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四周静拉伸方案中浅层预冷:一项随机试验。

Superficial precooling on a 4-week static stretching regimen: a randomized trial.

机构信息

Cleveland Clinic Orthopaedic and Rheumatologic Institute, Cleveland, Ohio.

出版信息

Sports Health. 2010 Sep;2(5):433-6. doi: 10.1177/1941738110374612.

Abstract

BACKGROUND

The influence of superficial precooling on range of motion (ROM) as part of a stretching program has not been extensively studied. It is not clear if the analgesic effect can benefit a stretching program.

HYPOTHESES

Superficial precooling will result in greater gains in ROM as part of a stretching program, compared with stretching without a precooling intervention. Superficial precooling will also result in greater retention in ROM gains following cessation of stretching, compared with stretching without a precooling intervention.

STUDY DESIGN

Prospective randomized single-blind test-retest design.

METHODS

Twenty-nine participants were randomly assigned to 1 of 2 static stretching protocols: a standard protocol (n, 14; age, 24.6 ± 5.4 years) or a precool protocol (n, 15; age, 25.1 ± 7.3 years). These samples allowed for 80% power for statistical significance testing. Both groups performed static hamstring stretching daily for 4 weeks. The precool group applied ice to the hamstring for 10 minutes before stretching. Both groups stretched for 4 weeks and then stopped stretching for the last 4 weeks. Hip ROM measures were obtained each week for 8 weeks.

RESULTS

For the standard group, mean hip ROM increased from 71.4° ± 18.5° to 90.6° ± 20.5° and for the precool group, 71.5° ± 22.3° to 91.8° ± 20.9°. For the standard group, mean hip ROM decreased from 90.6° ± 20.5° to 83.9° ± 20.3° and for the precool group, 91.8° ± 20.9 to 85.0° ± 19.4°. There were no differences between groups at any time in the study (P > .05).

CONCLUSIONS

Precooling had no beneficial effects on ROM or on retention of ROM.

CLINICAL RELEVANCE

Cold application, before stretching, does not provide any benefit to a stretching program.

摘要

背景

作为拉伸计划的一部分,浅层预冷对运动范围(ROM)的影响尚未得到广泛研究。目前尚不清楚镇痛效果是否能使拉伸计划受益。

假设

与不进行预冷却干预的拉伸相比,浅层预冷将导致拉伸计划中 ROM 更大的增加。与不进行预冷却干预的拉伸相比,浅层预冷还将导致在停止拉伸后 ROM 增加的保持率更高。

研究设计

前瞻性随机单盲测试-再测试设计。

方法

将 29 名参与者随机分配到 2 种静态拉伸方案中的 1 种:标准方案(n=14;年龄 24.6±5.4 岁)或预冷方案(n=15;年龄 25.1±7.3 岁)。这些样本允许进行 80%的统计显著性检验。两组均每天进行 4 周的静态腘绳肌拉伸。预冷组在拉伸前将冰应用于腘绳肌 10 分钟。两组均进行 4 周的拉伸,然后停止拉伸 4 周。每周测量 8 周的髋关节 ROM。

结果

对于标准组,髋关节 ROM 从 71.4°±18.5°增加到 90.6°±20.5°,对于预冷组,从 71.5°±22.3°增加到 91.8°±20.9°。对于标准组,髋关节 ROM 从 90.6°±20.5°下降到 83.9°±20.3°,对于预冷组,从 91.8°±20.9°下降到 85.0°±19.4°。在研究的任何时间,两组之间均无差异(P>.05)。

结论

预冷却对 ROM 或 ROM 的保持没有有益的影响。

临床相关性

在拉伸之前进行冷敷不会为拉伸计划提供任何好处。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e74d/3445057/94612f57208d/10.1177_1941738110374612-fig1.jpg

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