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动态振荡拉伸对腘绳肌伸展性和拉伸耐受性的功效:一项随机对照试验。

DYNAMIC OSCILLATORY STRETCHING EFFICACY ON HAMSTRING EXTENSIBILITY AND STRETCH TOLERANCE: A RANDOMIZED CONTROLLED TRIAL.

作者信息

Michaeli Arie, Tee Jason Cameron, Stewart Aimee

机构信息

Private Practice, Johannesburg, South Africa.

Leeds Beckett University, UK.

出版信息

Int J Sports Phys Ther. 2017 Jun;12(3):305-313.

Abstract

BACKGROUND

While static stretch (SS), proprioceptive neuromuscular facilitation (PNF) and oscillatory physiological mobilization techniques are documented to have positive effects on a range of motion (ROM), there are no reports on the effect of dynamic oscillatory stretching (DOS), a technique that combines these three techniques, on hamstring extensibility.

PURPOSE

To determine whether DOS improves hamstring extensibility and stretch tolerance to a greater degree than SS in asymptomatic young participants.

STUDY DESIGN

Randomized Controlled Trial.

METHODS

Sixty participants (47 females, 13 males, mean age 22 ± 1 years, height 166 ± 6 centimeters, body mass 67.6 ± 9.7 kg) completed a passive straight leg (SLR) to establish hamstring extensibility and stretch tolerance as perceived by participants, using a visual analogue scale (VAS). Participants were randomly assigned to one of two treatment groups (SS or DOS) or a placebo control (20 per group). Tests were repeated immediately following and one hour after each intervention. Data were assessed using a two-way repeated measure analysis of variance (ANOVA) and test.

RESULTS

Immediately post-intervention, there was a significant improvement in the hamstring extensibility as measured by the SLR in both the SS and DOS groups, with the DOS group exhibiting a significantly greater increase than the SS group (Control 73 ± 12°, SS 86 ± 8°, DOS 94 ± 11°, p < 0.001). One hour post-intervention, hamstring extensibility in the DOS group remained elevated, while the SS group no longer differed from the control group (Control 73 ± 12°, SS 80 ± 8°, DOS 89 ± 12°, p = 0.001). Furthermore, the stretch tolerance remained significantly elevated for the SS group, but there was no difference between the control and DOS groups, (Control 4.6 ± 1.3, SS 5.9 ± 0.8, DOS 4.3 ± 1.0 AU, p < 0.001).

CONCLUSION

DOS was more effective than SS at achieving an immediate increase in hamstring extensibility, and DOS demonstrated an increased stretch tolerance one-hour post-intervention.

LEVEL OF EVIDENCE

2C.

摘要

背景

虽然静态拉伸(SS)、本体感觉神经肌肉促进法(PNF)和振荡性生理松动技术已被证明对关节活动范围(ROM)有积极影响,但尚无关于动态振荡拉伸(DOS,一种结合了这三种技术的方法)对腘绳肌伸展性影响的报道。

目的

确定在无症状的年轻参与者中,动态振荡拉伸(DOS)是否比静态拉伸(SS)能更大程度地提高腘绳肌伸展性和拉伸耐受性。

研究设计

随机对照试验。

方法

60名参与者(47名女性,13名男性,平均年龄22±1岁,身高166±6厘米,体重67.6±9.7千克)完成被动直腿抬高(SLR),使用视觉模拟量表(VAS)确定参与者所感知的腘绳肌伸展性和拉伸耐受性。参与者被随机分配到两个治疗组(SS或DOS)之一或一个安慰剂对照组(每组20人)。在每次干预后立即以及干预后一小时重复进行测试。使用双向重复测量方差分析(ANOVA)和检验对数据进行评估。

结果

干预后即刻,通过SLR测量,SS组和DOS组腘绳肌伸展性均有显著改善,DOS组的增加幅度显著大于SS组(对照组73±12°,SS组86±8°,DOS组94±11°,p<0.001)。干预后一小时,DOS组的腘绳肌伸展性仍保持升高,而SS组与对照组不再有差异(对照组73±12°,SS组80±8°,DOS组89±12°,p = 0.001)。此外,SS组的拉伸耐受性仍显著升高,但对照组和DOS组之间没有差异(对照组4.6±1.3,SS组5.9±0.8,DOS组4.3±1.0 AU,p<0.001)。

结论

在使腘绳肌伸展性立即增加方面,DOS比SS更有效,且DOS在干预后一小时显示出更高的拉伸耐受性。

证据水平

2C。

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