医学
物理疗法
背景(考古学)
脚踝
心理干预
物理医学与康复
生活质量(医疗保健)
最小临床重要差异
威尔科克森符号秩检验
康复
害怕跌倒
毒物控制
随机对照试验
伤害预防
外科
内科学
精神科
医疗急救
护理部
古生物学
生物
曼惠特尼U检验
作者
Cameron J. Powden,Rachel M. Koldenhoven,Janet E. Simon,John J. Fraser,Adam B. Rosen,Abbis Jaffri,Andrew C.S. Mitchell,Christopher J. Burcal
出处
期刊:Journal of Sport Rehabilitation
[Human Kinetics]
日期:2023-02-01
卷期号:32 (2): 124-132
被引量:1
标识
DOI:10.1123/jsr.2022-0053
摘要
Context : Intervention studies for chronic ankle instability (CAI) often focus on improving physical impairments of the ankle complex. However, using an impairments-focused approach may miss psychological factors that may mediate function and recovery. Patient-reported outcome (PRO) measures can be used to assess several dimensions of the health-related quality of life (HRQoL) and deliver enhanced patient-centered care. Therefore, the purpose of this investigation was to evaluate group-level improvements in HRQoL and treatment response rates following various interventions in patients with CAI. Design : Cross-sectional. Methods : Data from 7 previous studies were pooled by the chronic ankle instability outcomes network for participant-level analysis, resulting in 136 patients with CAI. Several interventions were assessed including balance training, gait biofeedback, joint mobilizations, stretching, and strengthening, with treatment volume ranging from 1 to 4 weeks. Outcome measures were PROs that assessed ankle-specific function (Foot and Ankle Ability Measure), injury-related fear (Tampa Scale of Kinesiophobia and Fear Avoidance Belief Questionnaire), and global well-being (Disablement in the Physically Active); the PROs assessed varied between studies. Preintervention to postintervention changes were evaluated using separate Wilcoxon signed-rank tests and effect sizes, and a responder analysis was conducted for each PRO. Results : Significant, moderate to large improvements were observed in PROs that assessed ankle-specific function, injury-related fear, and global well-being following intervention ( P < .001). Responder rates ranged from 39.0% to 53.3%, 12.8% to 51.4%, and 37.8% for ankle specific function, injury-related fear, and global well-being, respectively. Conclusions : Various interventions can lead to positive improvements in HRQoL in patients with CAI. Treatment response rates at improving HRQoL are similar to response rates at improving impairments such as balance, further reinforcing the need for individualized treatment approaches when treating a patient with CAI.
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