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通过平衡训练以及同时进行认知要求或外部注意力焦点来增强前交叉韧带重建术后姿势控制的双盲随机试验方案。

Protocol for double-blinded randomized trial to enhance postural control after anterior cruciate ligament reconstruction by balance training and concurrent cognitive demands or external focus of attention.

作者信息

Tayebi Abdollah, Kouhzad Mohammadi Hossein, Nassadj Gholamhossein, Mehravar Mohammad

机构信息

Musculoskeletal Rehabilitation Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran; Department of Physiotherapy, School of Rehabilitation Sciences, Ahvaz Jundishapur University of Medical Sciences, Ahvaz.

出版信息

Eur J Transl Myol. 2023 Mar 10;33(1):11085. doi: 10.4081/ejtm.2023.11085.

DOI:10.4081/ejtm.2023.11085
PMID:36919557
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10141750/
Abstract

Anterior cruciate ligament (ACL) injury is one of the most common injuries among athletes that lead to postural control disorders. The aim of this study is to compare the effects of balance training with and without cognitive task and external focus of attention on postural control in individuals with ACL reconstruction. Sixty participants with ACL reconstruction, between the ages of 18 and 47 will be randomly allocated to three group's including routine balance training, balance training with external focus of attention. Patients will be assessed at the baseline, after receiving eight weeks of intervention, and four weeks later. A double-blinded design will be used. Center of pressure data acquired from a forceplate will be used to assess amount and velocity of sway, local dynamical stability, and global stability of upright balance. Also, dynamic balance will be assessed using Star Excursion balance test. The results of this research will be used to establish effectiveness of treatment strategies for postural control in individuals with anterior cruciate ligament reconstruction. The suggested interventions would be clinically applicable in the athlete with ACL injury.

摘要

前交叉韧带(ACL)损伤是运动员中最常见的导致姿势控制障碍的损伤之一。本研究的目的是比较有无认知任务及外部注意焦点的平衡训练对前交叉韧带重建个体姿势控制的影响。60名年龄在18至47岁之间的前交叉韧带重建参与者将被随机分配到三组,包括常规平衡训练、有外部注意焦点的平衡训练。患者将在基线、接受八周干预后以及四周后进行评估。将采用双盲设计。从测力板获取的压力中心数据将用于评估摇摆的量和速度、局部动态稳定性以及直立平衡的整体稳定性。此外,将使用星形偏移平衡测试评估动态平衡。本研究结果将用于确立前交叉韧带重建个体姿势控制治疗策略的有效性。所建议的干预措施在临床上适用于前交叉韧带损伤的运动员。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fcab/10141750/8e29d0bfdffc/ejtm-33-1-11085-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fcab/10141750/8e29d0bfdffc/ejtm-33-1-11085-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fcab/10141750/8e29d0bfdffc/ejtm-33-1-11085-g001.jpg

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1
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本文引用的文献

1
Influence of body mass index and anterior cruciate ligament reconstruction on gait biomechanics.体重指数和前交叉韧带重建对步态生物力学的影响。
J Orthop Res. 2023 May;41(5):994-1003. doi: 10.1002/jor.25451. Epub 2022 Oct 29.
2
Influence of Age on Signal Intensity of Magnetic Resonance Imaging and Clinical Outcomes in Double-Bundle Anterior Cruciate Ligament Reconstruction: Comparisons Among Different Age Groups.年龄对双束前交叉韧带重建磁共振成像信号强度和临床结果的影响:不同年龄组间的比较。
Am J Sports Med. 2022 Jan;50(1):93-102. doi: 10.1177/03635465211059158. Epub 2021 Nov 26.
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Distality of Attentional Focus and Its Role in Postural Balance Control.
注意力焦点的远端及其在姿势平衡控制中的作用。
Front Psychol. 2020 Feb 21;11:125. doi: 10.3389/fpsyg.2020.00125. eCollection 2020.
4
Comparing the effects of external focus of attention and continuous cognitive task on postural control in anterior cruciate ligament reconstructed athletes.比较外部注意焦点和连续认知任务对前交叉韧带重建运动员姿势控制的影响。
Neurosci Lett. 2020 Jan 10;715:134666. doi: 10.1016/j.neulet.2019.134666. Epub 2019 Nov 30.
5
Principles of Motor Learning to Support Neuroplasticity After ACL Injury: Implications for Optimizing Performance and Reducing Risk of Second ACL Injury.支持 ACL 损伤后神经可塑性的运动学习原则:优化表现和降低二次 ACL 损伤风险的意义。
Sports Med. 2019 Jun;49(6):853-865. doi: 10.1007/s40279-019-01058-0.
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The effects of attentional focus and cognitive tasks on postural sway may be the result of automaticity.注意力焦点和认知任务对姿势摇摆的影响可能是自动性的结果。
Gait Posture. 2017 May;54:45-49. doi: 10.1016/j.gaitpost.2017.02.022. Epub 2017 Feb 24.
7
Consensus on Exercise Reporting Template (CERT): Explanation and Elaboration Statement.运动报告模板共识(CERT):解释与阐述声明
Br J Sports Med. 2016 Dec;50(23):1428-1437. doi: 10.1136/bjsports-2016-096651. Epub 2016 Oct 5.
8
Effects of dual-task balance training on postural performance in patients with Multiple Sclerosis: a double-blind, randomized controlled pilot trial.双重任务平衡训练对多发性硬化症患者姿势表现的影响:一项双盲、随机对照试验
Clin Rehabil. 2017 Feb;31(2):234-241. doi: 10.1177/0269215516639735. Epub 2016 Jul 10.
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Continuous Cognitive Tasks Improve Postural Control Compared to Discrete Cognitive Tasks.与离散认知任务相比,连续认知任务可改善姿势控制。
J Mot Behav. 2016 May-Jun;48(3):264-9. doi: 10.1080/00222895.2015.1089833. Epub 2015 Oct 26.
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Optimization of the anterior cruciate ligament injury prevention paradigm: novel feedback techniques to enhance motor learning and reduce injury risk.优化前交叉韧带损伤预防范式:新型反馈技术增强运动学习,降低损伤风险。
J Orthop Sports Phys Ther. 2015 Mar;45(3):170-82. doi: 10.2519/jospt.2015.4986. Epub 2015 Jan 27.