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静息位拮抗肌收缩与靶肌肉收缩:牵伸时本体感受神经肌肉促进。

Uninvolved versus target muscle contraction during contract: relax proprioceptive neuromuscular facilitation stretching.

机构信息

Pontifícia Universidade Católica de Minas Gerais, Department of Physical Therapy, Belo Horizonte, MG, Brazil.

出版信息

Phys Ther Sport. 2011 Aug;12(3):117-21. doi: 10.1016/j.ptsp.2011.04.003. Epub 2011 Jun 2.

Abstract

OBJECTIVE

The purpose of this study was to compare the acute effect of the contract-relax (CR) stretching technique on knee active range of motion (ROM) using target muscle contraction or an uninvolved muscle contraction.

DESIGN

pre-test post-test control experimental design.

SETTING

Clinical research laboratory.

PARTICIPANTS

Sixty healthy men were randomly assigned to one of three groups.

INTERVENTIONS

The Contract-Relax group (CR) performed a traditional hamstring CR stretch, the Modified Contract-Relax group (MCR) performed hamstring CR stretching using contraction of an uninvolved muscle distant from the target muscle, and the Control group (CG) did not stretch.

MAIN OUTCOME MEASURES

Active knee extension test was performed before and after the stretching procedure.

RESULTS

Two-way between-within analysis of variance (ANOVA) results showed a significant interaction between group and pre-test to post-test (p < 0.001). Post-hoc examination of individual groups showed no significant change in ROM for the CG (0.8°, p = 0.084), and a significant moderate increase in ROM for both the CR (7.0°, p < 0.001) and MCR (7.0°, p < 0.001) groups.

CONCLUSIONS

ROM gain following a CR PNF procedure is the same whether the target stretching muscle is contracted, or an uninvolved muscle is contracted.

摘要

目的

本研究旨在比较使用目标肌肉收缩或非受累肌肉收缩的牵张-放松(CR)拉伸技术对膝关节主动活动度(ROM)的急性影响。

设计

前后测试对照实验设计。

设置

临床研究实验室。

参与者

60 名健康男性被随机分配到三组中的一组。

干预措施

CR 组(CR)进行传统的腘绳肌 CR 拉伸,改良 CR 组(MCR)进行与目标肌肉不相关的远离目标肌肉的肌肉收缩的腘绳肌 CR 拉伸,对照组(CG)不进行拉伸。

主要观察指标

在拉伸程序前后进行主动膝关节伸展测试。

结果

组间和预测试到后测试的双向方差分析(ANOVA)结果显示存在显著的交互作用(p < 0.001)。对个体组的事后检验显示,CG 的 ROM 没有显著变化(0.8°,p = 0.084),CR(7.0°,p < 0.001)和 MCR(7.0°,p < 0.001)组的 ROM 显著中度增加。

结论

CR PNF 程序后 ROM 的增加与目标拉伸肌肉收缩或非受累肌肉收缩相同。

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