Department of Physical and Rehabilitation Medicine, Faculté de Médecine, Université de la Méditerranée, Assistance Publique Hopitaux de Marseille, University Hospital La Timone, Marseille, France.
Scand J Med Sci Sports. 2010 Apr;20(2):241-6. doi: 10.1111/j.1600-0838.2009.00882.x. Epub 2009 Mar 29.
To compare two methods of ankle evertor muscle reinforcement after ankle sprain: concentric vs eccentric reinforcement. Eighteen subjects practising sport with first episode of ankle sprain. The first randomized group underwent conventional physical therapy including concentric reinforcement of the evertor ankle muscles [concentric group (CG)]. The second randomized group underwent eccentric reinforcement [eccentric group (EG)]. At the end of the physical therapy, the strength of the evertor muscles was tested using an isokinetic dynamometer. The measurements were peak torques in the concentric and eccentric modes; ankle strength deficits, expressed as percentages of the healthy ankle values recorded in the concentric and eccentric modes; ratios between concentric/eccentric values. After the concentric reinforcement, in the CG group, there is both significant concentric strength deficit and an eccentric strength deficit on the injured side in comparison with the healthy side. After the eccentric reinforcement in the EG group, the muscle strength was significantly greater during concentric movements. Eccentric rehabilitation therefore restored the strength of the injured evertor muscles. These results show the value of this method, especially as the weakness of these muscles after sprains is one of the main risk factors contributing to instability and the recurrence of sprains.
比较两种踝关节扭伤后外侧肌强化方法:等长收缩与离心收缩。18 名首次发生踝关节扭伤的运动参与者。第一组随机接受传统物理治疗,包括外侧肌的等长收缩强化[等长组(CG)]。第二组随机接受离心收缩强化[离心组(EG)]。在物理治疗结束时,使用等速测力仪测试外侧肌的力量。测量包括在等长和离心模式下的峰值扭矩;以等长模式下健康侧记录的值的百分比表示的踝关节强度缺陷;等长/离心值之间的比值。在 CG 组进行等长强化后,与健康侧相比,受伤侧既有明显的等长收缩力量缺陷,也有离心收缩力量缺陷。在 EG 组进行离心强化后,在进行等长运动时肌肉力量明显更大。因此,离心康复恢复了受伤外侧肌的力量。这些结果表明了这种方法的价值,尤其是因为扭伤后这些肌肉的无力是导致不稳定和扭伤复发的主要危险因素之一。
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