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[降落伞式踝关节护具对伞兵着陆时踝关节的保护效果评估]

[Evaluation of ankle joint protection effect of parachute ankle brace on paratrooper landing].

作者信息

Huang X Y, Yu Y J, Wang Y J, Liu T, Chen J D, Wu L

机构信息

School of Public Health, Wuhan University of Science and Technology, Wuhan 430065, China.

Department of Orthopedics, PLA Airborne Hospital, Wuhan 430101, China.

出版信息

Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2023 Jul 20;41(7):504-508. doi: 10.3760/cma.j.cn121094-20220106-00006.

Abstract

To study the protective effect of parachute ankle brace on ankle joint during simulated parachuting landing. In August 2021, 30 male paratroopers were selected as the test subjects by simple random sampling method. They jumped from the 1.5 m and 2.0 m height platforms respectively with and without parachute ankle brace, and landed on the sandy ground in a semi-squat parachute landing position. The experiment was divided into 1.5 m experimental group and control group and 2.0 m experimental group and control group. Angle sensor and surface electromyograph were used to measure and analyze the coronal tilt range of the ankle joint and the percentage of maximal voluntary contraction (MVE%) of the muscles around the ankle joint, respectively, to evaluate the protective effect of the parachute ankle brace. At the same height, the tilt range of coronal plane of ankle in experimental group was significantly reduced compared with control group, and the difference was statistically significant (<0.05). Under the same protection state, the tilt range of the coronal plane of the ankle in the 1.5 m group was significantly reduced compared with that in the 2.0 m group, and the difference was statistically significant (<0.05). The coronal plane inclination range of the ankle in 2 m experimental group was significantly lower than that in 1.5 m control group, and the difference was statistically significant (<0.05). Compared with 1.5 m control group, MVE% of right tibialis anterior muscle and bilateral lateral gastrocnemius decreased in 1.5 m experimental group, while MVE% of bilateral peroneus longus increased, with statistical significance (<0.05). Compared with 2.0 m control group, the MVE% of bilateral tibialis anterior muscle and right lateral gastrocnemius decreased in 2.0 m experimental group, while the MVE% of bilateral peroneus longus increased, with statistical significance (<0.05). The MVE% of bilateral tibialis anterior muscle, bilateral lateral gastrocnemius muscle and right peroneus longus muscle in 1.5 m experimental group decreased compared with 2.0 m experimental group, and the differences were statistically significant (<0.05). Compared with 2.0 m control group, the MVE% of bilateral tibialis anterior muscle, right lateral gastrocnemius muscle and right peroneus longus muscle in 1.5 m control group decreased, and the differences were statistically significant (<0.05) . Wearing parachute ankle brace can effectively limit the coronal plane inclination range of ankle joint, improve the stability of ankle joint and reduce the load on the muscles around ankle joint by landing. Reducing the height of the jumping platform can reduce the coronal plane incline range of the ankle and the muscle load around the ankle during landing.

摘要

研究降落伞式脚踝护具在模拟跳伞着陆过程中对踝关节的保护作用。2021年8月,采用简单随机抽样法选取30名男性伞兵作为受试对象。他们分别佩戴和不佩戴降落伞式脚踝护具从1.5米和2.0米高的平台跳下,以半蹲跳伞着陆姿势落在沙地上。实验分为1.5米实验组和对照组以及2.0米实验组和对照组。分别使用角度传感器和表面肌电图测量并分析踝关节的冠状面倾斜范围以及踝关节周围肌肉的最大自主收缩百分比(MVE%),以评估降落伞式脚踝护具的保护作用。在相同高度下,实验组踝关节冠状面的倾斜范围与对照组相比明显减小,差异具有统计学意义(<0.05)。在相同的保护状态下,1.5米组踝关节冠状面的倾斜范围比2.0米组明显减小,差异具有统计学意义(<0.05)。2米实验组踝关节冠状面的倾斜范围明显低于1.5米对照组,差异具有统计学意义(<0.05)。与1.5米对照组相比,1.5米实验组右胫骨前肌和双侧外侧腓肠肌的MVE%降低,而双侧腓骨长肌的MVE%升高,具有统计学意义(<0.05)。与2.0米对照组相比,2.0米实验组双侧胫骨前肌和右外侧腓肠肌的MVE%降低,而双侧腓骨长肌的MVE%升高,具有统计学意义(<0.05)。1.5米实验组双侧胫骨前肌、双侧外侧腓肠肌和右腓骨长肌的MVE%与2.0米实验组相比降低,差异具有统计学意义(<0.05)。与2.0米对照组相比,1.5米对照组双侧胫骨前肌、右外侧腓肠肌和右腓骨长肌的MVE%降低,差异具有统计学意义(<0.05)。佩戴降落伞式脚踝护具可有效限制踝关节冠状面的倾斜范围,提高踝关节稳定性,并减轻着陆时踝关节周围肌肉的负荷。降低跳伞平台高度可减小着陆时踝关节冠状面的倾斜范围以及踝关节周围的肌肉负荷。

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