<?xml version="1.1" encoding="utf-8"?>
<article xsi:noNamespaceSchemaLocation="http://jats.nlm.nih.gov/publishing/1.1/xsd/JATS-journalpublishing1-mathml3.xsd" dtd-version="1.1" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"><front><journal-meta><journal-id journal-id-type="publisher-id">MRP</journal-id><journal-title-group><journal-title>Medical Research and Practice</journal-title></journal-title-group><issn>2993-9690</issn><eissn>2993-9704</eissn><publisher><publisher-name>Art and Design</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.61369/MRP.2025040003</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title>基于解剖与运动学选用中医手法整复联合超声波治疗
距下关节紊乱的探讨</title><url>https://artdesignp.com/journal/MRP/3/4/10.61369/MRP.2025040003</url><author>管培培,杨靖</author><pub-date pub-type="publication-year"><year>2025</year></pub-date><volume>3</volume><issue>4</issue><history><date date-type="pub"><published-time>2025-04-20</published-time></date></history><abstract>&amp;nbsp; &amp;nbsp; 目的 &amp;nbsp; &amp;nbsp;探讨距下关节紊乱经中医手法整复联合超声波治疗的效果。方法门诊收治距下关节紊乱83例，实验组53例经手法整复1-2次联合超声波治疗5次；对照组30例经超声波治疗5次，观察治疗效果。结果 &amp;nbsp; &amp;nbsp;实验组治疗前后VAS评分、足背屈角度、AOFAS评分均有改善（P＜0.05）。对照组治疗前后VAS评分、AOFAS评分均有改善（P＜0.05），足背屈角度未见明显改善（P＞0.05）。结论 &amp;nbsp; &amp;nbsp;跟据距下关节解剖和运动特点，采用中医手法整复联合超声波的中西医结合治疗距下关节紊乱效果明显。</abstract><keywords>距下关节紊乱,手法整复,治疗</keywords></article-meta></front><body/><back><ref-list><ref id="B1" content-type="article"><label>1</label><element-citation publication-type="journal"><p>[1]巴达拉胡,何春颖,张磊,罗元发,贾文利,程翰文,扶世杰.距下关节面的解剖形态学分型及临床意义[J].解剖学报,2019,50(05):633-637.DOI:10.16098/&amp;nbsp;j.issn.0529-1356.2019.05.015&amp;nbsp;[2]Aydıng&amp;ouml;z&amp;Uuml;,Melih&amp;Tau;opcuogˇlu&amp;Omicron;,G&amp;ouml;rmezA,etal.Accessory anterolateral talar facet in populations with and without symptoms:prevalence and relevant associated ankle MRI&amp;nbsp;findings [J].AJR Am J Roentgenol,2016,207(4):846-851.&amp;nbsp;[3]Mittlmeier T, WichelhausA.Subtalar joint instability[J].Eur J Trauma Emerg Surg, 2015, 41 (6) :623-629.&amp;nbsp;[4]LiSY,HouZD,ZhangP,etal.Ligament structures in the tarsal sinus and canal[J].Foot Ankle Int,2013,34(12):1729-1736.DOI:10.1177/1071100713500653.&amp;nbsp;[5]UpadhyayB,MoJ,BeadsmooreC,et al.Technetium-99mmethylene diphosphonate single-photon emission computed tomography/computedtomography of the foot and ankle[J].World J Nucl Med,2017,16(2):88-100.DOI:10.4103/1450-1147.203077.&amp;nbsp;[6] Kr&amp;auml;henb&amp;uuml;hlN,Horn-Lang T,HintermannB,etal.The subtalar joint:a complex mechanism [J].Efort Open Rev,2017,2(7):309-316.&amp;nbsp;[7]叶东强,孙晓乐,肖松林,张希妮,张燊,王少白,傅维杰,刘宇.基于高速荧光透视成像探究裸足与着鞋对跑步时距上和距下关节在体运动学的影响[J].体育科学,2022,42(01):59-67.DOI:10.16469/j.css.202201005&amp;nbsp;[8]PisaniG.Chronic laxity of the subtalar joint[J].Orthopedics,1996,19(5):431-437.&amp;nbsp;[9]王义龙,马兆龙,王民,刘国强,史社会,段保国.踝关节与距下关节矢状断层解剖学[J].解剖学杂志,2005,(01):71-73.</p><pub-id pub-id-type="doi"/></element-citation></ref></ref-list></back></article>
