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健康志愿者的预防性踝关节支具与星形偏移平衡测试

Prophylactic ankle braces and star excursion balance measures in healthy volunteers.

作者信息

Hardy Lisa, Huxel Kellie, Brucker Jody, Nesser Thomas

机构信息

Western Michigan University, Kalamazoo, MI 49008, USA.

出版信息

J Athl Train. 2008 Jul-Aug;43(4):347-51. doi: 10.4085/1062-6050-43.4.347.

Abstract

CONTEXT

The effects of prophylactic ankle braces on lower extremity functional performance in healthy participants have not been studied extensively.

OBJECTIVE

To determine if prophylactic ankle braces affected multidirectional reach distances during a test of dynamic balance.

DESIGN

Crossover.

SETTING

Laboratory.

PATIENTS OR OTHER PARTICIPANTS

Thirty-six healthy, physically active volunteers (18 men, 18 women; age = 23.6 +/- 2.7 years, height = 173.8 +/- 9.3 cm, mass = 74.4 +/- 12.7 kg, reach-leg length = 91.9 +/- 5.1 cm).

INTERVENTION(S): Volunteers performed balance testing in 3 conditions: unbraced, while wearing a semirigid ankle brace, and while wearing a lace-up ankle brace.

MAIN OUTCOME MEASURE(S): We used the Star Excursion Balance Test, calculating the mean of 3 attempts in 8 directions (anterior, anterior-medial, medial, posterior-medial, posterior, posterior-lateral, lateral, and anterior-lateral), normalized by the participant's reach-leg length. Data were collected after 6 practice attempts for each of the conditions according to a balanced Latin square.

RESULTS

Bracing condition had no effect (P > .05) on any of the Star Excursion Balance Test directional measures. The largest mean difference due to bracing was 2.5% between the lace-up brace condition and the control in the posterior reach direction. This indicates that the actual reach differences due to bracing were less than 5.08 cm (2 inches) in length.

CONCLUSIONS

Clinicians can be confident that the prophylactic use of ankle braces does not disrupt lower extremity dynamic balance during a reaching task in healthy participants.

摘要

背景

预防性脚踝支具对健康受试者下肢功能表现的影响尚未得到广泛研究。

目的

确定在动态平衡测试中预防性脚踝支具是否会影响多方向伸展距离。

设计

交叉试验。

地点

实验室。

患者或其他受试者

36名健康、身体活跃的志愿者(18名男性,18名女性;年龄 = 23.6 ± 2.7岁,身高 = 173.8 ± 9.3厘米,体重 = 74.4 ± 12.7千克,伸展腿长 = 91.9 ± 5.1厘米)。

干预措施

志愿者在3种条件下进行平衡测试:不佩戴支具、佩戴半刚性脚踝支具以及佩戴系带式脚踝支具。

主要观察指标

我们使用星标偏移平衡测试,计算8个方向(前、前内侧、内侧、后内侧、后、后外侧、外侧和前外侧)3次尝试的平均值,并按受试者的伸展腿长进行标准化。根据平衡拉丁方,在每种条件下进行6次练习尝试后收集数据。

结果

支具条件对星标偏移平衡测试的任何方向测量均无影响(P > 0.05)。支具导致的最大平均差异出现在系带式支具条件和后伸方向对照组之间,为2.5%。这表明支具导致的实际伸展差异长度小于5.08厘米(2英寸)。

结论

临床医生可以确信,在健康受试者进行伸展任务时,预防性使用脚踝支具不会干扰下肢动态平衡。

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