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本体感受和核心稳定性训练对聋青少年步态参数的影响:一项随机对照试验。

Effects of proprioception and core stability training on gait parameters of deaf adolescents: a randomized controlled trial.

机构信息

Corrective Exercises and Sports Injury Department, College of Physical Education & Sport Sciences, Faculty of Physical Education & Sport Sciences, University of Guilan, kilometers 10 Rasht-Ghazvin Road, Rasht, 4199613776, Iran.

Physiotherapy Department, Faculty of Medicine, Guilan University of Medical Sciences, Rasht, 4199613776, Iran.

出版信息

Sci Rep. 2023 Dec 10;13(1):21867. doi: 10.1038/s41598-023-49335-3.

Abstract

The current study aimed to explore the effects of proprioception versus core stability training over 8 weeks on the gait parameters of deaf adolescents. A total of 20 deaf adolescents were randomized into two groups: one group receiving proprioception training (PT, n = 10), another group receiving core stability training (CST, n = 10), and eleven typically developing adolescents assigned into the control group (CON; n = 11). Gait was recorded by two digital cameras; then, using the Kinovea software, the parameters of gait included: gait velocity, cadence, stride length, stride time, stance time, and swing time were calculated in terms of percentages of the walking cycle. After 8 weeks of PT, no significant differences were observed for all gait parameters between PT and control groups (p > 0.05). Also, after 8 weeks of CST, no significant differences were observed in gait velocity and cadence between the CST and control groups (p > 0.05). However, after 8 weeks of CST, stride length (p = 0.02) was higher in the control group; Stride time (p = 0.03), stance time (p = 0.04) and swing time (p = 0.04) were higher in the CST group. Moreover, after 8 weeks of PT, values showed significant improvements in all gait parameters (p = 0.001). Also, after 8 weeks of CST, values showed significant improvements in gait velocity and cadence (p = 0.001), but no significant differences were observed in other gait parameters (p > 0.05). The findings of this study indicated that PT improved all gait parameters, whereas CST improved gait velocity and cadence. The results of the present study also demonstrated that PT had a greater effect on gait parameters of deaf adolescents compared with CST. It seems that PT induces more training effects than CTS for enhancing gait parameters of deaf adolescents.Trial registration: Clinical trial registry number: IRCT20170312033029N2. URL: https://en.irct.ir/trial/25584 .

摘要

本研究旨在探讨本体感觉与核心稳定性训练对 8 周聋青少年步态参数的影响。共有 20 名聋青少年随机分为两组:本体感觉训练组(PT 组,n=10)和核心稳定性训练组(CST 组,n=10),11 名正常发育青少年被分配到对照组(CON 组,n=11)。使用两台数码相机记录步态;然后,使用 Kinovea 软件,步态参数包括:步行周期百分比的步态速度、步频、步长、步时、支撑时和摆动时。经过 8 周的 PT,PT 组和对照组之间所有步态参数均无显著差异(p>0.05)。此外,经过 8 周的 CST,CST 组和对照组之间的步态速度和步频无显著差异(p>0.05)。然而,经过 8 周的 CST,对照组的步长(p=0.02)更高;CST 组的步时(p=0.03)、支撑时(p=0.04)和摆动时(p=0.04)更高。此外,经过 8 周的 PT,所有步态参数均有显著改善(p=0.001)。此外,经过 8 周的 CST,步态速度和步频有显著改善(p=0.001),但其他步态参数无显著差异(p>0.05)。本研究结果表明,PT 改善了所有步态参数,而 CST 则改善了步态速度和步频。本研究结果还表明,PT 对聋青少年的步态参数影响大于 CST。似乎 PT 比 CTS 更能提高聋青少年的步态参数。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6479/10710996/879ee242a67a/41598_2023_49335_Fig1_HTML.jpg

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