Cruz-Diaz D, Lomas-Vega R, Osuna-Pérez M C, Contreras F H, Martínez-Amat A
Int J Sports Med. 2015 Aug;36(9):754-60. doi: 10.1055/s-0034-1398645. Epub 2015 May 13.
The objective of the present study was to determine the effectiveness of a 6-week balance training program on patients with Chronic Ankle Instability (CAI) in relation to the results obtained in Dynamic Balance, subjective feeling of instability and pain using a single-blind randomized controlled trial. 70 athletes were randomly assigned to control or intervention group. The control group performed their usual training, and the intervention group was administered the same usual activity in addition to a balance program. The paired t-test was performed to evaluate the change scores in each group. The t-test for independent samples was performed to evaluate between-group differences in change scores. Significance level was assigned for p-values less than 0.05 for all analyses. There were significant differences between groups in change scores in CAIT and all of the SEBTs reach distances (p<0.001) but not in Pain (p=0.586). The effect sizes were larger for the outcomes measures that showed significant differences. In the within-group change, the experimental groups showed larger effect sizes in CAIT, SEBT posteromedial and SEBT posterolateral, and moderate effect sizes in SEBT anterior. Exercise therapy training based on multi-station balance tasks led to significant improvements in dynamic balance and self-reported sensation of instability in patients with CAI.
本研究的目的是通过单盲随机对照试验,确定为期6周的平衡训练计划对慢性踝关节不稳(CAI)患者在动态平衡、主观不稳感和疼痛方面所取得的效果。70名运动员被随机分配到对照组或干预组。对照组进行常规训练,干预组除进行常规活动外,还接受平衡训练计划。采用配对t检验评估每组的变化分数。采用独立样本t检验评估两组变化分数的差异。所有分析的显著性水平设定为p值小于0.05。CAIT和所有SEBTs伸展距离的变化分数在组间存在显著差异(p<0.001),但疼痛方面无显著差异(p=0.586)。在显示出显著差异的结果测量中,效应量更大。在组内变化方面,实验组在CAIT、SEBT后内侧和SEBT后外侧的效应量更大,在SEBT前侧的效应量为中等。基于多站平衡任务的运动疗法训练使CAI患者的动态平衡和自我报告的不稳感有显著改善。
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