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使用声波平衡垫进行踝关节稳定训练对踝关节不稳定受试者本体感觉和平衡的影响。

Effects of Ankle Stabilization Exercises Using Sonic Balance Pad on Proprioception and Balance in Subjects with Ankle Instability.

作者信息

Uygun Merve Nur, Yang Dong-Kyu, Moon Jung-Su, Park Dae-Sung

机构信息

Department of Physical Therapy, Konyang University, Daejeon 35365, Republic of Korea.

出版信息

Healthcare (Basel). 2023 Sep 14;11(18):2544. doi: 10.3390/healthcare11182544.


DOI:10.3390/healthcare11182544
PMID:37761741
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10530713/
Abstract

Sound waves generate acoustic resonance energy that penetrates deeply and safely into body areas normal mechanical vibrations cannot reach. The sonic balance pad utilizes these sound waves to create an optimal musculoskeletal response. The purpose of this study was to investigate the effects of a 4-week ankle stabilization exercise program using a sonic balance pad on proprioceptive sense and balance ability in individuals with ankle instability. This study was conducted as a randomized control-group pre-and post-test design in 30 participants (21 females and 9 males) who had experienced an ankle fracture or sprain within the last 5 years or who scored 11 points or more on The Identification of Functional Ankle Instability. The ankle stabilization exercise program was conducted for 4 weeks in the experimental group ( = 15), to which sonic pads were applied, and the control group ( = 15), to which balance pads were applied. All participants were assessed for their intrinsic proprioceptive sense of dorsiflexion and plantarflexion, static balance test, dynamic balance test, and long jump test were measured before and after 4 weeks as dependent variables. After 4 weeks of training, a significant difference was shown in the right dorsiflexion error (Balance pad = PRE: 2.47 ± 0.92; POST: 2.33 ± 1.40, Sonic pad = PRE: 3.27 ± 1.39; POST: 1.20 ± 0.77) and the left plantar flexion error (Balance pad = PRE: 2.00 ± 1.36; POST: 2.73 ± 1.22, Sonic pad = PRE: 3.53 ± 1.25; POST: 2.20 ± 1.01) ( < 0.05) between the experimental and control groups in the proprioception test. In the static balance test, there was no significant difference between the experimental and control groups during the pre, post, and variation stages. However, in the Y-Balance test, which is one of the dynamic balance tests, there was a significant difference between the experimental and control groups at various points, including anterior left (Balance pad = PRE: 72.85 ± 19.95; POST: 63.41 ± 8.66, Sonic pad = PRE: 68.16 ± 6.38; POST: 76.17 ± 3.67), posteromedial right (Balance pad = PRE: 78.59 ± 15.34; POST: 81.41 ± 10.37, Sonic pad = PRE: 86.33 ± 16.44; POST: 102.23 ± 11.53), posteromedial left (Balance pad = PRE: 78.00 ± 16.99; POST: 83.36 ± 10.15, Sonic pad = PRE: 88.96 ± 19.92; POST: 102.45 ± 12.98), posterolateral right (Balance pad = PRE: 78.16 ± 14.33; POST: 82.61 ± 10.73, Sonic pad = PRE: 87.95 ± 17.51; POST: 101.34 ± 15.37), and posterolateral left (Balance pad = PRE: 80.86 ± 14.96; POST: 81.31 ± 7.16, Sonic pad = PRE: 91.23 ± 17.35; POST: 104.18 ± 11.78) ( < 0.05). Moreover, in the single-leg long jump test, which is another dynamic balance test, the experimental group (Sonic pad = PRE: 100.27 ± 29.00; POST: 116.80 ± 28.86) also demonstrated a significant difference in the right single-leg long jump compared to the control group (Balance pad = PRE: 91.87 ± 17.74; POST: 97.67 ± 17.70) ( < 0.05). When a sonic balance pad using sound waves was applied in addition to a 4-week ankle stabilization exercise program for participants with ankle stability, it helped to improve proprioception and dynamic balance ability.

摘要

声波产生的声共振能量能够深入且安全地穿透到正常机械振动无法触及的身体部位。声波平衡垫利用这些声波来产生最佳的肌肉骨骼反应。本研究的目的是调查使用声波平衡垫进行为期4周的踝关节稳定训练计划对踝关节不稳定个体的本体感觉和平衡能力的影响。本研究采用随机对照前后测设计,选取了30名参与者(21名女性和9名男性),这些参与者在过去5年内曾经历过踝关节骨折或扭伤,或者在功能性踝关节不稳定识别测试中得分11分及以上。实验组(n = 15)接受了为期4周的踝关节稳定训练计划,并使用声波垫,对照组(n = 15)则使用平衡垫。所有参与者均接受了背屈和跖屈的固有本体感觉评估,在4周前后测量静态平衡测试、动态平衡测试和跳远测试作为因变量。经过4周的训练,在本体感觉测试中,实验组和对照组之间的右背屈误差(平衡垫 = 训练前:2.47 ± 0.92;训练后:2.33 ± 1.40,声波垫 = 训练前:3.27 ± 1.39;训练后:1.20 ± 0.77)和左跖屈误差(平衡垫 = 训练前:2.00 ± 1.36;训练后:2.73 ± 1.22,声波垫 = 训练前:3.53 ± 1.25;训练后:2.20 ± 1.01)显示出显著差异(p < 0.05)。在静态平衡测试中,实验组和对照组在训练前、训练后和变化阶段之间没有显著差异。然而,在动态平衡测试之一的Y平衡测试中,实验组和对照组在多个点上存在显著差异,包括左前侧(平衡垫 = 训练前:72.85 ± 19.95;训练后:63.41 ± 8.66,声波垫 = 训练前:68.16 ± 6.38;训练后:76.17 ± 3.67)、右后内侧(平衡垫 = 训练前:78.59 ± 15.34;训练后:81.41 ± 10.37,声波垫 = 训练前:86.33 ± 16.44;训练后:102.23 ± 11.53)、左后内侧(平衡垫 = 训练前:78.00 ± 16.99;训练后:83.36 ± 10.15,声波垫 = 训练前:88.96 ± 19.92;训练后:102.45 ± 12.98)、右后外侧(平衡垫 = 训练前:78.16 ± 14.33;训练后:82.61 ± 10.73,声波垫 = 训练前:87.95 ± 17.51;训练后:101.34 ± 15.37)和左后外侧(平衡垫 = 训练前:80.86 ± 14.96;训练后:81.31 ± 7.16,声波垫 = 训练前:91.23 ± 17.35;训练后:104.18 ± 11.78)(p < 0.05)。此外,在另一项动态平衡测试单腿跳远测试中,实验组(声波垫 = 训练前:100.27 ± 29.00;训练后:116.80 ± 28.86)与对照组(平衡垫 = 训练前:91.87 ± 17.74;训练后:97.67 ± 17.70)相比,右单腿跳远也显示出显著差异(p < 0.05)。对于踝关节不稳定的参与者,在为期4周的踝关节稳定训练计划中加入使用声波的声波平衡垫,有助于改善本体感觉和动态平衡能力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3227/10530713/25ea0e4a3afa/healthcare-11-02544-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3227/10530713/28f444b15d6b/healthcare-11-02544-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3227/10530713/fcb4da896bd8/healthcare-11-02544-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3227/10530713/48dcdd263586/healthcare-11-02544-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3227/10530713/25ea0e4a3afa/healthcare-11-02544-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3227/10530713/28f444b15d6b/healthcare-11-02544-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3227/10530713/fcb4da896bd8/healthcare-11-02544-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3227/10530713/48dcdd263586/healthcare-11-02544-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3227/10530713/25ea0e4a3afa/healthcare-11-02544-g004.jpg

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