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经皮神经电刺激联合运动对舞者的平衡和力量增益没有帮助。

Exercise with TENS does not augment gains in balance and strength for dancers.

机构信息

Department of Integrative Physiology, University of Colorado Boulder, Boulder, CO, USA.

Department of Integrative Physiology, University of Colorado Boulder, Boulder, CO, USA.

出版信息

J Electromyogr Kinesiol. 2021 Feb;56:102507. doi: 10.1016/j.jelekin.2020.102507. Epub 2020 Nov 22.

Abstract

Electrical stimulation modulates sensory feedback and improves motor performance, at least for individuals with compromised sensorimotor function. The purpose of this study was to determine the effectiveness of a 4-wk intervention with transcutaneous electrical nerve stimulation (TENS) at improving strength and balance in dancers. Nineteen dancers completed a timed, single-leg balance test, the Y-balance test, and contractions with the hip flexor and knee extensor muscles to assess maximal strength and force steadiness. They completed 4-wks of moderate-intensity bodyweight exercises (3x/wk) and were pseudo-randomized to either a Treatment or Sham group in a single-blind design. The Treatment group received constant TENS over the hamstring muscles during the exercises, whereas the Sham group was exposed to a brief TENS current. The data were pooled due to few significant between-group differences from before to after the intervention. Most outcome measures significantly improved: hip extensor muscles were stronger (P ≤ 0.01), time stood on a single-leg with eyes closed increased (P = 0.02), and the distance reached during the Y-balance test increased (P ≤ 0.001). The improvement in scores on the Y-balance test exceeded the minimal clinically significant change. Twelve sessions of moderate-intensity bodyweight exercises improved muscle strength and balance in experienced dancers. The addition of TENS, however, did not augment the gains in function.

摘要

电刺激调节感觉反馈,改善运动表现,至少对感觉运动功能受损的个体有效。本研究旨在确定经皮神经电刺激(TENS)干预 4 周对提高舞者力量和平衡的有效性。19 名舞者完成了计时单腿平衡测试、Y 平衡测试和髋关节屈肌和膝关节伸肌的收缩测试,以评估最大力量和力量稳定性。他们完成了 4 周的中等强度的体重练习(每周 3 次),并在单盲设计中被随机分为治疗组或假刺激组。在练习过程中,治疗组接受恒定的 TENS 刺激腘绳肌,而假刺激组则接受短暂的 TENS 电流刺激。由于干预前后组间差异很少有统计学意义,因此数据被合并。大多数结果测量指标显著改善:髋关节伸肌更强壮(P≤0.01),闭眼单腿站立时间增加(P=0.02),Y 平衡测试中达到的距离增加(P≤0.001)。Y 平衡测试的得分改善超过了最小临床显著变化。12 次中等强度的体重练习改善了有经验舞者的肌肉力量和平衡。然而,TENS 的附加作用并没有增强功能的提高。

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