Schwartzkopf-Phifer Kate, Leach Suzanne, Whetstone Katie, Brown Kevin, Matsel Kyle
University of Evansville.
Rehabilitation and Performance Institute, PSC.
Int J Sports Phys Ther. 2021 Oct 1;16(5):1345-1354. doi: 10.26603/001c.28055. eCollection 2021.
Trunk stability is a risk factor commonly associated with lower extremity injuries, particularly in females. Performance on trunk stability tasks, such as the Trunk Stability Push Up (TSPU), is less than optimal in females. Current corrective programs include few females, and clinically, improvements for females have been minimal.
PURPOSE/HYPOTHESIS: The purpose of this pilot study was to determine the effectiveness of a novel trunk stability intervention program in improving TSPU performance in a cohort of active female participants. It was hypothesized that ≥60% of participants would improve their TSPU scores to ≥2 via Functional Movement Screen™ (FMS™) criteria following a novel six-week intervention program.
Pilot Cohort Study.
Participants were screened for pain with lumbar and shoulder clearing tests and hypermobility was assessed using Beighton scores. Additional testing included a breathing screen, the FMS™, Y-Balance Test-Lower Quarter and Y-Balance Test-Upper Quarter. Participants who scored a 1 on the TSPU received a home exercise program instructed by student physical therapists. Exercises focused on improving awareness of lumbar spine position and thoracic spine mobility. Participants returned for follow-ups after two and four weeks for instruction in exercise progression, which increased postural demand on the lumbar spine and upper extremities, and utilized closed-chain, multiplanar stability strategies.
Nine of 20 participants (45%) scored ≥2 on the TSPU at posttest. Due to the COVID-19 pandemic, only 12 participants were able to complete all posttest outcome measures. No significant differences were noted in the remaining outcome measures. Conclusion: The results of this study indicate that a multiplanar exercise approach, combining anti-extension and anti-rotation training, was beneficial for inducing trunk stability improvements in some active females.
2b.
躯干稳定性是一个通常与下肢损伤相关的风险因素，在女性中尤为如此。在躯干稳定性任务（如俯卧撑躯干稳定性测试，TSPU）中的表现，女性并不理想。目前的矫正计划中女性参与较少，而且在临床上，女性的改善也微乎其微。
目的/假设：本初步研究的目的是确定一种新型躯干稳定性干预计划对一组活跃女性参与者TSPU表现的改善效果。假设在一项为期六周的新型干预计划后，≥60%的参与者将通过功能性动作筛查（FMS™）标准将其TSPU分数提高到≥2分。
初步队列研究。
通过腰椎和肩部清除试验对参与者进行疼痛筛查，并使用贝顿评分评估关节活动过度情况。额外的测试包括呼吸筛查、FMS™、下肢Y平衡测试和上肢Y平衡测试。在TSPU测试中得1分的参与者接受了由学生物理治疗师指导的家庭锻炼计划。锻炼重点是提高对腰椎位置的感知和胸椎活动度。参与者在两周和四周后返回进行随访，接受关于锻炼进展的指导，这增加了对腰椎和上肢的姿势要求，并采用了闭链、多平面稳定性策略。
20名参与者中有9名（45%）在测试后TSPU得分≥2分。由于新冠疫情，只有12名参与者能够完成所有测试后的结果测量。其余结果测量中未发现显著差异。结论：本研究结果表明，一种结合抗伸展和抗旋转训练的多平面锻炼方法，对一些活跃女性的躯干稳定性改善有益。
2b。
