不同踝关节支具对功能性踝关节不稳排球运动员专项诱导疲劳后下肢运动学和动力学的影响

Effect of different ankle braces on lower extremity kinematics and kinetics following special-induced fatigue for volleyball players with functional ankle instability.

作者信息

Zhang Zeyi, Zhang Meizhen

机构信息

Taiyuan University of Technology, Taiyuan, China.

出版信息

Heliyon. 2023 May 27;9(6):e16380. doi: 10.1016/j.heliyon.2023.e16380. eCollection 2023 Jun.

Abstract

BACKGROUND

The aim of this study is to examine the effects of different ankle braces on functional ankle instability (FAI) participants following special-induced fatigue, which will provide advice for preventing ankle sprains in volleyball game.

METHODS

A total of 18 male collegiate volleyball players with FAI were recruited. The kinematics and kinetics data were acquired from the participants during single-leg drop landing using the infrared motion capture system (Mars2H, Nokov, China) and the force platform (Bertec, USA). A 2 × 2 within subjects design ANOVA was adopted to analyze the data.

RESULTS

Whether fatigue or not, soft and semi-rigid brace reduced the ankle inversion ( = 0.025). Moreover, soft brace reduced the sagittal range of motion (ROM) of the ankle joint before fatigue ( = 0.05). In addition, the semi-rigid brace shortened the time to stability in the medial and lateral directions ( = 0.039) as well as the vertical directions ( < 0.001). The semi-rigid brace reduced the ground reaction force post-fatigue ( = 0.001).

CONCLUSION

Soft ankle brace reduced the sagittal range of motion pre-fatigue. Since volleyball requires athletes to jumping and landing repeatedly, and the ankle sagittal ROM was an important cushion during landings. Thus, soft ankle brace might result in overuse injury for lower extremity. However, the semi-rigid ankle brace increased the dynamic stability in the medial and vertical directions, and reduced the ankle inversion angle and forward ground reaction force post-fatigue. This ensured that the volleyball player's ankle was in a neutral position during landing, reducing the risk of excessive inversion caused by contact with the opposing player during spike and block.

摘要

背景

本研究旨在探讨不同踝关节支具对功能性踝关节不稳(FAI)参与者在特定诱导疲劳后的影响,这将为预防排球比赛中的踝关节扭伤提供建议。

方法

共招募了18名患有FAI的男性大学生排球运动员。使用红外运动捕捉系统(Mars2H,中国诺亦腾)和测力台(美国Bertec)在参与者单腿下落着地过程中获取运动学和动力学数据。采用2×2被试内设计方差分析来分析数据。

结果

无论是否疲劳,软性和半刚性支具均能减少踝关节内翻(P = 0.025)。此外,软性支具在疲劳前减少了踝关节矢状面活动范围(ROM)(P = 0.05)。另外,半刚性支具缩短了在内外侧方向(P = 0.039)以及垂直方向(P < 0.001)达到稳定的时间。半刚性支具降低了疲劳后的地面反作用力(P = 0.001)。

结论

软性踝关节支具在疲劳前减少了矢状面活动范围。由于排球运动要求运动员反复跳跃和落地,而踝关节矢状面ROM在落地时是一个重要的缓冲。因此,软性踝关节支具可能导致下肢过度使用损伤。然而,半刚性踝关节支具增加了内外侧和垂直方向的动态稳定性,并减少了疲劳后的踝关节内翻角度和向前的地面反作用力。这确保了排球运动员在落地时踝关节处于中立位置,降低了在扣球和拦网时与对方球员接触导致过度内翻的风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7580/10250581/68727eb1d00f/gr1.jpg

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