Rodríguez-Sanz David, García-Sánchez Antonio, Becerro-de-Bengoa-Vallejo Ricardo, Martínez-Jiménez Eva María, Calvo-Lobo César, Fernández-Carnero Josué, Losa-Iglesias Marta Elena, López-López Daniel
Facultad de enfermería Fisioterapia y Podología, Universidad Complutense de Madrid, Madrid, Spain.
Faculty of Sports, Universidad Europea de Madrid, Spain.
Orthop J Sports Med. 2021 Mar 8;9(3):2325967120983606. doi: 10.1177/2325967120983606. eCollection 2021 Mar.
Chronic ankle instability (CAI) is a condition defined by certain structural and functional deficits in the ankle joint complex after acute ankle injury. These deficits include pathological joint laxity, impaired postural control, and decreased strength and neuromuscular control.
To compare an eyes-open versus an eyes-closed balance training protocol in professional soccer players with CAI.
Cohort study; Level of evidence, 2.
For this study, we evaluated 19 players from 2 professional soccer teams in Madrid, Spain, all of whom had CAI. Participants from both teams were randomly assigned to an eyes-open group (n = 9) or eyes-closed group (n = 10). All participants completed 4 weeks of a supervised exercise protocol consisting of 3 sessions per week. Members of both the eyes-open and eyes-closed groups performed the same exercise protocol in the same order of execution. At the end of the protocol, the participants were assessed for pain (visual analog scale), ankle dorsiflexion range of motion (weightbearing lunge test), dynamic stability (Star Excursion Balance Test), and fear of movement and reinjury (Tampa Scale for Kinesiophobia). We compared results both before and after balance training and between the eyes-open and eyes-closed balance training groups.
Statistically significant differences were found for all of the assessed variables before and after balance training. No statistically significant differences were found between the eyes-closed and eyes-open groups on any variable.
In the current study, eyes-closed balance training was not more effective than eyes-open balance training for CAI in professional soccer players.
慢性踝关节不稳（CAI）是一种在急性踝关节损伤后踝关节复合体出现特定结构和功能缺陷所定义的病症。这些缺陷包括病理性关节松弛、姿势控制受损以及力量和神经肌肉控制下降。
比较睁眼与闭眼平衡训练方案对患有CAI的职业足球运动员的效果。
队列研究；证据等级，2级。
在本研究中，我们评估了来自西班牙马德里2支职业足球队的19名球员，他们均患有CAI。两队的参与者被随机分配到睁眼组（n = 9）或闭眼组（n = 10）。所有参与者均完成了为期4周的有监督的运动方案，每周进行3次训练。睁眼组和闭眼组的成员以相同的执行顺序进行相同的运动方案。在方案结束时，对参与者进行疼痛（视觉模拟量表）、踝关节背屈活动范围（负重弓步试验）、动态稳定性（星形偏移平衡试验）以及对运动和再次受伤的恐惧（坦帕运动恐惧量表）评估。我们比较了平衡训练前后以及睁眼和闭眼平衡训练组之间的结果。
在平衡训练前后，所有评估变量均存在统计学上的显著差异。在任何变量上，闭眼组和睁眼组之间均未发现统计学上的显著差异。
在本研究中，对于患有CAI的职业足球运动员，闭眼平衡训练并不比睁眼平衡训练更有效。
