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一种新型预防性中式降落伞踝关节支具。

A novel prophylactic Chinese parachute ankle brace.

作者信息

Zhou Xi, Wu Di, Wu Xiangdong, Li Zhengyao, Yan Bin, Liang Leilei, He Yu, Liu Yong

机构信息

Department of Orthopedic Surgery, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing, China.

Department of Plastic Surgery, Plastic Surgery Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing, China.

出版信息

Ann Transl Med. 2021 Feb;9(4):318. doi: 10.21037/atm-20-4937.

Abstract

BACKGROUND

The objective is to compare the effects of a self-designed and self-manufactured novel prophylactic ankle brace [Chinese parachute ankle brace (CPAB)] and two ordinary ankle braces on the ankle joint during a half-squat parachute landing (HSPL) via biomechanical assessment.

METHODS

Twenty elite paratroopers were in four different conditions: no brace, elastic brace, semi-rigid brace, and CPAB. Each participant was instructed to jump off a platform with three different heights, 40, 80, and 120 cm, and land on the force plate in a half-squat posture. The vertical ground reaction forces (vGRFs), joint angles, moments, powers, and works were calculated. After the experiment, every participant completed the questionnaires designed for this study.

RESULTS

Increasing the dropping height increased all of the parameters significantly (P<0.01), except for time to peak vGRF (T-PvGRF). Applying three braces can all slightly increase vGRF (P=0.237) and reduce T-PvGRF by 6-10 ms, as well as decrease the joint angles, velocities, and moments on the sagittal and coronal planes. Wearing CPAB and a semi-rigid brace more efficiently restricted dorsiflexion and inversion (P<0.05), and they both significantly reduced ankle work (t=5.107, P<0.01; t=3.331, P<0.01) and peak power (t=7.237, P<0.01; t=6.711, P<0.01) at 120 cm. The total scores from low-to-high were semi-rigid brace (19.20±2.99), elastic brace (21.91±3.25), and CPAB (23.37±3.08).

CONCLUSIONS

The CPAB was more effective at restricting ankle joint motion on the coronal and sagittal planes than the other two prophylactic ankle braces. Therefore, the CPAB had the advantages of a novel appearance, high efficiency, and superior comfort, providing a reliable choice for parachute jumping and training in China.

摘要

背景

目的是通过生物力学评估,比较一种自行设计制造的新型预防性脚踝护具[中国降落伞式脚踝护具(CPAB)]与两种普通脚踝护具在半蹲式降落伞着陆(HSPL)过程中对踝关节的影响。

方法

20名精英伞兵处于四种不同状态:不佩戴护具、佩戴弹性护具、佩戴半刚性护具和佩戴CPAB。每位参与者被要求从40厘米、80厘米和120厘米三个不同高度的平台跳下,并以半蹲姿势落在测力板上。计算垂直地面反作用力(vGRF)、关节角度、力矩、功率和功。实验结束后,每位参与者完成为本研究设计的问卷。

结果

除vGRF峰值时间(T-PvGRF)外,增加下落高度会显著增加所有参数(P<0.01)。佩戴三种护具均可略微增加vGRF(P=0.237),并使T-PvGRF减少6-10毫秒,同时减小矢状面和冠状面上的关节角度、速度和力矩。佩戴CPAB和半刚性护具能更有效地限制背屈和内翻(P<0.05),且二者在120厘米高度时均显著降低了踝关节的功(t=5.107,P<0.01;t=3.331,P<0.01)和峰值功率(t=7.237,P<0.01;t=6.711,P<0.01)。总分从低到高依次为半刚性护具(19.20±2.99)、弹性护具(21.91±3.25)和CPAB(23.37±3.08)。

结论

CPAB在限制踝关节在冠状面和矢状面的运动方面比其他两种预防性脚踝护具更有效。因此,CPAB具有外观新颖、效率高和舒适性好的优点,为中国的跳伞和训练提供了可靠选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34e1/7944281/353026600730/atm-09-04-318-f1.jpg

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