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神经肌肉训练结合膝外翻控制指令对男性跑步者下肢生物力学的影响。

Effect of neuromuscular training augmented with knee valgus control instructions on lower limb biomechanics of male runners.

机构信息

Faculty of Physical Education and Sports Sciences, Kharazmi University, Tehran, Iran.

Pain in Motion Research Group, Department of Physiotherapy, Human Physiology and Anatomy, Faculty of Physical Education and Physiotherapy, Vrije Universiteit Brussel, Brussels, Belgium.

出版信息

Phys Ther Sport. 2020 May;43:89-99. doi: 10.1016/j.ptsp.2020.02.009. Epub 2020 Feb 26.

Abstract

OBJECTIVE

To examine if combining neuromuscular training (NMT) with knee valgus control instructions (VCIs) can affect lower limb biomechanics and injury incidence in male novice runners and assess over 1-year follow-up.

DESIGN

Controlled laboratory Study.

SETTING

University research laboratory.

PARTICIPANTS

60 male novice runners randomly assigned into NMT (n = 20), NMT plus VCIs (n = 20), and sham (n = 20).

MAIN OUTCOME MEASURES

Kinematic and kinetic were measured at pre- and post-test and 1-year follow-up. Injury incidence assessed at pre-test and 1-year follow up.

RESULTS

There were significant between-group differences in kinetics after 6 weeks in NMT plus VCIs group. No significant differences were observed between NMT and NMT plus VCIs in kinematic variables. No significant change was seen in the sham in all variables. At 1-year follow-up, the minimal changes were seen in kinetic variables. Reduction reported running-related injuries were 31.58% in the NMT alone group, 65.52% in NMT plus VCIs group. In sham, it increased to 13.46%.

CONCLUSIONS

NMT plus VCIs was effective to reduce kinetics and improve kinematics in novice runners. Also, it could reduce injury incidence. This protocol may be an option for both athletic trainers and coaches for preventing of lower limbs' injury in male runners.

摘要

目的

研究神经肌肉训练(NMT)与膝外翻控制指令(VCIs)相结合是否会影响男性新手跑步者的下肢生物力学和受伤发生率,并评估超过 1 年的随访结果。

设计

对照实验室研究。

设置

大学研究实验室。

参与者

60 名男性新手跑步者随机分为 NMT 组(n=20)、NMT 加 VCIs 组(n=20)和假治疗组(n=20)。

主要观察指标

在预测试和后测试以及 1 年随访时测量运动学和动力学。在预测试和 1 年随访时评估受伤发生率。

结果

在 NMT 加 VCIs 组,6 周后动力学有显著的组间差异。NMT 和 NMT 加 VCIs 组在运动学变量方面没有显著差异。假治疗组在所有变量中均未观察到显著变化。在 1 年随访时,动力学变量的变化最小。NMT 组报告的与跑步相关的受伤减少了 31.58%,NMT 加 VCIs 组减少了 65.52%,而假治疗组增加了 13.46%。

结论

NMT 加 VCIs 可有效降低新手跑步者的动力学并改善运动学。此外,它还可以降低受伤发生率。该方案可能是运动训练师和教练预防男性跑步者下肢受伤的一种选择。

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