两种 4 周慢性踝关节不稳平衡训练方案。
Two 4-Week Balance-Training Programs for Chronic Ankle Instability.
机构信息
University of Nevada, Reno.
West Virginia University, Morgantown.
出版信息
J Athl Train. 2018 Jul;53(7):662-671. doi: 10.4085/1062-6050-555-16.
CONTEXT
Traditional single-limb balance (SLB) and progressive dynamic balance-training programs for those with chronic ankle instability (CAI) have been evaluated in the literature. However, which training program may be more beneficial is not known.
OBJECTIVE
To investigate the effects of a progressive hop-to-stabilization balance (PHSB) program compared with an SLB program on self-reported function, dynamic postural control, and joint position sense (JPS) where angle and direction were self-reported by participants with CAI.
DESIGN
Randomized controlled clinical trial.
SETTING
A single testing location in a mid-Atlantic state.
PATIENTS OR OTHER PARTICIPANTS
A total of 18 participants (age = 18.38 ± 1.81 years; height = 175.26 ± 6.64 cm; mass = 75.79 ± 12.1 kg) with CAI.
INTERVENTION(S): Participants were randomly assigned to the PHSB or SLB program. The PHSB and SLB groups pursued their 4-week programs 3 times a week. The PHSB group performed a battery of single-limb hop-to-stabilization exercises, while the SLB group performed a series of SLB exercises. Exercises were advanced throughout the 4 weeks for both groups.
MAIN OUTCOMES MEASURE(S): Pretest and posttest measurements were the Foot and Ankle Ability Measure (FAAM)-Activities of Daily Living subscale; FAAM-Sports subscale; Star Excursion Balance Test in the anterior, posteromedial, and posterolateral directions; and weight-bearing JPS blocks (dorsiflexion, plantar flexion, inversion, eversion).
RESULTS
A significant main effect of time was present for the FAAM-Activities of Daily Living, FAAM-Sports, Star Excursion Balance Test (anterior, posteromedial, and posterolateral directions), and JPS (dorsiflexion, plantar flexion, inversion), as posttest results improved for the PHSB and SLB groups. The main effect of group was significant only for the FAAM-Sports, with the SLB group improving more than the PHSB group.
CONCLUSIONS
Either a 4-week PHSB or SLB can be used in athletes with CAI, as both programs resulted in similar gains.
背景
传统的单腿平衡（SLB）和渐进式动态平衡训练计划已在文献中对慢性踝关节不稳（CAI）患者进行了评估。但是，哪种训练计划更有益尚不清楚。
目的
比较渐进式跳跃至稳定平衡（PHSB）计划与 SLB 计划对 CAI 患者自我报告功能、动态姿势控制和关节位置感（JPS）的影响，其中参与者自我报告角度和方向。
设计
随机对照临床试验。
地点
在大西洋中部的一个单一测试地点。
患者或其他参与者
共 18 名 CAI 参与者（年龄=18.38±1.81 岁；身高=175.26±6.64cm；体重=75.79±12.1kg）。
干预措施
参与者被随机分配到 PHSB 或 SLB 计划。PHSB 和 SLB 组每周进行 3 次为期 4 周的计划。PHSB 组进行一系列单腿跳跃至稳定平衡练习，而 SLB 组进行一系列单腿平衡练习。两组在整个 4 周内都进行了练习的进阶。
主要结果测量
测试前和测试后的测量包括足踝能力量表（FAAM）-日常生活活动量表；FAAM-运动量表；前、后内侧和后外侧方向的星型偏移平衡测试；和负重 JPS 块（背屈、跖屈、内翻、外翻）。
结果
PHSB 和 SLB 组的 FAAM-日常生活活动、FAAM-运动、星型偏移平衡测试（前、后内侧和后外侧方向）和 JPS（背屈、跖屈、内翻、外翻）的时间主要效果显著，因为后测试结果有所改善。仅 FAAM-运动的组主要效果显著，SLB 组的改善大于 PHSB 组。
结论
4 周的 PHSB 或 SLB 都可以用于 CAI 运动员，因为两种方案都取得了相似的效果。
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