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全身振动训练和慢性踝关节不稳定的业余运动员的平衡能力。

Whole-Body-Vibration Training and Balance in Recreational Athletes With Chronic Ankle Instability.

机构信息

Performance and Sport Rehabilitation Laboratory, Faculty of Sport Sciences, University of Castilla-La Mancha, Toledo, Spain.

出版信息

J Athl Train. 2018 Apr;53(4):355-363. doi: 10.4085/1062-6050-547-16. Epub 2018 Mar 23.

DOI:10.4085/1062-6050-547-16
PMID:29569943
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5967277/
Abstract

CONTEXT

Deficits in the propioceptive system of the ankle contribute to chronic ankle instability (CAI). Recently, whole-body-vibration (WBV) training has been introduced as a preventive and rehabilitative tool.

OBJECTIVE

To evaluate how a 6-week WBV training program on an unstable surface affected balance and body composition in recreational athletes with CAI.

DESIGN

Randomized controlled clinical trial.

SETTING

Research laboratory.

PATIENTS OR OTHER PARTICIPANTS

Fifty recreational athletes with self-reported CAI were randomly assigned to a vibration (VIB), nonvibration (NVIB), or control group.

INTERVENTION(S): The VIB and NVIB groups performed unilateral balance training on a BOSU 3 times weekly for 6 weeks. The VIB group trained on a vibration platform, and the NVIB group trained on the floor.

MAIN OUTCOME MEASURE(S): We assessed balance using the Biodex Balance System and the Star Excursion Balance Test (SEBT). Body composition was measured by dual-energy x-ray absorptiometry.

RESULTS

After 6 weeks of training, improvements on the Biodex Balance System occurred only on the Overall Stability Index ( P = .01) and Anterior-Posterior Stability Index ( P = .03) in the VIB group. We observed better performance in the medial ( P = .008) and posterolateral ( P = .04) directions and composite score of the SEBT in the VIB group ( P = .01) and in the medial ( P < .001), posteromedial ( P = .002), and posterolateral ( P = .03) directions and composite score of the SEBT in the NVIB group ( P < .001). No changes in body composition were found for any of the groups.

CONCLUSIONS

Only the VIB group showed improvements on the Biodex Balance System, whereas the VIB and NVIB groups displayed better performance on the SEBT.

摘要

背景

踝关节本体感觉系统的缺陷会导致慢性踝关节不稳定(CAI)。最近,全身振动(WBV)训练已被引入作为一种预防和康复工具。

目的

评估在不稳定表面上进行 6 周的 WBV 训练计划对有 CAI 的娱乐性运动员的平衡和身体成分的影响。

设计

随机对照临床试验。

设置

研究实验室。

患者或其他参与者

50 名有自我报告 CAI 的娱乐性运动员被随机分配到振动(VIB)、非振动(NVIB)或对照组。

干预措施

VIB 和 NVIB 组每周进行 3 次单侧平衡训练,共 6 周,使用 BOSU 进行训练。VIB 组在振动平台上训练,NVIB 组在地板上训练。

主要观察指标

我们使用 Biodex 平衡系统和星状伸展平衡测试(SEBT)评估平衡。身体成分通过双能 X 射线吸收法测量。

结果

经过 6 周的训练,只有 VIB 组的 Biodex 平衡系统在总体稳定性指数( P =.01)和前后稳定性指数( P =.03)上有所改善。我们观察到 VIB 组在内侧( P =.008)和后外侧( P =.04)方向以及 SEBT 综合得分上表现更好,VIB 组和 NVIB 组在内侧( P <.001)、后内侧( P =.002)和后外侧( P =.03)方向以及 SEBT 综合得分上表现更好。

结论

只有 VIB 组在 Biodex 平衡系统上有改善,而 VIB 和 NVIB 组在 SEBT 上表现更好。

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