Mueller Steffen, Mueller Juliane, Stoll Josefine, Mayer Frank
Physiotherapy, Exercise Science and Applied Biomechanics, Department Computer Science - Therapy Sciences, Trier University of Applied Sciences, Trier, Germany.
University Outpatient Clinic, Sports Medicine and Sports Orthopaedics, University of Potsdam, Potsdam, Germany.
Front Physiol. 2022 Mar 17;13:802315. doi: 10.3389/fphys.2022.802315. eCollection 2022.
Intervention in the form of core-specific stability exercises is evident to improve trunk stability. The purpose was to assess the effect of an additional 6 weeks sensorimotor or resistance training on maximum isokinetic trunk strength and response to sudden dynamic trunk loading (STL) in highly trained adolescent athletes. The study was conducted as a single-blind, 3-armed randomized controlled trial. Twenty-four adolescent athletes (14f/10 m, 16 ± 1 yrs.;178 ± 10 cm; 67 ± 11 kg; training sessions/week 15 ± 5; training h/week 22 ± 8) were randomized into resistance training (RT; = 7), sensorimotor training (SMT; = 10), and control group (CG; = 7). Athletes were instructed to perform standardized, center-based training for 6 weeks, two times per week, with a duration of 1 h each session. SMT consisted of four different core-specific sensorimotor exercises using instable surfaces. RT consisted of four trunk strength exercises using strength training machines, as well as an isokinetic dynamometer. All participants in the CG received an unspecific heart frequency controlled, ergometer-based endurance training (50 min at max. heart frequency of 130HF). For each athlete, each training session was documented in an individual training diary (e.g., level of SMT exercise; 1RM for strength exercise, pain). At baseline (M1) and after 6 weeks of intervention (M2), participants' maximum strength in trunk rotation (ROM:63°) and flexion/extension (ROM:55°) was tested on an isokinetic dynamometer (concentric/eccentric 30°/s). STL was assessed in eccentric (30°/s) mode with additional dynamometer-induced perturbation as a marker of core stability. Peak torque [Nm] was calculated as the main outcome. The primary outcome measurements (trunk rotation/extension peak torque: con, ecc, STL) were statistically analyzed by means of the two-factor repeated measures analysis of variance ( = 0.05). Out of 12 possible sessions, athletes participated between 8 and 9 sessions (SMT: 9 ± 3; RT: 8 ± 3; CG: 8 ± 4). Regarding main outcomes of trunk performance, experimental groups showed no significant pre-post difference for maximum trunk strength testing as well as for perturbation compensation ( > 0.05). It is concluded, that future interventions should exceed 6 weeks duration with at least 2 sessions per week to induce enhanced trunk strength or compensatory response to sudden, high-intensity trunk loading in already highly trained adolescent athletes, regardless of training regime.
以核心特定稳定性训练形式进行的干预显然有助于提高躯干稳定性。目的是评估额外6周的感觉运动或阻力训练对训练有素的青少年运动员最大等速躯干力量以及对突然动态躯干负荷(STL)的反应的影响。该研究作为一项单盲、三臂随机对照试验进行。24名青少年运动员(14名女性/10名男性,16±1岁;身高178±10厘米;体重67±11千克;每周训练次数15±5次;每周训练时长22±8小时)被随机分为阻力训练组(RT;n = 7)、感觉运动训练组(SMT;n = 10)和对照组(CG;n = 7)。运动员被要求进行标准化的、以中心为基础的训练,为期6周,每周两次,每次训练时长1小时。SMT包括使用不稳定表面的四种不同的核心特定感觉运动练习。RT包括使用力量训练器械以及等速测力计的四种躯干力量练习。CG组的所有参与者接受非特定的、基于心率控制的、以测力计为基础的耐力训练(在最大心率130次/分钟下进行50分钟)。对于每位运动员,每次训练课程都记录在个人训练日记中(例如,SMT练习的水平;力量练习的1RM、疼痛情况)。在基线(M1)和干预6周后(M2),使用等速测力计(向心/离心速度30°/秒)测试参与者在躯干旋转(ROM:63°)和屈伸(ROM:55°)时的最大力量。以离心(30°/秒)模式评估STL,并将测力计引起的额外扰动作为核心稳定性的指标。计算峰值扭矩[Nm]作为主要结果。主要结果测量指标(躯干旋转/伸展峰值扭矩:向心、离心、STL)采用双因素重复测量方差分析进行统计分析(α = 0.05)。在12次可能的训练课程中,运动员参加了8至9次训练(SMT组:9±3次;RT组:8±3次;CG组:8±4次)。关于躯干表现的主要结果,实验组在最大躯干力量测试以及扰动补偿方面,前后没有显著差异(P>0.05)。得出的结论是,对于已经训练有素的青少年运动员,未来的干预措施应超过6周的时长,每周至少进行两次训练课程,以增强躯干力量或对突然的高强度躯干负荷产生补偿反应,无论训练方案如何。
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