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前交叉韧带重建术后全身振动训练与传统训练对膝关节本体感觉和姿势稳定性影响的比较研究

A comparative study of whole body vibration training and conventional training on knee proprioception and postural stability after anterior cruciate ligament reconstruction.

作者信息

Moezy A, Olyaei G, Hadian M, Razi M, Faghihzadeh S

机构信息

School of Rehabilitation, Medical Sciences/Tehran University, Tehran, Iran.

出版信息

Br J Sports Med. 2008 May;42(5):373-8. doi: 10.1136/bjsm.2007.038554. Epub 2008 Jan 8.

Abstract

OBJECTIVE

To compare the effect of a whole body vibration training (WBVT) programme with a conventional training (CT) programme on knee proprioception and postural stability after anterior cruciate ligament (ACL) reconstruction.

METHODS

Twenty athletes with unilateral ACL reconstruction were randomly assigned to the WBVT or CT group; all participants received 12 sessions of WBVT or conventional training. Absolute error in joint repositioning for two target angles (30 degrees and 60 degrees ) was measured with the Biodex dynamometer; bilateral dynamic postural stability (anteroposterior, mediolateral and overall stability indices) was measured with the Biodex Stability System pre-intervention and post-intervention.

RESULTS

The improvement in postural stability in the WBVT group was significantly greater than that in the CT group (p< or =0.05). The p values of the changing scores of open overall, open anteroposterior, open mediolateral, closed overall, closed anteroposterior and closed mediolateral stability indices were 0.002, 0.010, 0.0001, 0.001, 0.0001 and 0.046, respectively. In addition, there were significant differences in all averages of absolute angular error at 60 degrees and 30 degrees between the WBVT and CT groups in both knees (p = 0.001 in healthy knees and p = 0.001 and p = 0.0001 in reconstructed knees), apart from the healthy knees at the 30 degrees target position, which was not significant (p = 0.131).

CONCLUSIONS

Whole body vibration training improved proprioception and balance in athletes with reconstructed ACL.

摘要

目的

比较全身振动训练(WBVT)方案与传统训练(CT)方案对前交叉韧带(ACL)重建术后膝关节本体感觉和姿势稳定性的影响。

方法

20名单侧ACL重建的运动员被随机分为WBVT组或CT组;所有参与者均接受12节WBVT或传统训练课程。使用Biodex测力计测量两个目标角度(30度和60度)的关节重新定位绝对误差;在干预前和干预后使用Biodex稳定性系统测量双侧动态姿势稳定性(前后、内外侧和整体稳定性指数)。

结果

WBVT组姿势稳定性的改善显著大于CT组(p≤0.05)。开放整体、开放前后、开放内外侧、闭合整体、闭合前后和闭合内外侧稳定性指数变化分数的p值分别为0.002、0.010、0.0001、0.001、0.0001和0.046。此外,除了健康膝关节在30度目标位置差异不显著(p = 0.131)外,WBVT组和CT组双膝在60度和30度时的绝对角度误差所有平均值均存在显著差异(健康膝关节p = 0.001,重建膝关节p = 0.001和p = 0.0001)。

结论

全身振动训练改善了ACL重建运动员的本体感觉和平衡。

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