Takasaki Hiroshi, Kawazoe Shota
Department of Physical Therapy, Saitama Prefectural University, Koshigaya, Japan.
J Exerc Rehabil. 2021 Feb 23;17(1):28-38. doi: 10.12965/jer.2040866.433. eCollection 2021 Feb.
In the Functional Movement Screen (FMS), a subgroup of those with a score of 1 due to limitations in the active straight leg raising (ASLR) but not in the passive straight leg raising is considered to have a stability or motor control dysfunction (SMCD). The FMS proposes the use of the movements in a reverse pattern to improve FMS scores. The aim of this study was to investigate whether the reverse pattern of the ASLR (reverse-ASLR) was more effective than repeating the ASLR to improve the FMS score in participants with the FMS ASLR score of 1 due to the SMCD (ASLR-1-SMCD). A two-armed randomized controlled trial was conducted in individuals with the ASLR-1-SMCD. The intervention was either the reverse-ASLR or the ASLR exercise on both sides at home for a month followed by a 1-month wait-and-see interval, wherein the primary outcome measure was the right FMS ASLR score. Forty participants were randomized to the ASLR exercise group (n=20) or the reverse-ASLR exercise group (n=20). The Fisher exact test demonstrated a statistically significant difference (=0.020) in the proportion of those with FMS ASLR score improvement to a score of 2 (ASLR exercise group, one; reverse-ASLR exercise group, eight) at follow-up 1, but no significance (=0.106) at follow-up 2 (ASLR exercise group, none; reverse-ASLR exercise group, four). This study indicated that the reverse-ASLR exercise was more effective than repeating the ASLR exercise in order to improve the ASLR score among individuals with the ASLR-1-SMCD.
在功能性动作筛查（FMS）中，因主动直腿抬高（ASLR）受限但被动直腿抬高不受限而得1分的人群亚组被认为存在稳定性或运动控制功能障碍（SMCD）。FMS建议采用反向模式的动作来提高FMS分数。本研究的目的是调查在因SMCD导致FMS的ASLR得分为1（ASLR-1-SMCD）的参与者中，ASLR的反向模式（反向ASLR）是否比重复ASLR更能有效提高FMS分数。对患有ASLR-1-SMCD的个体进行了一项双臂随机对照试验。干预措施为在家中进行反向ASLR或双侧ASLR练习，为期1个月，随后为1个月的观察期，其中主要结局指标是右侧FMS的ASLR分数。40名参与者被随机分为ASLR练习组（n = 20）或反向ASLR练习组（n = 20）。Fisher精确检验显示，在随访1时，FMS的ASLR分数提高到2分的比例（ASLR练习组，1例；反向ASLR练习组，8例）有统计学显著差异（=0.020），但在随访2时无显著差异（=0.106）（ASLR练习组，0例；反向ASLR练习组，4例）。本研究表明，在ASLR-1-SMCD个体中，反向ASLR练习比重复ASLR练习更能有效提高ASLR分数。
