Effect of Chinese qualification intervention to reduce pain indicators and improving efficiency of ankle injuries for female students
DOI:
https://doi.org/10.26418/tajor.v3i3.96717Keywords:
Rehabilitation, Acupuncture, Ankle Injuries, Sport Injury.Abstract
Background. Ankle injuries are common among physically active female students and often result in pain, reduced mobility, and limitations in daily activities. Effective rehabilitation approaches are essential to accelerate recovery and restore function. This study aimed to evaluate the effectiveness of an integrated rehabilitation program combining therapeutic exercises with acupuncture in improving ankle joint function. Methods. The study employed an experimental method with two groups: the first received a rehabilitation program using elastic ropes and medicine balls combined with acupuncture, while the second received the same program without acupuncture. Key outcome measures included pain level, ankle joint range of motion, and ability to perform daily activities. Results. Results demonstrated significant improvements in both groups (p < 0.05). However, the group receiving acupuncture achieved greater gains, with a 54% reduction in pain compared to 42% in the control group, a 60% improvement in ankle range of motion compared to 45%, and a 61% improvement in daily activities compared to 49%. Statistical analysis confirmed that the combined program was significantly more effective. Conclusions. In conclusion, integrating acupuncture with therapeutic exercises enhanced rehabilitation outcomes, accelerating recovery and improving quality of life for students with ankle injuries. This study contributes evidence supporting the use of complementary methods in sports rehabilitation. The findings recommend that physical therapy and sports rehabilitation centers adopt combined approaches that integrate traditional Chinese techniques with modern therapeutic exercises.References
Bleakley, C., Dischiavi, S., Taylor, J., Doherty, C., & Delahunt, E. (2017). O30 Rehabilitation reduces re-injury risk post ankle sprain, but there is no consensus on optimal exercise dose or content: a systematic review and meta-analysis. British Journal of Sports Medicine, 51. https://doi.org/10.1136/bjsports-2017-anklesymp.30
Bleakley, C., Taylor, J., Dischiavi, S., Doherty, C., & Delahunt, E. (2019). Rehabilitation Exercises Reduce Reinjury Post Ankle Sprain, But the Content and Parameters of an Optimal Exercise Program Have Yet to Be Established: A Systematic Review and Meta-analysis. Archives of Physical Medicine and Rehabilitation. https://doi.org/10.1016/j.apmr.2018.10.005
Delahunt, E., Bleakley, C. M., Bossard, D. S., Caulfield, B. M., Docherty, C. L., Doherty, C., Fourchet, F., Fong, D. T., Hertel, J., Hiller, C. E., Kaminski, T. W., McKeon, P. O., Refshauge, K. M., Remus, A., Verhagen, E., Vicenzino, B. T., Wikstrom, E. A., & Gribble, P. A. (2018). Clinical assessment of acute lateral ankle sprain injuries (ROAST): 2019 consensus statement and recommendations of the International Ankle Consortium. British Journal of Sports Medicine, 52(20). https://doi.org/10.1136/bjsports-2017-098885
Graha, A. S., Suhartini, B., Mahesvi, H., & Sukarmin, Y. (2023). Effectiveness of massage therapy injury sports methods ali satia graha: experimental study against chronic ankle. Tanjungpura Journal of Coaching Research, 1(2), 56–62. https://doi.org/10.26418/tajor.v1i2.65216
He, J., Chang, S., & Liu, H. (2025). Effects of acupuncture combined with strength training and whole-body vibration training on patients with chronic ankle instability: a randomised controlled trial. Frontiers in Bioengineering and Biotechnology, 13. https://doi.org/10.3389/fbioe.2025.1615121
Herzog, M. M., Kerr, Z. Y., Marshall, S. W., & Wikstrom, E. A. (2019). Epidemiology of ankle sprains and chronic ankle instability. Journal of Athletic Training, 54(6). https://doi.org/10.4085/1062-6050-447-17
James, A. M., Williams, C. M., & Haines, T. P. (2013). “Effectiveness of interventions in reducing pain and maintaining physical activity in children and adolescents with calcaneal apophysitis (sever’s disease): A systematic review.†In Journal of Foot and Ankle Research (Vol. 6, Issue 1). https://doi.org/10.1186/1757-1146-6-16
Jia, L., & Han, X. (2023). Effects of exercise training combined with acupuncture and moxibustion on fatigue. Revista Brasileira de Medicina Do Esporte. https://doi.org/10.1590/1517-8692202329012022_0745
Kobayashi, T., & Gamada, K. (2014). Lateral Ankle Sprain and Chronic Ankle Instability: A Critical Review. In Foot and Ankle Specialist (Vol. 7, Issue 4). https://doi.org/10.1177/1938640014539813
Lazarou, L., Kofotolis, N., Pafis, G., & Kellis, E. (2018). Effects of two proprioceptive training programs on ankle range of motion, pain, functional and balance performance in individuals with ankle sprain. Journal of Back and Musculoskeletal Rehabilitation, 31, 437–446. https://doi.org/10.3233/BMR-170836
Li, X., & Haotian. (2022). The Effect of Acupuncture Therapy on the Rehabilitation of Motorcycle Athletes’ Knee Joint Injury. Frontiers in Medical Science Research. https://doi.org/10.25236/fmsr.2022.040202
Li, X., Zhai, G., Zhang, H., Li, X., Wu, M., Zhang, S., Cui, J., Tang, Z., & Hu, Z. (2024). Clinical efficacy of acupuncture therapy combined with core muscle exercises in treating patients with chronic nonspecific low back pain: a systematic review and meta-analysis of randomized controlled trials. Frontiers in Medicine, 11. https://doi.org/10.3389/fmed.2024.1372748
Li, Y. (2022). Sports rehabilitation in athletes with meniscal lesions based on electroacupuncture associated with sports therapy. Revista Brasileira de Medicina Do Esporte. https://doi.org/10.1590/1517-8692202329012022_0150
Lin, C. I., Houtenbos, S., Lu, Y. H., Mayer, F., & Wippert, P. M. (2021). The epidemiology of chronic ankle instability with perceived ankle instability- a systematic review. In Journal of Foot and Ankle Research (Vol. 14, Issue 1). https://doi.org/10.1186/s13047-021-00480-w
Liu, X. Y., Ma, Y., Huang, Z. Y., Xiao, X. X., & Guan, L. (2024). The Efficacy of Acupuncture, Exercise Rehabilitation, and Their Combination in the Treatment of Knee Osteoarthritis: A Randomized Controlled Trial. Journal of Pain Research, 17, 2837–2849. https://doi.org/10.2147/JPR.S465058
Mattacola, C. G., & Dwyer, M. K. (2002). Rehabilitation of the ankle after acute sprain or chronic instability. In Journal of Athletic Training (Vol. 37, Issue 4).
Qiao, Y., Kan, J., Xu, S.-Q., Li, L., & Zeng, C. (2025). Effect of acupuncture and moxibustion, cupping, and medicated thread moxibustion on biomechanical responses in sports injuries. Molecular & Cellular Biomechanics. https://doi.org/10.62617/mcb261
Saarinen, A. J., Uimonen, M. M., Sandelin, H., Toom, A., Richter, M., & Repo, J. P. (2021). Minimal important change for the visual analogue scale foot and ankle (VAS-FA). Foot and Ankle Surgery, 27(2). https://doi.org/10.1016/j.fas.2020.04.005
Santolia, P., Facina, G., Haddad, C., Nazário, A., De Almeida Rizzi, S., & Elias, S. (2023). Abstract P4-07-43: Effect of acupuncture and exercise therapy in rehabilitation of physical disfunctions in breast cancer survivors: randomized clinical trial. Cancer Research. https://doi.org/10.1158/1538-7445.sabcs22-p4-07-43
Simplicio, C. L., Santos, G. S., Purita, J., Lana, J. F. S. D., Santos, R. G. dos, & Murrell, W. (2024). Physiotherapy techniques used in injury treatment: A systematic review of tennis elbow. Tanjungpura Journal of Coaching Research, 2(3), 114–123. https://doi.org/10.26418/tajor.v2i3.86823
Stüber, J., Zech, S., Bay, R., Qazzaz, A., & Richter, M. (2011). Normative data of the Visual Analogue Scale Foot and Ankle (VAS FA) for pathological conditions. Foot and Ankle Surgery, 17(3). https://doi.org/10.1016/j.fas.2010.05.005
Suhartini, B., Mahesvi, H., Adil, H. M., Bartik, P., Hansdorfer-Korzon, R., & Sukarmin, Y. (2024). How does ali satia graha and thai massage method compare? Study on pain and range of motion of chronic ankle injury. Tanjungpura Journal of Coaching Research, 2(3), 124–130. https://doi.org/10.26418/tajor.v2i3.65878
Xu, B., Zhang, L., Zhao, X., Feng, S., Li, J., & Xu, Y. (2024). Efficacy of Combining Acupuncture and Physical Therapy for the Management of Patients With Frozen Shoulder: A Systematic Review and Meta-Analysis. Pain Management Nursing : Official Journal of the American Society of Pain Management Nurses. https://doi.org/10.1016/j.pmn.2024.06.009
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