应用弹性绷带和IPC对急性踝扭伤的治疗_57381.doc

应用弹性绷带和IPC对急性踝扭伤的治疗 Elastic Bandages and Intermittent Pneumatic Compression for Treatment of Acute Ankle Sprains Olavi Airaksinen, MD, Pertti J. Kolari, MSc, Hannu Miettinen, MD ABSTRACT. Airaksinen O, Kolari P J, Miettinen It: Elastic bandages and intermittent pneumatic compression for treatment of acute ankle sprains. Arch Phys Med Rehabil 71:380-383, 1990. ● The efficacy of elastic bandage alone and with intermittent pneumatic compression (IPC) treatments in the rehabilitation of 44 acute ankle sprains was studied. Lower-leg dysfunction was assessed by measurements of edema, degree of ankle motion, pain, and limb dysfunction when the patient was first included in the study, after treatment for one week, and after a four-week follow-up. For all the parameters studied, elastic bandage with IPC treatment resulted in highly significantly (p0.001) faster rehabilitation during the four-week follow-up than did elastic bandage treatment alone. The limb dysfunction improved significantly (p0.01) during the follow-up on the study group receiving IPC with elastic bandage compared to elastic bandage alone. The results suggest that IPC treatment is effective in acute posttraumatic therapy. KEY WORDS: Ankle; Edema; Pain Inversion ankle sprains are among the most common injuries seen in physically active people, and typically occur when the foot is stressed in a plantar-flexed and inverted position.1-3 Early mobilization is recognized as an effective method of treatment for lateral ankle ligament tears.4-6 Therapy often includes use of elastic bandages together with early mobilization. Intermittent pneumatic compression (IPC) has been used to treat lymphatic and vascular disorders for more than 40 years. In previous studies we have found that IPC was effective in reducing chronic posttraumatic edema and in relieving pain after removal of a cast. Starkey successfully used IPC and cold packs to treat acute ankle sprains; however, the efficacy of IPC in such therapy h