离心型力量训练对晚期前交叉韧带(ACL)重建的职业团队运动运动员重返运动标准的影响。
Effects of Eccentric-Oriented Strength Training on Return to Sport Criteria in Late-Stage Anterior Cruciate Ligament (ACL)-Reconstructed Professional Team Sport Players.
机构信息
Training Expertise Lab, Faculty of Sport and Physical Education, University of Novi Sad, 21000 Novi Sad, Serbia.
Faculty of Sport and Physical Education, University of Novi Sad, 21000 Novi Sad, Serbia.
出版信息
Medicina (Kaunas). 2023 Jun 8;59(6):1111. doi: 10.3390/medicina59061111.
An effective post-injury training program is essential to regain performance and fulfill criteria for return to sport for team sport athletes following anterior cruciate ligament (ACL) reconstruction. The aim of this study was to compare the effects of 6 weeks of eccentric-oriented strength training vs. traditional strength training during the late-stage ACL-rehab phase on leg strength and vertical and horizontal jumping performance in professional team sport athletes. Twenty-two subjects (14 males, 8 females, age 19.9 ± 4.4 years, mass 77.4 ± 15.6 kg, height 182.4 ± 11.7 cm) (mean ± SD) with a unilateral reconstructed ACL (BTB graft) were included in the study. All participants enrolled in the same rehabilitation protocol prior to the training study. Players were randomly assigned to an experimental (ECC: n = 11, age 21.8 ± 4.6 years, mass 82.7 ± 16.6 kg, height 185.4 ± 12.2 cm), and a control group (CON: n = 11, age 19.1 ± 2.1 years, mass 76.6 ± 16.5 kg, height 182.5 ± 10.2 cm). Both groups underwent an equivolumed rehabilitation program, with the only difference being in strength training, which consisted of flywheel training vs. traditional strength training for the experimental and control groups, respectively. Testing was organized before and after the 6-week training programs and included isometric semi-squat tests (ISOSI-injured and ISOSU-uninjured legs), vertical jump tests (CMJ), single-leg vertical jump tests (SLJI-injured and SLJU-uninjured legs), single-leg hop tests (SLHI-injured and SLHU-uninjured legs), and triple hop tests (TLHI-injured and TLHU-uninjured legs). In addition, limb symmetry indexes were calculated for the isometric semi-squat (ISOSLSI) test, the single-leg vertical jump (SLJLSI), and the hop (SLHLSI) tests, as well as the triple-leg hop (THLLSI) test. Main effects of time across training were observed for all dependent variables (posttest > pretest, < 0.05). Significant group-by-time interactions were found for ISOSU ( < 0.05, ES = 2.51, very large), ISOSI ( < 0.05, ES = 1.78, large), CMJ ( < 0.05, ES = 2.23, very large), SLJI ( < 0.05, ES = 1.48, large), SLHI ( < 0.05, ES = 1.83, large), and TLHI ( < 0.05, ES = 1.83, large). This study suggests that eccentric-oriented strength training in late-stage ACL recovery, undertaken twice or three times weekly for 6 weeks, results in better outcomes than traditional strength training in leg strength, vertical jump ability, and single and triple hop tests with injured legs in professional team sport athletes. It seems that flywheel strength training can be recommended in late-stage ACL recovery for professional team sport athletes in order to regain recommended performance outcome levels faster.
一项针对前交叉韧带(ACL)重建后团队运动运动员重返运动标准所需的有效伤后训练计划,对于恢复表现至关重要。本研究的目的是比较在 ACL 康复后期阶段进行 6 周的离心定向力量训练与传统力量训练对专业团队运动运动员腿部力量以及垂直和水平跳跃表现的影响。
22 名受试者(14 名男性,8 名女性,年龄 19.9 ± 4.4 岁,体重 77.4 ± 15.6kg,身高 182.4 ± 11.7cm)(平均值 ± SD),患有单侧重建 ACL(BTB 移植物),参与了本研究。所有参与者在参加训练研究之前都参加了相同的康复方案。运动员被随机分配到实验组(ECC:n = 11,年龄 21.8 ± 4.6 岁,体重 82.7 ± 16.6kg,身高 185.4 ± 12.2cm)和对照组(CON:n = 11,年龄 19.1 ± 2.1 岁,体重 76.6 ± 16.5kg,身高 182.5 ± 10.2cm)。两组均接受了等容量的康复方案,唯一的区别在于力量训练,实验组进行飞轮训练,对照组进行传统力量训练。测试在 6 周训练计划前后进行,包括等长半蹲测试(ISOSI-受伤腿和 ISOSU-未受伤腿)、垂直跳跃测试(CMJ)、单腿垂直跳跃测试(SLJI-受伤腿和 SLJU-未受伤腿)、单腿跳跃测试(SLHI-受伤腿和 SLHU-未受伤腿)和三连跳测试(TLHI-受伤腿和 TLHU-未受伤腿)。此外,还计算了等长半蹲(ISOSLSI)测试、单腿垂直跳跃(SLJLSI)和跳跃(SLHLSI)测试以及三腿跳跃(THLLSI)测试的腿部对称指数。
在训练期间,所有因变量均出现时间的主要效应(后测>前测, < 0.05)。ISOSU( < 0.05,ES = 2.51,非常大)、ISOSI( < 0.05,ES = 1.78,大)、CMJ( < 0.05,ES = 2.23,非常大)、SLJI( < 0.05,ES = 1.48,大)、SLHI( < 0.05,ES = 1.83,大)和 TLHI( < 0.05,ES = 1.83,大)的组间时间交互作用均有统计学意义。
本研究表明,在 ACL 康复后期阶段,每周进行 2 到 3 次,每次 6 周的离心定向力量训练,比传统力量训练更能提高专业团队运动运动员腿部力量、垂直跳跃能力以及单腿和三腿跳跃测试的受伤腿表现。似乎飞轮力量训练可以推荐用于 ACL 康复后期阶段,以更快地恢复推荐的表现水平。