变频振动训练对功能性踝关节不稳的影响
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国家自然科学基金项目(31471133),中央高校基本科研业务费专项资金资助课题(2018PT003),中国残疾人联合会研究室资助课题(2016-ZX063)


Effects of Vibration Training with Adjusted Frequency on Functional Ankle Instability
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    摘要:

    目的 研究变频振动训练对功能性踝关节不稳(functional ankle instability, FAI)患者下肢肌肉爆发力、平衡能力和踝关节周围肌肉功能的影响,为FAI患者的临床康复训练提供实证依据。方法 共招募26例FAI患者,并随机分为实验组(14人)和对照组(12人),实验组接受8周康复训练及振动干预,对照组仅接受8周康复训练。在训练前后测量和对比受试者患肢单腿纵跳最大功率、平均功率、最大速度和平均速度,立定跳远距离,睁、闭眼单腿站立时间,内侧腓肠肌(medial gastrocnemius, GM)、外侧腓肠肌(lateral gastrocnemius, GL)和胫骨前肌(tibialis anterior, TA)的肌肉收缩时间(tc),放松时间(tr)和径向位移(Dm)。结果 实验组受试者患肢单腿纵跳最大功率和最大速度、单腿立定跳远距离和睁、闭眼单腿站立时间均显著提高,且其增幅都高于对照组;实验组受试者 所有肌肉tc增幅均低于对照组,但tr和Dm并没有呈现规律性。结论 变频振动训练能够有效地提高FAI患者爆发力和平衡能力,促进GL、GM和TA的tc缩短,但对降低肌张力和促进肌肉放松效果尚不明确。

    Abstract:

    Objective To study the effect of vibration training with adjusted frequency on changes in explosive force of lower limbs, balance and muscle function around ankle joints of patients with functional ankle instability (FAI), so as to provide an empirical basis for rehabilitation training of FAI patients in clinic. Methods Twenty-six FAI patients were randomly divided into the experimental group (n=14) and the control group (n=12). The experimental group received 8-week rehabilitation training with vibration intervention, while the control group only received 8-week rehabilitation training. Changes in maximum power, average power, maximum speed and average speed of the injured limb during vertical jump with single leg, changes in distances during long jump, changes in time during one-leg standing with eyes open and closed,changes in contract time (tc), relax time (tr) and displacement (Dm) of medial gastrocnemius (GM), lateral gastrocnemius (GL) and tibialis anterior (TA) muscles before and after training were measured and compared. Results In the experimental group, the maximum power and maximum speed of the injured limb during vertical jump with single leg, the distance during long jump with single leg and the time during one-leg standing with open and closed eyes were significantly improved, and the increase was higher than that of the control group. The increase of tc of all muscles in the experimental group was smaller than that of the control group, but tr and Dm did not show any regularity. Conclusions Vibration training with adjusted frequency can effectively improve the explosive force and balance ability of lower limbs of FAI patients, and promote the tc shortening of GL, GM and TA muscles, but whether vibration training with adjusted frequency can reduce muscle tension and promote muscle relaxation is still not clear.

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高晓娟,储照伟,李文言,侯亚丽,马蕊,李俊平.变频振动训练对功能性踝关节不稳的影响[J].医用生物力学,2020,35(6):685-691

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  • 收稿日期:2019-11-15
  • 最后修改日期:2020-01-20
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  • 在线发布日期: 2020-12-24
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