مقایسه اثر 2 روش فیزیوتراپی در بهبود کشیدگی ضربه‌ای درجه I و II لیگامانهای خارجی مچ پا

Ankle sprains are among the most common athletic injuries. Even when treated, two third of the subjects experience it again. Physiotherapy is the chosen treatment for grade I & II ankle ligament sprains. Rehabilitation of such cases costs about two billion dollars a year in the USA. Inadequacy of the treatments and improper treatment protocols seem to be the main cause of recurrence. The present study was designed to compare the effects of conventional physiotherapy program with a new protocol concentrating on proprioceptive and balance training program. For this purpose 30 male subjects suffering from unilateral lateral ankle sprain, selected by convenience sampling, were recruited in the study and randomly allocated to 2 groups of 15. The first group received 10 sessions of conventional physiotherapy as suggested in the literature. The second group received 10 sessions of special proprioceptive and balance training protocol. Each group was tested before and after treatment. Both clinical and instrumented balance tests were performed in both groups to assess the dynamic and static aspects of their balance. Based on the obtained results, both groups were significantly better on all test items after treatment compared to before treatment. Subjects in the second group performed better in Limits of Stability test while standing on both legs as well as on the involved leg. The results also indicated that although both methods were effective in treating the patients, the protocol focusing on proprioceptive and balance training can be more successful in rehabilitation and faster return to the field of the injured athletes.