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赤脚、贴扎或预防性支具对神经肌肉稳定性、运动表现、多关节协调性和本体感觉的影响。

The effect on neuromuscular stability, performance, multi-joint coordination and proprioception of barefoot, taping or preventative bracing.

作者信息

Ozer Derya, Senbursa Gamze, Baltaci Gul, Hayran Mutlu

机构信息

Hacettepe University, Faculty of Health Sciences, Dept of Physiotherapy and Rehabilitation, Sports Physiotherapy Unit, 06100 Ankara, Turkey.

出版信息

Foot (Edinb). 2009 Dec;19(4):205-10. doi: 10.1016/j.foot.2009.08.002. Epub 2009 Sep 18.

DOI:10.1016/j.foot.2009.08.002
PMID:20307478
Abstract

OBJECTIVE

The objective of this study was to assess the effects of taping and preventive bracing on functional balance, jumping performance, multi-joint coordination and proprioception on comparison to barefoot and each other.

DESIGN

Controlled trial as an experiment with the independent variable testing in 3 trials: control (barefooted), preventive bracing, and taping.

SETTING

The sports physiotherapy research laboratory.

PARTICIPANTS

Twenty physically active male university students aged between 20 and 28 who had been free from lower extremity pathology for 12 months and had no previous history of ankle sprain served as participants.

MAIN OUTCOME MEASURES

Single leg balance (s), jumping performance (cm), coordination and proprioception assessments by the Functional Squat System. The software automatically calculated the absolute average error (cm) and the standard deviation (SD) of the average error. Average errors were independently quantified as a function of the action mode (concentric versus eccentric) and of the lower limb (dominant versus non-dominant).

RESULTS

There was no significant difference among the groups for balance tests (p>0.05). For vertical jump performance of bilateral and the dominant leg there were significant differences that the barefoot group had better results compared to the other groups (p=0.059; 0.017). According to the coordination results of Functional Squat System participants were better in brace and tape situations since the deviations were less for all concentric and eccentric positions. Deviation results for the proprioception test were different for first visual and non-visual deviations for dominant leg (p<0.05).

CONCLUSION

In conclusion, bracing and taping may play an important role in preventing injury or rehabilitation of the injured ankle by improving concentric and eccentric coordination, proprioception with the ability of reproducing motion in closed kinetic chain while decreasing vertical jump performance. No superiority of brace over tape or vice versa was found in this study.

摘要

目的

本研究的目的是评估与赤脚状态相比,贴扎和预防性支具对功能平衡、跳跃性能、多关节协调性和本体感觉的影响,以及两者之间的相互比较。

设计

作为一项对照试验,在3个试验中进行自变量测试:对照(赤脚)、预防性支具和贴扎。

地点

运动物理治疗研究实验室。

参与者

20名年龄在20至28岁之间、身体活跃的男性大学生,他们下肢无病变已达12个月,且既往无踝关节扭伤史。

主要观察指标

单腿平衡(秒)、跳跃性能(厘米)、通过功能性深蹲系统进行的协调性和本体感觉评估。软件自动计算绝对平均误差(厘米)和平均误差的标准差(SD)。平均误差根据动作模式(向心与离心)和下肢(优势侧与非优势侧)独立量化。

结果

平衡测试组间无显著差异(p>0.05)。双侧和优势腿的垂直跳跃性能存在显著差异,赤脚组的结果优于其他组(p=0.059;0.017)。根据功能性深蹲系统的协调性结果,参与者在佩戴支具和贴扎情况下表现更好,因为所有向心和离心位置的偏差都较小。优势腿的本体感觉测试中首次视觉和非视觉偏差的偏差结果不同(p<0.05)。

结论

总之,支具和贴扎可能通过改善向心和离心协调性、本体感觉以及在闭链中再现运动的能力,同时降低垂直跳跃性能,在预防受伤踝关节或其康复中发挥重要作用。本研究未发现支具优于贴扎或反之的情况。

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