Lao Yongjie, Zeng Zimei, Yu Zhenni, Gu Yu, Jia Yixiao, Liu Jianxiu, Ruan Bing
School of Sports Medicine and Rehabilitation, Beijing Sport University, Beijing, China; Division of Sports Science and Physical Education, Tsinghua University, Beijing, China.
School of Sports Medicine and Rehabilitation, Beijing Sport University, Beijing, China.
Arch Phys Med Rehabil. 2025 Feb;106(2):177-186. doi: 10.1016/j.apmr.2024.08.025. Epub 2024 Sep 19.
To observe the effect of uphill running and the combined effect of uphill running plus joint mobilizations on dynamic stability and ankle dorsiflexion in young adults with chronic ankle instability (CAI).
Four-arm randomized controlled trial.
A college rehabilitation center.
Individuals with CAI (N=73).
Participants were randomly assigned to 4 groups: combined uphill running and joint mobilization (URJM), uphill running alone (UR), joint mobilization alone (JM), and control group. The URJM and UR groups received 20-minute running sessions, and the URJM and JM groups received ankle joint mobilizations, all 3 times a week for 4 weeks.
Cumberland Ankle Instability Tool (CAIT) and Y-balance test (YBT) in anterior, posteromedial (PM), and posterolateral (PL) directions for dynamic stability; weight-bearing lunge test and non-weight-bearing ankle dorsiflexion degree using a goniometer (NWBG) for dorsiflexion.
The UR group showed significant improvements in CAIT, YBT-PL, YBT-PM, and NWBG compared to the control group. The URJM group demonstrated large treatment effects in NWBG compared to both UR and JM groups. Responder analysis indicated that the UR, JM, and URJM groups had a higher likelihood of achieving clinically significant changes (exceeding minimal detectable change or minimal clinically important difference) in CAIT, YBT-PM, YBT-PL, and NWBG compared with the control group. Additionally, the combination of UR and JM was superior to either intervention alone for NWBG, with success rates 1.55 times greater than UR alone and 2.08 times greater than JM alone.
A 4-week UR program improves the subjective feeling of instability, dynamic postural control, and ankle dorsiflexion in young adults with CAI. Compared to UR or JM alone, their combined application can better improve the non-weight-bearing ankle dorsiflexion range of motion.
观察上坡跑以及上坡跑联合关节松动术对慢性踝关节不稳（CAI）青年成人动态稳定性和踝关节背屈的影响。
四臂随机对照试验。
一所大学康复中心。
CAI患者（N = 73）。
参与者被随机分为4组：上坡跑联合关节松动术（URJM）组、单纯上坡跑（UR）组、单纯关节松动术（JM）组和对照组。URJM组和UR组进行20分钟的跑步训练，URJM组和JM组接受踝关节松动术，均每周3次，共4周。
采用坎伯兰踝关节不稳工具（CAIT）和Y平衡测试（YBT）评估前、后内侧（PM）和后外侧（PL）方向的动态稳定性；采用负重弓步试验和使用角度计测量的非负重踝关节背屈角度（NWBG）评估背屈情况。
与对照组相比，UR组在CAIT、YBT - PL、YBT - PM和NWBG方面有显著改善。与UR组和JM组相比，URJM组在NWBG方面显示出较大的治疗效果。反应者分析表明，与对照组相比，UR组、JM组和URJM组在CAIT、YBT - PM、YBT - PL和NWBG方面达到临床显著变化（超过最小可检测变化或最小临床重要差异）的可能性更高。此外，对于NWBG，UR和JM联合应用优于单独的任何一种干预，成功率比单独的UR组高1.55倍，比单独的JM组高2.08倍。
为期4周的UR方案可改善CAI青年成人的不稳定主观感受、动态姿势控制和踝关节背屈。与单独的UR或JM相比，它们联合应用能更好地改善非负重踝关节背屈活动范围。
