Zhong Cheng, Luo Xin, Gao He, Zhang Teng, Zhu Xiaoxue, Huang Xueke, Shen Peixin
Graduate School, Shandong Sport University, Jinan, China.
College of Sports and health, Shandong Sport University, Jinan, China.
Front Physiol. 2024 Nov 28;15:1473844. doi: 10.3389/fphys.2024.1473844. eCollection 2024.
PURPOSE: Chronic ankle instability (CAI) causes maladaptive neuroplastic changes in the central nervous system, which may lead to high injury potential under dual-task conditions. This study aims to explore the effects of dual-task paradigm on the injury potential during landing among individuals with CAI. METHODS: Twenty participants with CAI (4 female and 16 male, 12 were affected with their right limbs and 8 were affected with their left limbs, 20.4 ± 1.7 years, 176.9 ± 5.0 cm, and 72.0 ± 11.1 kg) and eighteen without CAI (6 female and 12 male, 20.2 ± 1.5 years, 173.5 ± 7.0 cm, and 70.3 ± 10.8 kg) were recruited. They drop-landed on a trap-door device, with their affected or matched limbs on a flippable platform, under single- (drop-landing only) and dual-task (drop-landing while subtracting of serial threes) conditions. A twelve-camera motion capture system was used to capture the kinematic data. Two-way ANOVA with mixed design (CAI vs non-CAI groups by single-vs dual-task conditions) was used to analyze the data. RESULTS: Significant group-by-condition interactions were detected in the ankle inversion angle ( = 0.040, = 0.012) and ankle inversion angular velocity ( = 0.038, = 0.114). Both indicators decreased among individuals without CAI from single-to dual-task conditions, while remained unchanged among those with CAI; and they were higher among individuals with CAI under both single- and dual-task conditions, compared to those without CAI. CONCLUSION: Individuals with CAI have a reduced ability to limit ankle inversion compared to those without CAI. Under dual-task conditions, individuals without CAI limited their ankle inversion, while those with CAI did not. Drop-landing, especially under dual-task conditions, poses a high risk of excessive ankle inversion for individuals with CAI.
目的:慢性踝关节不稳(CAI)会导致中枢神经系统发生适应性不良的神经可塑性变化,这可能会在双重任务条件下导致较高的受伤风险。本研究旨在探讨双重任务范式对CAI患者着陆时受伤风险的影响。 方法:招募了20名CAI患者(4名女性和16名男性,12人右下肢患病,8人左下肢患病,年龄20.4±1.7岁,身高176.9±5.0厘米,体重72.0±11.1千克)和18名无CAI者(6名女性和12名男性,年龄20.2±1.5岁,身高173.5±7.0厘米,体重70.3±10.8千克)。他们在一个活板门装置上进行下落着地,患侧或匹配肢体置于可翻转平台上,分别处于单任务(仅下落着地)和双重任务(下落着地同时倒数3)条件下。使用一个12台摄像机的运动捕捉系统来采集运动学数据。采用混合设计的双向方差分析(按单任务与双重任务条件分组的CAI组与非CAI组)对数据进行分析。 结果:在踝关节内翻角度(F = 0.040,p = 0.012)和踝关节内翻角速度(F = 0.038,p = 0.114)方面检测到显著的组间条件交互作用。在无CAI者中,从单任务到双重任务条件下,这两个指标均下降,而在CAI患者中则保持不变;并且在单任务和双重任务条件下,CAI患者的这两个指标均高于无CAI者。 结论:与无CAI者相比,CAI患者限制踝关节内翻的能力降低。在双重任务条件下,无CAI者会限制其踝关节内翻,而CAI患者则不会。下落着地,尤其是在双重任务条件下,对CAI患者来说存在踝关节过度内翻的高风险。
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