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慢性踝关节不稳患者、踝关节扭伤康复者和健康对照者在星形偏移平衡测试中的腿优势及组间差异的影响

The Effect of Leg Dominance and Group Difference in Star Excursion Balance Test between Individuals with Chronic Ankle Instability, Ankle Sprain Copers and Healthy Controls.

作者信息

Mohamadi Somayeh, Rahmani Nahid, Ebrahimi Ismail, Salavati Mahyar, Dadgoo Mehdi

机构信息

Department of Physiotherapy, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.

University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.

出版信息

Arch Bone Jt Surg. 2023;11(3):206-211. doi: 10.22038/ABJS.2022.65920.3161.

DOI:10.22038/ABJS.2022.65920.3161
PMID:37168583
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10165210/
Abstract

OBJECTIVES

To evaluate patients with chronic ankle instability (CAI), copers who had a sprain without instability, and healthy controls using the Star Excursion Balance Test (SEBT). In addition, the reach distance was assessed between the both legs in terms of dominant and non-dominant in all groups.

METHODS

A total of 75 subjects (25 healthy, 25 CAI, and 25 Coper) participated. The maximum reach distance in SEBT was assessed in anterior (ANT), postero-medial (PM), and postero-lateral (PL) directions in both legs for each subject. All data were analyzed by SPSS version 21. Tukey post hoc test was used to compare all groups. Paired T-test was used to compare dominant and non-dominant legs in each group.

RESULTS

In 75 subjects have participated in the data collection, no significant differences were reported among all groups for age and BMI measurements. Significant lower reach distance in scores of ANT in the dominant leg of the CAI was demonstrated when compared with the control and the coper groups (=0.008). No statistical significant difference was determined between the dominant and non-dominant legs in each group (>0.05)

CONCLUSION

It seems that relevant strategies for postural control should be taken into account in the rehabilitation setup of individuals with CAI.

摘要

目的

使用Star Excursion平衡测试(SEBT)评估慢性踝关节不稳(CAI)患者、无踝关节不稳的扭伤恢复者(coper)以及健康对照者。此外,还评估了所有组中双腿在优势侧和非优势侧的伸展距离。

方法

共有75名受试者(25名健康者、25名CAI患者和25名coper)参与。对每名受试者双腿在前(ANT)、后内侧(PM)和后外侧(PL)方向上的SEBT最大伸展距离进行评估。所有数据均使用SPSS 21版进行分析。采用Tukey事后检验对所有组进行比较。采用配对t检验比较每组中优势腿和非优势腿。

结果

在参与数据收集的75名受试者中,所有组在年龄和体重指数测量方面均未报告显著差异。与对照组和coper组相比,CAI患者优势腿ANT得分的伸展距离显著更低(P=0.008)。每组中优势腿和非优势腿之间未确定有统计学显著差异(P>0.05)。

结论

在CAI患者的康复方案中似乎应考虑姿势控制的相关策略。

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本文引用的文献

1
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The role of the dominant leg while assessing balance performance. A systematic review and meta-analysis.评估平衡表现时主导腿的作用。系统评价和荟萃分析。
Gait Posture. 2021 Feb;84:66-78. doi: 10.1016/j.gaitpost.2020.11.008. Epub 2020 Nov 19.
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An Updated Model of Chronic Ankle Instability.慢性踝关节不稳的更新模型。
J Athl Train. 2019 Jun;54(6):572-588. doi: 10.4085/1062-6050-344-18. Epub 2019 Jun 4.
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PLoS One. 2018 Aug 13;13(8):e0201479. doi: 10.1371/journal.pone.0201479. eCollection 2018.
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Individuals with chronic ankle instability exhibit dynamic postural stability deficits and altered unilateral landing biomechanics: A systematic review.慢性踝关节不稳患者存在动态姿势稳定性不足和单侧落地生物力学改变:系统评价。
Phys Ther Sport. 2019 May;37:210-219. doi: 10.1016/j.ptsp.2018.06.003. Epub 2018 Jun 13.
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7
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8
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