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慢性踝关节不稳患者在落地-切割过程中的视觉干扰和神经力学。

Visual Disruption and Neuromechanics During Landing-Cutting in Individuals With Chronic Ankle Instability.

机构信息

Department of Exercise and Sport Science, University of North Carolina at Chapel Hill.

Division of Sport Science, Pusan National University, Busan, Republic of Korea.

出版信息

J Athl Train. 2024 Aug 1;59(8):822-829. doi: 10.4085/1062-6050-0379.23.

DOI:10.4085/1062-6050-0379.23
PMID:38014796
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11340668/
Abstract

CONTEXT

Individuals with chronic ankle instability (CAI) demonstrate altered movement patterns when their vision is disturbed during simple tasks, such as single-legged standing and walking. However, it remains unclear whether visual disruption by stroboscopic glasses alters movement patterns during landing-cutting movements, considered highly demanding sport maneuvers that mimic a typical athletic movement.

OBJECTIVES

To identify altered lower extremity kinematics and muscle activation when vision is disrupted by stroboscopic glasses during landing-cutting tasks in individuals with CAI.

DESIGN

Case-control study.

SETTING

Laboratory.

PATIENTS OR OTHER PARTICIPANTS

A total of 18 individuals with CAI (age = 22.3 ± 2.3 years, height = 1.75 ± 0.1 m, mass = 72.5 ± 9.8 kg) and 18 matched healthy controls (age = 21.7 ± 2.3 years, height = 1.75 ± 0.1 m, mass = 71.9 ± 10.3 kg).

INTERVENTION(S): All participants performed 5 trials of a landing-cutting task with (SV) and without (NSV) stroboscopic glasses.

MAIN OUTCOME MEASURE(S): Frontal- and sagittal-plane lower extremity kinematics and 6 lower extremity muscle activations during the stance phase of a landing-cutting task in the SV and NSV conditions.

RESULTS

Individuals with CAI demonstrated more ankle-inversion angle from 18% to 22% and from 60% to 100% of the stance phase and more peroneus longus activation from initial contact to 18% of the stance phase under the SV condition than under the NSV condition. We observed no differences in knee- and hip-joint angles between the visual conditions for both groups.

CONCLUSIONS

When wearing stroboscopic glasses, individuals with CAI showed altered movement patterns, including increased ankle-inversion angle and peroneus longus activation during the stance phase of a landing-cutting task. The results suggest that they may lack the ability to reweight sensory information to adapt their movement to visual disruption.

摘要

背景

患有慢性踝关节不稳定(CAI)的个体在单腿站立和行走等简单任务中,当他们的视力受到干扰时,会表现出运动模式的改变。然而,当使用频闪眼镜干扰视觉时,是否会改变在着陆-切割运动中的运动模式,这仍然不清楚。着陆-切割运动被认为是高度要求的运动动作,模仿了典型的运动动作。

目的

在患有 CAI 的个体进行着陆-切割任务时,当视觉受到频闪眼镜干扰时,确定下肢运动学和肌肉激活的变化。

设计

病例对照研究。

设置

实验室。

患者或其他参与者

共有 18 名患有 CAI 的个体(年龄=22.3±2.3 岁,身高=1.75±0.1 m,体重=72.5±9.8 kg)和 18 名匹配的健康对照者(年龄=21.7±2.3 岁,身高=1.75±0.1 m,体重=71.9±10.3 kg)。

干预措施

所有参与者进行了 5 次着陆-切割任务,分别有频闪眼镜(SV)和无频闪眼镜(NSV)。

主要观察结果

SV 和 NSV 条件下,着陆-切割任务的站立阶段,下肢在额状面和矢状面的运动学和 6 个下肢肌肉的激活情况。

结果

患有 CAI 的个体在 SV 条件下,与 NSV 条件相比,在站立阶段的 18%至 22%和 60%至 100%阶段,踝关节内翻角度更大,并且从初始接触到站立阶段的 18%阶段,腓骨长肌的激活更多。两组在膝关节和髋关节角度方面,在视觉条件下均无差异。

结论

当佩戴频闪眼镜时,患有 CAI 的个体在着陆-切割任务的站立阶段表现出运动模式的改变,包括踝关节内翻角度增加和腓骨长肌的激活增加。结果表明,他们可能缺乏重新分配感觉信息的能力,无法适应视觉干扰。

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本文引用的文献

1
Balance Training With Stroboscopic Glasses and Neuromechanics in Patients With Chronic Ankle Instability During a Single-Legged Drop Landing.频闪玻璃平衡训练结合神经肌肉在慢性踝关节不稳定患者单腿跳落地时的作用
J Athl Train. 2024 Jun 1;59(6):633-640. doi: 10.4085/1062-6050-0605.22.
2
Lower limb kinematics during single leg landing in three directions in individuals with chronic ankle instability.慢性踝关节不稳个体单腿在三个方向落地时的下肢运动学
Phys Ther Sport. 2022 Sep;57:71-77. doi: 10.1016/j.ptsp.2022.07.011. Epub 2022 Jul 31.
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Altered Visual Reliance Induced by Stroboscopic Glasses during Postural Control.频闪眼镜在姿势控制过程中引起的视觉依赖改变。
Int J Environ Res Public Health. 2022 Feb 12;19(4):2076. doi: 10.3390/ijerph19042076.
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Effects of balance training with stroboscopic glasses on postural control in chronic ankle instability patients.频闪眼镜平衡训练对慢性踝关节不稳患者的姿势控制的影响。
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The effects of visual feedback disruption on postural control with chronic ankle instability.视觉反馈干扰对慢性踝关节不稳患者姿势控制的影响。
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Phys Ther Sport. 2021 Jul;50:50-58. doi: 10.1016/j.ptsp.2021.03.014. Epub 2021 Apr 15.
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Proximal Adaptations in Chronic Ankle Instability: Systematic Review and Meta-analysis.慢性踝关节不稳的近端适应性:系统评价和荟萃分析。
Med Sci Sports Exerc. 2020 Jul;52(7):1563-1575. doi: 10.1249/MSS.0000000000002282.
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