Department of Exercise Sciences, Brigham Young University, Provo, Utah, USA.
Department of Statistics, Brigham Young University, Provo, Utah, USA.
Scand J Med Sci Sports. 2022 Mar;32(3):576-587. doi: 10.1111/sms.14098. Epub 2021 Nov 19.
Individuals with chronic ankle instability (CAI) are believed to rely more on visual information during postural control due to impaired proprioceptive function, which may increase the risk of injury when their vision is limited during sports activities.
To compare (1) the effects of balance training with and without stroboscopic glasses on postural control and (2) the effects of the training on visual reliance in patients with CAI.
A randomized controlled clinical trial.
Twenty-eight CAI patients were equally assigned to one of 2 groups: strobe or control group. The strobe group wore stroboscopic glasses during a 4-week balance training. Static postural control, a single-leg hop balance test calculated by Dynamic Postural Stability Index (DPSI), and the Y-Balance test (YBT) were measured. During the tests, there were different visual conditions: eyes-open (EO), eyes-closed (EC), and strobe vision (SV). Romberg ratios were then calculated as SV/EO, and EC/EO and used for statistical analysis.
The strobe group showed a higher pretest-posttest difference in velocity in the medial-lateral direction and vertical stability index under SV compared with the control group (p < .05). The strobe group showed higher differences in EC/EO for velocity in the medial-lateral and anterior-posterior directions, and 95% confidence ellipse area (p < .05), and in SV/EO for velocity in the medial-lateral, 95% confidence ellipse area, and YBT-anterior direction (p < .05).
The 4-week balance training with stroboscopic glasses appeared to be effective in improving postural control and altering visual reliance in patients with CAI.
比较(1)使用频闪眼镜和不使用频闪眼镜进行平衡训练对姿势控制的影响,以及(2)该训练对慢性踝关节不稳(CAI)患者视觉依赖的影响。
随机对照临床试验。
28 名 CAI 患者被平均分配到频闪或对照组:频闪组在 4 周的平衡训练中佩戴频闪眼镜。测量静态姿势控制、单腿跳平衡测试(计算动态度量指数(DPSI))和 Y 平衡测试(YBT)。在测试中,有不同的视觉条件:睁眼(EO)、闭眼(EC)和频闪视觉(SV)。然后计算 SV/EO、EC/EO 的 Romberg 比值,并进行统计分析。
频闪组在 SV 下的速度在横向和垂直稳定性指数方面的测试前后差异高于对照组(p<0.05)。频闪组在 EC/EO 下的速度在横向和前后方向以及 95%置信椭圆面积(p<0.05),以及在 SV/EO 下的速度在横向、95%置信椭圆面积和 YBT 前向方向(p<0.05)的差异较大。
4 周的频闪眼镜平衡训练似乎可以有效改善 CAI 患者的姿势控制和改变视觉依赖。