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高、低速抗阻训练对髋骨关节炎患者步态运动学和动力学的影响:一项随机对照试验

Effects of High- and Low-Velocity Resistance Training on Gait Kinematics and Kinetics in Individuals with Hip Osteoarthritis: A Randomized Controlled Trial.

作者信息

Fukumoto Yoshihiro, Tateuchi Hiroshige, Tsukagoshi Rui, Okita Yusuke, Akiyama Haruhiko, So Kazutaka, Kuroda Yutaka, Ichihashi Noriaki

机构信息

From the Faculty of Rehabilitation, Kobe Gakuin University, Kobe (YF); Graduate School of Medicine, Kyoto University, Kyoto (YF, HT, KS, YK, NI); School of Rehabilitation, Hyogo University of Human Sciences, Kobe (RT) Japan; Physical Medicine and Rehabilitation Unit, Istituto Ortopedico Rizzoli, Bologna, Italy (YO); and Graduate School of Medicine, Gifu University, Gifu, Japan (HA).

出版信息

Am J Phys Med Rehabil. 2017 Jun;96(6):417-423. doi: 10.1097/PHM.0000000000000640.

Abstract

OBJECTIVE

The aim of this study was to investigate the effects of high-velocity (HV) and low-velocity (LV) resistance training on gait kinematics and kinetics in patients with hip osteoarthritis.

DESIGN

This was a single-blind, randomized controlled trial. Forty-six women with hip osteoarthritis were randomly allocated to the HV (n = 23) or LV (n = 23) training group. The participants underwent an 8-week home-based the HV or LV resistance-training program, involving the hip and knee muscles. Outcome measures included gait kinematics and kinetics using 3-dimensional analyses, muscle strength and power, the Harris Hip Score, and hip pain using the visual analog scale.

RESULTS

There was no significant difference in changes for any of the outcome measures between groups. After the training session, muscle power, walking speed, and cadence significantly increased only in the HV group, whereas stride length and the peak hip extension angle during gait significantly increased, and pain on the visual analog scale and the peak ankle dorsiflexion moment during gait significantly decreased only in the LV group. Muscle strength and Harris Hip Score significantly increased in both groups.

CONCLUSIONS

The results of this study may indicate that the potential effect of resistance training on abnormal gait pattern depends on movement velocities during training.

摘要

目的

本研究旨在探讨高速(HV)和低速(LV)阻力训练对髋骨关节炎患者步态运动学和动力学的影响。

设计

这是一项单盲随机对照试验。46名髋骨关节炎女性被随机分配到HV组(n = 23)或LV组(n = 23)。参与者在家中进行为期8周的HV或LV阻力训练计划,训练涉及髋部和膝部肌肉。结果测量包括使用三维分析的步态运动学和动力学、肌肉力量和功率、Harris髋关节评分以及使用视觉模拟量表评估的髋部疼痛。

结果

两组之间任何结果测量的变化均无显著差异。训练后,仅HV组的肌肉功率、步行速度和步频显著增加,而仅LV组的步幅和步态期间的髋部最大伸展角度显著增加,视觉模拟量表上的疼痛和步态期间的踝关节最大背屈力矩显著降低。两组的肌肉力量和Harris髋关节评分均显著增加。

结论

本研究结果可能表明,阻力训练对异常步态模式的潜在影响取决于训练期间的运动速度。

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