Kaminski T W, Buckley B D, Powers M E, Hubbard T J, Ortiz C
Sports Medicine and Athletic Training Department, Southwest Missouri State University, Springfield, Missouri, USA.
Br J Sports Med. 2003;37(5):410-5; discussion 415. doi: 10.1136/bjsm.37.5.410.
OBJECTIVES: To examine the effect of six weeks of strength and proprioception training on eversion to inversion isokinetic strength ratios (E/I ratios) in subjects with unilateral functional ankle instability. METHODS: Thirty eight subjects were randomly assigned to one of four treatment groups: strength training (S); proprioception training (P); strength + proprioception training (B); control (C). Isokinetic strength was tested before and after training using a Kin Com 125 automatic positioning isokinetic dynamometer. Subtalar joint eversion and inversion motions were tested both concentrically and eccentrically through a range of motion involving 40 degrees. All peak torque and average torque values were normalised for body mass. E/I ratios were calculated from average torque and peak torque measures by taking the concentric eversion value and combining it with the eccentric inversion value. Data were analysed using a mixed model analysis of variance with repeated measures on the test factor. Average torque and peak torque E/I ratios at 30 and 120 degrees/s were analysed separately. RESULTS: There were no significant differences in average torque and peak torque E/I ratios of the functionally unstable ankle for any of the groups after training compared with before. CONCLUSIONS: Six weeks of strength and proprioception training (either alone or combined) had no effect on isokinetic measures of strength in subjects with self reported unilateral functional instability. Further studies examining this agonist (concentric) to antagonist (eccentric) muscle group strength ratio are needed.
目的:研究为期六周的力量和本体感觉训练对单侧功能性踝关节不稳受试者的外翻与内翻等速肌力比(E/I比)的影响。 方法:38名受试者被随机分配到四个治疗组之一:力量训练组(S);本体感觉训练组(P);力量+本体感觉训练组(B);对照组(C)。使用Kin Com 125自动定位等速测力计在训练前后测试等速肌力。通过40度的运动范围对距下关节的外翻和内翻运动进行向心和离心测试。所有峰值扭矩和平均扭矩值均按体重进行标准化。E/I比通过将向心外翻值与离心内翻值相结合,从平均扭矩和峰值扭矩测量值中计算得出。使用混合模型方差分析对测试因素进行重复测量来分析数据。分别分析了30度/秒和120度/秒时的平均扭矩和峰值扭矩E/I比。 结果:与训练前相比,训练后任何一组功能不稳定踝关节的平均扭矩和峰值扭矩E/I比均无显著差异。 结论:为期六周的力量和本体感觉训练(单独或联合)对自我报告为单侧功能不稳定的受试者的等速肌力测量没有影响。需要进一步研究这种主动肌(向心)与拮抗肌(离心)肌群的力量比。
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