系数为0.159、0.317、0.224,与AOFAS-AHS评分的相关系数为-0.362、-0.483、-0.349,与病程的相关系数为-0.183、0.052、0.057,与BMI的相关系数为0.221、-0.076、0.242,CPT与主观疼痛评分、AOFAS-AHS评分、病程及BMI之间无相关关系(P>0.05)。 结论:慢性功能性踝关节不稳患者踝部CPT降低,提示损伤后的踝部可能存在感觉过敏。CPT与主观疼痛评分、AOFAS-AHS评分、病程及BMI之间无相关关系。
关键词:慢性功能性踝关节不稳  电流感觉阈值
Preliminary study of ankle current perception threshold on patients with functional chronic ankle instability    Download Fulltext
Beijing Tongren Hospital Affiliated to Capital Medical University,Beijing,100730
Fund Project:
Abstract:
      Abstract Objective:To explore the difference of current potential threshold in the ankle between the patients with functional chronic ankle instability and normal people, and find the relationship between the current potential threshold and subjective pain perception. Method:We Measured the current potential threshold of the lateral ankle with 2000Hz, 250Hz and 5Hz current in 30 patients with functional chronic ankle instability and compared with the data of normal people. Numeric rating scale(NRS) and American Orthopaedic Foot and Ankle Society- ankle hindfoot scale (AOFAS-AHS)were also measured.The correlation between current potential threshold and NRS was analysized. Result:The current potential threshold of 2000Hz, 250Hz and 5Hz were 198.60±74.19, 38.66±27.32 and 21.28±19.28, respectively, which were significantly lower than normal(P<0.05). The correlation index between 2000Hz, 250Hz and 5Hz current potential threshold and NRS was 0.159, 0.317, 0.224. The correlation index between 2000Hz, 250Hz and 5Hz current potential threshold and AOFAS-AHS was -0.362,-0.483,-0.349. The correlation index between 2000Hz, 250Hz and 5Hz current potential threshold and duration of disease was -0.183, 0.052, 0.057. The correlation index between 2000Hz, 250Hz and 5Hz current potential threshold and BMI was 0.221,-0.076,0.242. There was no correlation between current potential threshold and NRS,AOFAS-AHS, duration of disease and BMI(P>0.05). Conclusion:The current potential threshold of the ankle in patients with functional chronic ankle instability were lower than normal people, suggesting the hypersensitivity of the injury ankle.There was no correlation between current potential threshold and NRS,AOFAS-AHS, duration of disease and BMI.
Keywords:functional chronic ankle instability  current perception threshold
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