Department of Health and Sport Sciences, University of the Sunshine Coast, Queensland, Australia.
Department of Health and Sport Sciences, University of the Sunshine Coast, Queensland, Australia.
J Hand Ther. 2020 Jul-Sep;33(3):354-360. doi: 10.1016/j.jht.2019.03.002. Epub 2019 Apr 5.
This was a clinical trial of prospective cohort.
Wrist pain in gymnasts is a global phenomenon. Compression forces acting on wrists while performing gymnastics is a predisposing factor in the development of wrist pain and consequential injury of the distal radial physis in skeletally immature gymnasts. One approach to mitigate these forces is wrist bracing; however, studies on the efficacy of wrist braces to reduce wrist pain experienced by gymnasts are limited.
The purpose of this study was to investigate the efficacy of an innovative design of a wrist brace to decrease gymnasts' wrist pain while performing gymnastics.
A wrist brace was designed and trialled over 3 weeks by 48 male gymnasts (aged 8-22 years, levels 4-7) with wrist pain. Wrist pain was recorded on a visual analog scale of 1 to 10 before and after trial. Data analysis was performed using SPSS-22 (IBM Inc). Paired t-tests were performed to compare variables before and after trial, with effect size analyses used to quantify the relative magnitude of any differences.
Paired t-tests indicated the gymnasts reported significantly reduced pain (P = .002; 53.5%) while wearing the braces for training on the pommel, floor, and parallel bars. The overall large effect size value was practically significant (d = 0.902).
For any wrist brace to be effective, it needs to be implemented when the gymnast experiences wrist pain before an injury occurs. This would minimize the development of pain-provoked adaptive movement patterns that perpetuate dysfunction.
The brace with the volar gel pad is recommended to be worn as an adjunct to current strategies in management of gymnasts' wrist pain or as an injury prevention device in skeletally immature gymnasts.
这是一项前瞻性队列的临床试验。
体操运动员腕部疼痛是一个全球性现象。在进行体操运动时，作用于腕部的压缩力是导致腕部疼痛和未成熟体操运动员桡骨远端骺板受伤的一个诱发因素。减轻这些力的一种方法是使用腕部支具；然而，关于腕部支具减轻体操运动员腕部疼痛的疗效的研究有限。
本研究旨在探讨一种新型腕部支具的疗效，以减少体操运动员在进行体操运动时的腕部疼痛。
设计了一种腕部支具，并由 48 名（年龄 8-22 岁，水平 4-7）有腕部疼痛的男性体操运动员试用了 3 周。在试用前后，使用视觉模拟量表（1-10 分）记录腕部疼痛。使用 SPSS-22（IBM Inc）进行数据分析。使用配对 t 检验比较试用前后的变量，使用效应量分析来量化任何差异的相对大小。
配对 t 检验表明，体操运动员在使用支具进行鞍马、地板和双杠训练时报告的疼痛明显减轻（P = 0.002；53.5%）。总体较大的效应量值具有实际意义（d = 0.902）。
为了使腕部支具有效，它需要在体操运动员出现疼痛之前，即在受伤发生之前使用。这将最大限度地减少疼痛引起的适应性运动模式的发展，从而防止功能障碍持续存在。
建议在当前管理体操运动员腕部疼痛的策略中使用带有掌侧凝胶垫的支具，或将其作为未成熟体操运动员的损伤预防装置。
