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矫正训练对老年膝外翻患者落地时地面反作用力特征及下肢运动学的影响:一项随机对照试验

Effects of Corrective Training on Drop Landing Ground Reaction Force Characteristics and Lower Limb Kinematics in Older Adults With Genu Valgus: A Randomized Controlled Trial.

作者信息

Jafarnezhadgero AmirAli, Madadi-Shad Morteza, McCrum Christopher, Karamanidis Kiros

出版信息

J Aging Phys Act. 2019 Feb 1;27(1):9-17. doi: 10.1123/japa.2017-0315. Epub 2018 Oct 28.

Abstract

The aim of this study was to identify the effects of a corrective exercise program on landing ground reaction force characteristics and lower limb kinematics in older adults with genu valgus. A total of 26 older male adults with genu valgus were randomized into two groups. An experimental group conducted a 14-week corrective exercise program, whereas a control group did not perform any exercise. The experimental group displayed lower peak vertical, peak anterior and posterior, and peak medial ground reaction force components during the posttest compared with the pretest. The vertical loading rate, impulses, and free moment amplitudes were not statistically different between groups. In the experimental group, the peak knee abduction during the posttest was significantly smaller and the peak hip flexion angle was significantly greater than during the pretest. The authors suggest that this corrective exercise program may be a suitable intervention to improve landing ground reaction forces and lower limb kinematics in older male adults with genu valgus.

摘要

本研究的目的是确定矫正运动计划对患有膝外翻的老年人落地地面反作用力特征和下肢运动学的影响。共有26名患有膝外翻的老年男性被随机分为两组。实验组进行了为期14周的矫正运动计划,而对照组未进行任何运动。与测试前相比,实验组在测试后显示出更低的垂直峰值、前后峰值和内侧地面反作用力分量。两组之间的垂直加载率、冲量和自由力矩幅度没有统计学差异。在实验组中,测试后的峰值膝关节外展明显小于测试前,峰值髋关节屈曲角度明显大于测试前。作者认为,这种矫正运动计划可能是一种合适的干预措施,以改善患有膝外翻的老年男性的落地地面反作用力和下肢运动学。

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