牛牛游戏厅安卓,{原始关键词}

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                            • 当前位置: 代写一篇论文多少钱 > 医学论文 > 踝关节扭伤患者不同阶段的康复治疗与训练

                              踝关节扭伤患者不同阶段的康复治疗与训练

                              时间:2020-04-26 14:02作者:徐礼才
                              本文导读:这是一篇关于踝关节扭伤患者不同阶段的康复治疗与训练的文章,踝关节作为人体最重要的受力关节之一,其最易出现的损伤为关节扭伤,在踝关节扭伤中又以内翻导致的外踝扭伤最为常见,约占踝关节扭伤的77%。

                                摘    要: 踝关节扭伤是日常生活及运动中极为常见的运动损伤之一,国内外医生和学者对踝关节扭伤的治疗与康复均有较多报道,但大部分文献均从踝关节扭伤某一个阶段进行康复治疗与训练方法的单独研究,较少文献将踝关节不同阶段的康复治疗与训练进行汇总与报道。本文主要通过检索近10年内关于踝关节扭伤不同阶段的康复治疗与训练的方法及疗效,将踝关节扭伤后有效的康复治疗与训练方法进行总结与概括,为临床医生在为踝关节扭伤患者治疗与康复过程中提供较为系统的诊疗依据。

                                关键词: 踝关节扭伤; 康复治疗; 康复训练;

                                HUAIGUANJIEZUOWEIRENTIZUIZHONGYAODESHOULIGUANJIEZHIYI,QIZUIYICHUXIANDESUNSHANGWEIGUANJIENIUSHANG[1],ZAIHUAIGUANJIENIUSHANGZHONGYOUYINEIFANDAOZHIDEWAIHUAINIUSHANGZUIWEICHANGJIAN,YUEZHANHUAIGUANJIENIUSHANGDE77%[2]。ZHONGDUOHUAIGUANJIENIUSHANGHUANZHEZHONG,YOUYUZAOQIZHILIAOBUDANGHUOWEIJINGGUOXITONGKANGFUXUNLIANJIUGUOZAODEJINXINGJULIEYUNDONG,ZUIZHONGHUAIGUANJIENIUSHANGHUIYANBIANXINGCHENGMANXINGHUAIGUANJIEBUWEN[3]。GUANGDAZHONGWAIXUEZHEJUNYISHIDAOHUAIGUANJIENIUSHANGHOUKANGFUZHILIAOYUXUNLIANDEZHONGYAOXING,ZAIHUAIGUANJIENIUSHANGDEGEJIEDUANJUNYANJIUCHULEGEZHONGKEXUEYOUXIAODEKANGFUFANGFA[4,5,6],BENWENJIANGZAIZHEIXIEYANJIUDEJICHUSHANGJIANGHUAIGUANJIENIUSHANGDEJILIJIBUTONGJIEDUANKANGFUZHILIAOYUXUNLIANFANGFAJINXINGZONGJIEYUGAIKUO,WEIGUANGDAYIWUGONGZUOZHETIGONGJIAOWEIQUANMIANDEHUAIGUANJIENIUSHANGHOUDEKANGFUZHILIAOFANGAN,CONGERJINYIBUTIGAOHUAIGUANJIENIUSHANGHUANZHEDESHENGHUOYUYUNDONGNENGLI。

                                1、 踝关节解剖特点与扭伤机制

                                ZUOWEIRENTIZUIZHUYAODEFUZHONGGUANJIEZHIYI,HUAIGUANJIEDEGUXINGJIEGOUZHUYAOYOUJUGU、FEIGUHEJINGGUZUCHENG,GUANJIEMIANBAOKUOJUGUSHANGFANGDEHUACHEGUANJIEMIAN、FEIGUWAIHUAIGUANJIEMIANHEJINGGUXIAGUANJIEMIANJINEIHUAIGUANJIEMIAN[7]。RENDAIBAOKUOWAICEQIANSHUJUFEIQIANRENDAI、ZHONGSHUGENFEIRENDAI、HOUSHUJUFEIHOURENDAIJINEICESANJIAORENDAI[8]。NEICERENDAIGEBUFENJIEBUQINGXI,RENDAIXIANWEIXIANGHURONGHE,ZHUYAOZINEIHUAIJIANJIQIQIANHOUYUANCHENGSHANXINGXIANGXIAZHIZAIJUTUJIJUGUNEICEJIEJIE[9]。JUFEIQIANRENDAIFAZIWAIHUAIQIANYUAN,ZHIYUJUGUJINGDEWAICE,JUFEIHOURENDAIQIZIWAIHUAINEIMIANDEZHIZHUANGWO,YANSHENZHIJUGUHOUTUDEWAICEJIEJIE,SHIWAICERENDAIZHONGRENXINGZUIQIANGDEYITIAO,GENFEIRENDAIQIZIWAIHUAIJIANQIANFANGYAJI,CHENGTIAOSUOZHUANG,ZHIYUGENGUJIEJIEZHONGBUDEWAICE[10]。

                              牛牛游戏厅安卓,{原始关键词}   HUAIGUANJIEDEJIEPOUTEDIANJUEDINGLEHUAIGUANJIENIUSHANGDEDUTEJIZHI,CONGHUAIGUANJIEJIEPOUZHONGDEGUXINGJIEGOULAIKAN,SHOUXIANNEIHUAIYIBANBIWAIHUAIDUAN1cmZUOYOU,YINERHUAIGUANJIEWAIFANHUODONGCHANGCHANGSHOUXIAN,ERNEIFANHUODONGDUMINGXIANDAYUWAIFAN,YINCIHUAIGUANJIENIUSHANGDUOWEINEIFANNIUSHANG[11],CONGERDAOZHISHOULEIDERENDAIDUOWEIWAICERENDAI,LINGWAIZUOWEIHUAIGUANJIEDELINGYIKUAIZHONGYAOGUXINGJIEGOU,JUGUYEYOUZHEQITESHUDEJIEGOU,ZHUYAOBIAOXIANWEIJUGUHUACHEGUANJIEMIANCHENGQIANKUANHOUZHAIGOUZAO,YINCIZAIHUAIGUANJIEBEISHENSHIQIKUANBUJINRUHUAIXUE,CISHIGUANJIEWENDINGXINGJIAOQIANG,ERHUAIGUANJIEZHIQUSHIQIZHAIBUJINRUHUAIXUE,CISHIHUAIGUANJIENEIXIANGDUIKONGXU,CUNZAIKONGXI,WENDINGXINGMINGXIANXIAJIANG[12];JIASHANGHUAIGUANJIENEICERENDAIXIANGDUICUDAERJIANQIANG,WAICERENDAIXIANGDUIBORUO,NEICEJIROULILIANGJIAOWAICEJIROULILIANGDA[1],YINCIJUEDINGLEHUAIGUANJIENIUSHANGJIZHIYIBANDUOWEIHUAIGUANJIEYUNDONGGUOCHENGZHONG,YOUYUDIMIANDEPINGZHENGXINGQIANJIAHUORENTIPINGHENGGONGNENGSHIDIAOSHI,HUAIGUANJIETURANFASHENGGUODUZHIQU、NEIFANHUODONG,CONGERDAOZHIHUAIGUANJIEZHOUWEIRENDAI、JIROU、XUEGUANJIGUANJIENANGDENGRUANZUZHISHOUSUN[13]。

                                2 、踝关节扭伤的分期及不同阶段康复治疗与训练

                                GUANYUHUAIGUANJIENIUSHANGDEFENQI,MUQIANMEIYOUMINGQUEDEJIEXIAN,TONGGUOJIANSUOGUONEIWAIWENXIANFAXIAN,ZHUYAOCONGSHOUSHANGSHIJIANJILINCHUANGZHENGZHUANGLIANGFANGMIANLAIJINXINGFENQI。JIESHOUDUJIAOGAODEFENQIBIAOZHUNZHUYAOSHICANKAO《ZHONGYAOXINYAOLINCHUANGYANJIUZHIDAOYUANZE》(2002NIANSHIXINGBAN)ZHONGGUANYUGUANJIENIUSHANGJIRUANZUZHISUNSHANGDEZHENDUANBIAOZHUNNIDING。ZAOQIYIBANWEIHUAIGUANJIENIUSHANG48hYINEI,LINCHUANGZHENGZHUANGCHANGBIAOXIANWEIJUBUTENGTONGJULIE,BANYOUBUTONGCHENGDUDEZHONGZHANG、PIXIAYUQING、FUWENGAOJIGUANJIEHUODONGSHOUXIAN。ZHONGQIYIBANWEINIUSHANG3TIANZHI2ZHOUNEI,LINCHUANGZHENGZHUANGRUTENGTONG、ZHONGZHANGJIPIXIAYUQINGZHUJIANJIANQING,DANHUAIGUANJIERENGRANHUODONGSHOUXIAN。HOUQIYIBANZAINIUSHANG2ZHOUYIHOU,TENGTONGZHUJIANXIAOCHU,ZHONGZHANGJIPIXIAYUQINGDABUFENXIAOTUI,HUAIGUANJIEGONGNENGDABUFENHUIFU,DANSHAOSHUHUANZHECUNZAIHUIFUQIZHANG,JUBUZHANGQIYINTONG,HUAIGUANJIEBUWENBINGYIFANFUNIUSHANG、ZHONGZHANG。

                              踝关节扭伤患者不同阶段的康复治疗与训练

                                2.1、 早期康复治疗与训练方法

                              牛牛游戏厅安卓,{原始关键词}   HUAIGUANJIENIUSHANGZAOQI(JIXINGQI)ZHILIAOYICONGKAISHIDERICE(XIUXI、BINGFU、JIAYAJITAIGAOHUANZHI)YUANZEZHUJIANZHUANBIANWEIPOLICEYUANZE[14],JIBAOHU、SHIDANGFUZHONG、BINGFU、JIAYABAOZHAJITAIGAOHUANZHI,YOUYUDANCHUNDERICEZHILIAOCELVEHULVELEZAOQIGONGNENGDUANLIANDEZHONGYAOXING,DUIHOUQIDEGONGNENGKANGFUBULI。YINCIHUAIGUANJIENIUSHANGZAOQI,CHULEBINGFU、XIUXITAIGAODENGZHIDONGZHILIAOWAI,HAIYINGBAOKUOFEIFUZHONGJIFUZHONGXUNLIAN。FEIFUZHONGXUNLIANZHUYAOWEIWOWEIDEHUAIGUANJIEBEIDONGQUSHENJIHUANZHUANYUNDONG,YIJIXIAOTUIJIROUZHUDONGDEDENGZHANGSHOUSUOXUNLIAN,FUZHONGXUNLIANZHUYAOWEIHUANZHISHIDANGFUZHONGZHANLIJIZAITENGTONGRENSHOUYUANZEXIADESHINEIXINGZOU。CHUANTONGZHONGYIKANGFUZAIHUAIGUANJIENIUSHANGZAOQIJIEDUANZHONG,ZHUYAOYIXIAOZHONGZHITONG、HUAYUZHIXUEWEIYUANZE,ZHILIAOFANGFAZHUYAOBAOKUOZHENJIU、SHOUFAANMOJIZHONGYAOWAIYONG[5]。ZHENJIUZAIHUAIGUANJIENIUSHANGZHUYAOYIPUTONGZHENCIWEIZHU,QUXUEDUOWEIHUAIGUANJIEZHOUWEIJINDUANQUXUE,YINGYONGZUIDUODEJICHUXUEWEIFENBIEWEIKUNLUN、JIEXI、TAIXI、ZHAOHAIJISHENMAIWUCHUXUEWEI,ZHENCISHOUFAYIXIEFAWEIZHU[15]。SHOUFAANMOZHUYAOBAOKUOYAOFAFANGSONGGUANJIEZHOUWEIJINZHANGDEJIJIANJIRENDAI,QIANYINSHOUFAZENGDAZHONGZHANGHUAIGUANJIEDEJIANXI,WEIHOUXUSHOUFACHUANGZAOBIYAOTIAOJIAN,DIANANHUAIZHOUXUEWEIRUQIUXU、KUNLUN、TAIXI、ZUSANLIYIXIAOZHONGZHITONG,ZUIHOUPEIYIQINGROUSHOUFASHUJINHUOLUO[16]。ZHONGYAOWAIYONGYIHUANJIZHITONG、DIAOHEQIXUEWEIZHIZE,YILIANGXUESANYUXIAOZHONG、XINGQIDAOZHIZHITONGWEIZHIFA,ZUFANGDUOYIQINGRELIANGXUE、XIAOZHONGZHITONGYAOWUWEIZHU,YONGFADUOYIJUBUWAIFUWEIZHU[17]。

                                2.2、 中期康复治疗与训练方法

                                HUAIGUANJIENIUSHANGZHONGQI,ZHUYAOKANGFUZHILIAOYUANZEWEIXIAOZHONGZHITONG、GAISHANXUNHUAN、YUFANGERCINIUSHANG、ZENGDAGUANJIEHUODONGDUJITISHENGJILI。KANGFUZHILIAOFANGFAZHUYAOYOUHUOXUEHUAYULEIZHONGYAOWAIYONG,BAOKUOWAIFUJIXUNXI,NENGYOUXIAOGAISHANNIUSHANGHOUHUAIGUANJIEDEZHONGZHANGTENGTONG,WEIHOUXUDEKANGFUXUNLIANCHUANGZAOJIBENTIAOJIAN[18]。HUAIGUANJIEFANGHUZHIJUDESHIYONG,NENGJIAOHAODIYUFANGHUAIGUANJIEZAINIUSHANGZHONGQIFASHENGZAICINIUSHANG,ZAIYIDINGCHENGDUSHANGBAOHULESHOUSHANGDERENDAI、JIJIANJIGUANJIENANG,WEISUNSHANGDERUANZUZHIHUIFUCHUANGZAOXIANGDUIWENDINGDEHUANJING。MUQIANYUNYONGJIAODUODEHUAIGUANJIEHUJUBAOKUODANLIBENGDAI、ZHUANYEHUHUAIJIJINEIXIAOTIE[19]。ZENGDAGUANJIEHUODONGDUZHUYAOTONGGUOSHOUFAFANGSONGJIROU、XIAOCHUSHUIZHONG、QIANSHENGUANJIE,YOUXIAOYUFANGGUANJIELUANSUO,ZENGDAGUANJIEHUODONGFANWEI,WEIHOUQIGONGNENGKANGFUXUNLIANTIGONGZHICHI[20]。HUAIGUANJIENIUSHANGZHONGQIJILIXUNLIANZHUYAOCONGWOWEIZHUDONGQUSHENHUAIGUANJIE,ZHUJIANGUODUDAOSHUANGJIAOJIDANJIAOTIZHONGLIANXI,ZUIHOUKEYIZAIDANLIDAIDEFUZHUXIAJINXINGKANGZUXUNLIAN,BINGKEGENJUJILIHUIFUQINGKUANGZHUBUZENGJIADANLIDAIDEZULI,CONGERJINYIBUTISHENGHUAIGUANJIEZHOUWEIJIROULILIANG,WEIHOUQIPINGHENG、BENTIGANJUEDENGXUNLIANTIGONGYIGEGENGJIAWENDINGDEHUAIGUANJIE[21]。

                                2.3、 后期康复治疗与训练方法

                                HUAIGUANJIENIUSHANGHOUQIDEKANGFUFANGFAZHUYAOBAOKUOSHOUFAZHILIAOJIGONGNENGXUNLIAN。SHOUFAZHILIAOFANGMIAN,CHUANTONGZHONGYISHOUFADEZHIZEYIHUOXUEXINGQI、SHUJINSANJIEWEIZHU,ZAISHOUFAZHILIAOGUOCHENGZHONGSHIYISHENTOU、YOULI、JUNYUN、CHIJIUDEANFA、LVFA、ROUFADENGLIJINSHOUFA,CONGERDADAOHUOXUEXINGQI、XIAOSANYUJIEDEMUDE[22]。TONGSHIPEIHEXIANDAIKANGFUGUANJIESONGDONGSHOUFA,TONGGUOYANZHANGHUAIGUANJIEZHOUWEIRENDAIJIGUANJIENANG,ZENGJIAFEISHOUSUOZUZHIDEYANZHANXINGLAIZENGJIAHUAIGUANJIEDEHUODONGJIAODU,TONGGUOGAISHANYINNIUSHANGERWENLUANDEGUANJIEJIEGOU,SHIWEICUOWEIDEHUAIGUANJIEHUIWEI,JINERZENGJIALEHUAIGUANJIEDEWENDINGXING[23]。KANGFUXUNLIANZHUYAOBAOKUOJILI、BENTIGANJUEJIPINGHENGGONGNENGDEXUNLIAN。HUAIGUANJIENIUSHANGHOUQICHANGBANYOUHUAIZHOUJIROULILIANGDEJIANRUO,YINCIYAOXIANGZENGQIANGHUAIGUANJIEWENDINGXING,HUAIZHOUJIROULILIANGXUNLIANXIANDEFEICHANGZHONGYAO。CHANGGUIDEJIROULILIANGXUNLIANFANGFAZUIZHUYAOWEIKANGZUXUNLIAN,LINCHUANGYINGYONGGUANGFANDEKANGZUJILIXUNLIANZHUYAOBAOKUOTUSHOUKANGZUJIDANLIDAIKANGZU,GENJUXUNLIANQIANPINGGUDEBUTONGBORUOJIROU,XUANZEZHENDUIXINGDEKANGZUJILIXUNLIAN[24]。BENTIGANJUEXUNLIANKEYOUXIAOTIGAOGUANJIEWENDINGXING,DUIGUANJIEZHOUWEIJIROUHERENDAIQIDAOBAOHUZUOYONG,CONGERJIANSHAOHUAIGUANJIEZAICINIUSHANGDEFENGXIANXUNLIANFANGFAZHUYAOBAOKUODANDUHUANZUZHENGYANJIBIYANZHANLIXUNLIAN、HUANZULIYUPINGHENGBANZHENGYANJIBIYANZHANLIXUNLIAN,YIJIHUANZULIYUPINGHENGBANPEIHEBAIBEIDONGZUOXUNLIAN,JUTIXUNLIANJIHUADEZHIDINGXUYAODUIHUANZHEBINGQINGJINXINGXIANGXIPINGDING,GENJUBINGQINGZHUJIANZENGJIAXUNLIANNANDU[25,26]。PINGHENGGONGNENGJIANTUISHIHUAIGUANJIENIUSHANGHUANZHEHOUQIZUICHANGJIANDEZHENGZHUANG,TONGGUOGAISHANPINGHENGGONGNENGKEYOUXIAOJIANGDIHUANGUANJIENIUSHANGDEFUFALV,MUQIANYUNYONGJIAODUODEPINGHENGXUNLIANFANGFAZHUYAOYOUDONGTAIPINGHENGJIJINGTAIPINGHENGXUNLIAN,TONGSHIJIEHEZHENGYANHEBIYANXUNLIAN[27]。PINGHENGGONGNENGXUNLIANCHULENENGZENGQIANGHUANZHEPINGHENGZHENGTINENGLI,DUIBENTIGANJUEJIJILIYEYOUYIDINGDECUJINZUOYONG[28]。

                                3、 结语

                              牛牛游戏厅安卓,{原始关键词}   HUAIGUANJIENIUSHANGDEPINFAXINGJIGAOFUFALVCUSHILELINCHUANGKANGFUZHILIAODEJIEDUANXINGJIQUANMIANXINGFAZHAN,BUTONGJIEDUANZHENDUIXINGDEKANGFUZHILIAOYUXUNLIANNENGGOUYOUXIAOGAISHANLINCHUANGZHENGZHUANG,TONGSHIWEIXIAJIEDUANDEKANGFUXUNLIANDIANDINGLIANGHAODEJICHU。YINCI,HUAIGUANJIENIUSHANGBUTONGJIEDUANDEKANGFUZHILIAOFANGANNENGWEIKANGFUGONGZUOZHE(YOUQISHINIANQINGKANGFUYISHIJIZHILIAOSHI)TIGONGJIAOHAODECANKAO,NENGGOUJIAOWEIXITONG、QUANMIAN、ZHENDUIXINGDIDUIHUAIGUANJIENIUSHANGHUANZHEJINXINGKANGFUZHILIAOYUXUNLIAN,RANGHUANZHEGENGZAO、GENGHAODIHUIGUISHENGHUOJIYUNDONGDEWUTAI。

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