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Bodyblade™训练对创伤性前肩不稳运动员的影响

Bodyblade™ Training in Athletes with Traumatic Anterior Shoulder Instability.

作者信息

Pulido Victor, Alvar Brent, Behm David

机构信息

Department of Health Sciences Rocky Mountain University of Health Professions.

Human Kinetics and Recreation Memorial University of Newfoundland.

出版信息

Int J Sports Phys Ther. 2023 Feb 1;18(1):188-198. doi: 10.26603/001c.65900. eCollection 2023.

Abstract

BACKGROUND

The Bodyblade™ has the potential of enhancing conservative management of Traumatic Anterior Shoulder Instability (TASI).

PURPOSE

The purpose of this study was to compare three different protocols: Traditional, Bodyblade™, and Mixed (Traditional & Bodyblade™) for shoulder rehabilitation on athletes with TASI.

STUDY DESIGN

Randomized-controlled longitudinal training study.

METHODS

Thirty-seven athletes (age = 19.9±2.0 years) were allocated into Traditional, Bodyblade™, and Mixed (Traditional/Bodyblade™) training groups (3×week for 8-weeks). The traditional group used resistance bands (10-15 repetitions). The Bodyblade™ group transitioned from classic to the pro model (30-60-s repetitions). The mixed group converted from the traditional (weeks 1-4) to the Bodyblade™ (weeks 5-8) protocol. Western Ontario Shoulder Index (WOSI) and the UQYBT were evaluated at baseline, mid-test, post-test, and at a three-month follow-up. A repeated-measures ANOVA design evaluated within and between-group differences.

RESULTS

All three groups significantly (p=0.001, eta: 0.496) exceeded WOSI baseline scores (at all timepoints) with training (Traditional: 45.6%, 59.4%, and 59.7%, Bodyblade™: 26.6%, 56.5%, and 58.4%, Mixed: 35.9%, 43.3% and 50.4% respectively). Additionally, there was a significant (p=0.001, eta: 0.607) effect for time with mid-test, post-test and follow-up exceeding baseline scores by 35.2%, 53.2% and 43.7%, respectively. The Traditional and Bodyblade™ groups (p=0.049, eta: 0.130) exceeded the Mixed group UQYBT at post-test (8.4%) and at three-month follow-up (19.6%). A main effect (p=0.03, eta: 0.241) for time indicated that WOSI mid-test, post-test and follow-up exceeded the baseline scores by 4.3%, 6.3% and 5.3%.

CONCLUSIONS

All three training groups improved their scores on the WOSI. The Traditional and Bodyblade™ groups demonstrated significant improvements in UQYBT inferolateral reach scores at post-test and three-month follow-up compared to the Mixed group. These findings could lend further credibility to the role of the Bodyblade as an early to intermediate rehabilitation tool.

LEVEL OF EVIDENCE

摘要

背景

Bodyblade™有增强创伤性前肩关节不稳(TASI)保守治疗效果的潜力。

目的

本研究的目的是比较三种不同方案:传统方案、Bodyblade™方案和混合方案(传统方案与Bodyblade™方案结合),用于TASI运动员的肩部康复。

研究设计

随机对照纵向训练研究。

方法

37名运动员(年龄=19.9±2.0岁)被分配到传统训练组、Bodyblade™训练组和混合训练组(传统/Bodyblade™)(每周3次,共8周)。传统组使用弹力带(10 - 15次重复)。Bodyblade™组从经典型号过渡到专业型号(30 - 60秒重复)。混合组从传统方案(第1 - 4周)转换为Bodyblade™方案(第5 - 8周)。在基线、测试中期、测试后期和三个月随访时评估西安大略肩指数(WOSI)和UQYBT。采用重复测量方差分析设计评估组内和组间差异。

结果

所有三组在训练后(所有时间点)WOSI基线评分均显著提高(p = 0.001,eta:0.496)(传统组分别为45.6%、59.4%和59.7%,Bodyblade™组分别为26.6%、56.5%和58.4%,混合组分别为35.9%、43.3%和50.4%)。此外,时间因素有显著影响(p = 0.001,eta:0.607),测试中期、测试后期和随访时分别比基线评分提高35.2%、53.2%和43.7%。在测试后期(8.4%)和三个月随访时(19.6%),传统组和Bodyblade™组(p = 0.049,eta:0.130)的UQYBT超过混合组。时间的主效应(p = 0.03,eta:0.241)表明,WOSI测试中期、测试后期和随访时分别比基线评分提高4.3%、6.3%和5.3%。

结论

所有三个训练组的WOSI评分均有所提高。与混合组相比,传统组和Bodyblade™组在测试后期和三个月随访时UQYBT下外侧伸展评分有显著改善。这些发现可能进一步证明Bodyblade作为早期至中期康复工具的作用。

证据水平

3级。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/646d/9897004/949f7a501d28/ijspt_2023_18_1_65900_132473.jpg

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