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下肢既往损伤是否影响平衡表现?排球运动员的观察性研究。

Do lower limb previous injuries affect balance performance? An observational study in volleyball players.

机构信息

School of Human Movement Sciences, University of Padova, Padova, Italy.

Department of Biomedical Sciences, University of Padova, Padova, Italy.

出版信息

Phys Ther Sport. 2019 May;37:49-53. doi: 10.1016/j.ptsp.2019.02.009. Epub 2019 Feb 28.

DOI:10.1016/j.ptsp.2019.02.009
PMID:30851569
Abstract

OBJECTIVES

To study static and dynamic postural balance control in elite and sub-elite male volleyball players with or without a history of musculoskeletal lower limb injuries.

DESIGN

Cross-sectional study.

SETTING

Laboratory.

PARTICIPANTS

Data were obtained from 45 male volleyball players, divided into healthy (CON, n = 28) and previously injured (INJ, n = 17) players by means of an injury self-reported questionnaire.

MAIN OUTCOMES MEASURE

Static postural balance parameters were recorded carrying out a monopodalic test with the dominant leg on a stabilometric platform. Dynamic postural balance was assessed with the modified Star Excursion Balance Test (mSEBT) in its version based on three directions (anterior, postero-lateral and postero-medial).

RESULTS

No statistically significant differences were detected between CON and INJ for all the static postural balance parameters considered. Conversely, the mSEBT results underlined a statistically significant decrease of the performance in the three directions (P < .001) for INJ with respect to CON.

CONCLUSIONS

The mSEBT should be employed in male volleyball players with a history of musculoskeletal lower limb injuries to better assess postural balance control alterations. Moreover, the decrement of the dynamic balance performance may indicate that, before returning to competitions, the rehabilitation protocol should be more focused on dynamic balance exercises.

摘要

目的

研究有或无下肢肌肉骨骼损伤史的精英和准精英男性排球运动员的静态和动态姿势平衡控制。

设计

横断面研究。

设置

实验室。

参与者

数据取自 45 名男性排球运动员,通过损伤自我报告问卷将其分为健康组(CON,n=28)和有过损伤史的组(INJ,n=17)。

主要观察指标

采用单足测试,在平衡台记录静态姿势平衡参数,用改良的星状偏移平衡测试(mSEBT)评估动态姿势平衡,mSEBT 有三个方向(前、后外侧和后内侧)的版本。

结果

CON 和 INJ 两组在所有考虑的静态姿势平衡参数方面均无统计学差异。相反,INJ 组在三个方向上的 mSEBT 结果均明显下降(P<0.001),与 CON 相比有统计学差异。

结论

对于有下肢肌肉骨骼损伤史的男性排球运动员,应采用 mSEBT 更好地评估姿势平衡控制的变化。此外,动态平衡表现的下降可能表明,在重返比赛之前,康复方案应更侧重于动态平衡练习。

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