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外侧踝关节支具对与运动相关的敏捷性课程中主观和客观表现参数的影响。

The influence of external ankle braces on subjective and objective parameters of performance in a sports-related agility course.

作者信息

Rosenbaum Dieter, Kamps Nina, Bosch Kerstin, Thorwesten Lothar, Völker Klaus, Eils Eric

机构信息

Funktionsbereich Bewegungsanalytik (Movement Analysis Lab), Klinik für Allgemeine Orthopädie, Universitätsklinikum Münster, Domagkstrasse 3, 48129 Münster, Germany.

出版信息

Knee Surg Sports Traumatol Arthrosc. 2005 Jul;13(5):419-25. doi: 10.1007/s00167-004-0584-7. Epub 2005 Jan 29.

Abstract

With lateral ankle sprains being the most frequent sports-related injury, there is an evident demand for the preventive measures in active individuals with chronic ankle instability. Braces are commonly used for prevention and treatment of ankle injuries. Various investigations-mostly performed with healthy subjects-focused on this problem, yet they often compared only a few models or used only limited testing procedures. However, controversy exists whether braces affect sports performance. The purpose of the present study was to compare the effects of ten different ankle braces-one rigid, five semirigid, four soft models-in a comprehensive evaluation with multiple testing procedures in 34 subjects with self-reported chronic ankle instability. The multiple testing procedures evaluated objective performance-related parameters and subjective parameters related to comfort and stability. The subjects performed an agility course with maximal effort. The course included a vertical jump and a cutting maneuver, both on a force platform, a single leg hopping test on level and inclined plates, a combined straight and curve sprint and sidesteps. Three valid trials were measured and averaged for each brace and every subject. Subjective aspects were evaluated with a questionnaire about handling, perceived restrictions, support and comfort; it was completed after each brace was worn and tried. With regard to the objective parameters, no significant differences were found between the braces except for the rigid brace which showed decreased values for the vertical jump and longer times for the other tests compared to all other braces. The subjective evaluation of the braces revealed significant differences with respect to comfort and handling and therefore, permitted a distinction between semirigid and soft braces. Although significant differences between braces were found in subjective performance restriction, no significant differences were revealed in the objective evaluation. From that point of view, patients could choose a brace model according to their individual needs. A comfortable brace might have a positive influence on the athlete's state of mind although other aspects like the brace's stabilizing effect play an additional role and should also be taken into account for recommendation of braces.

摘要

外侧踝关节扭伤是最常见的与运动相关的损伤,对于患有慢性踝关节不稳的活跃个体而言,显然需要采取预防措施。护具常用于预防和治疗踝关节损伤。针对这一问题开展了各种研究——大多是在健康受试者身上进行的——然而这些研究往往只比较了少数几种护具模型,或者仅采用了有限的测试程序。不过,对于护具是否会影响运动表现仍存在争议。本研究的目的是在34名自述患有慢性踝关节不稳的受试者中,通过多种测试程序进行全面评估,比较十种不同的踝关节护具——一种刚性护具、五种半刚性护具、四种软性护具——的效果。多种测试程序评估了与客观表现相关的参数以及与舒适度和稳定性相关的主观参数。受试者全力以赴完成一项敏捷性测试。该测试包括在测力平台上进行垂直跳跃和变向动作、在水平板和倾斜板上进行单腿跳跃测试、直线和曲线冲刺与侧步相结合的测试。对每种护具和每位受试者测量并平均三次有效试验的数据。通过一份关于操作、感知到的限制、支撑和舒适度的问卷对主观方面进行评估;在佩戴并试用每种护具后完成问卷。关于客观参数,除了刚性护具外,其他护具之间未发现显著差异。与所有其他护具相比,刚性护具的垂直跳跃数值降低,其他测试的时间延长。对护具的主观评估显示,在舒适度和操作方面存在显著差异,因此可以区分半刚性护具和软性护具。尽管在主观性能限制方面发现护具之间存在显著差异,但在客观评估中未发现显著差异。从这个角度来看,患者可以根据个人需求选择护具模型。舒适的护具可能会对运动员的心理状态产生积极影响,尽管护具的稳定效果等其他方面也起着额外作用,在推荐护具时也应予以考虑。

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