Schweizer A, Bircher H-P, Kaelin X, Ochsner P E
Kantonsspital Liestal, Orthopaedic Department, Rheinstrasse 26, Liestal 4410, Switzerland.
Br J Sports Med. 2005 Jul;39(7):429-31. doi: 10.1136/bjsm.2002.001016.
To evaluate whether rock climbing type exercise would be of value in rehabilitating ankle injuries to improve ankle stability and coordination. [figure: see text]
A group of 25 rock climbers was compared with a group of 26 soccer players. All were male, uninjured, and exercised three to four times a week. Active ankle stability was evaluated by one leg stand stabilometry (measurement of migration of the centre of gravity) and measurements of maximum strength of ankle isokinetic concentric flexion and extension (Cybex).
The rock climbers showed significantly better results in the stabilometry and greater absolute and relative maximum strength of flexion in the ankle. The soccer players showed greater absolute but not relative strength in extension.
Rock climbing, because of its slow and controlled near static movements, may be of value in the treatment of functional ankle instability. However, it has still to be confirmed whether it is superior to the usual rehabilitation exercises such as use of the wobble board.
评估攀岩类运动对于踝关节损伤康复、改善踝关节稳定性及协调性是否具有价值。[图:见正文]
将25名攀岩者与26名足球运动员进行比较。所有受试者均为男性,未受过伤,每周锻炼三至四次。通过单腿站立稳定测定法(测量重心偏移)以及踝关节等速向心屈伸最大力量(Cybex测量)来评估主动踝关节稳定性。
攀岩者在稳定测定方面表现出明显更好的结果,踝关节屈曲的绝对和相对最大力量也更大。足球运动员在伸展方面表现出更大的绝对力量,但相对力量并非如此。
由于攀岩运动具有缓慢且可控的近乎静态的动作,可能对功能性踝关节不稳的治疗具有价值。然而,它是否优于诸如使用摇摆板等常规康复锻炼方法仍有待证实。