強化髖周肌群力量訓(xùn)練對功能性踝關(guān)節(jié)不穩(wěn)的效果
發(fā)布時間:2018-05-30 00:34
本文選題:髖周肌群 + 力量訓(xùn)練 ; 參考:《中國康復(fù)理論與實踐》2017年10期
【摘要】:目的觀察強化髖周肌群力量訓(xùn)練對功能性踝關(guān)節(jié)不穩(wěn)(FAI)的影響。方法 2015年5月至2016年6月,選取本院就診的FAI患者40例,按隨機(jī)數(shù)字表法分為對照組(n=20)和觀察組(n=20)。兩組均進(jìn)行常規(guī)運動訓(xùn)練,即踝關(guān)節(jié)周圍肌群力量訓(xùn)練和本體感覺訓(xùn)練,觀察組在此基礎(chǔ)上輔以髖周肌群力量訓(xùn)練。共6周。治療前后分別對兩組患者進(jìn)行髖周肌群力量評估、姿勢穩(wěn)定性評估、星偏移平衡測試(SEBT)評估及坎伯蘭踝關(guān)節(jié)不穩(wěn)問卷(CAIT)評分。結(jié)果治療前,兩組各項評價指標(biāo)均無顯著性差異(P0.05)。治療后,觀察組髖外展及后伸肌群峰力矩明顯提高(t3.528,P0.01);兩組整體穩(wěn)定指數(shù)、前后穩(wěn)定指數(shù)、左右穩(wěn)定指數(shù)均下降(t2.360,P0.05);SEBT 8個方向的平均距離均增大(t2.254,P0.05);CAIT得分均明顯增高(t3.268,P0.01);且觀察組上述指標(biāo)均優(yōu)于對照組(t2.161,P0.05)。結(jié)論在常規(guī)踝關(guān)節(jié)肌群力量及本體感覺訓(xùn)練基礎(chǔ)上輔以強化髖周肌群力量訓(xùn)練,有助于改善患者的FAI。
[Abstract]:Objective to observe the effect of strength training on functional ankle instability (FAI). Methods from May 2015 to June 2016, 40 FAI patients in our hospital were randomly divided into two groups: control group (n = 20) and observation group (n = 20). Both groups received routine exercise training, namely, the strength training of the peripheral muscles of the ankle joint and proprioceptive training, and the observation group was supplemented by the strength training of the group of peri-hip muscles. A total of 6 weeks. Before and after treatment, we evaluated the strength of perihip muscles, posture stability, star offset balance test (SEBT) and Cumberland ankle instability questionnaire (CAITS). Results before treatment, there was no significant difference in evaluation indexes between the two groups (P 0.05). After treatment, the peak-moment of hip abduction and extensor muscle in the observation group increased significantly, and the global stability index and the anterior and posterior stability index of the two groups were significantly increased. The mean distances of the eight directions of SEBT were all increased, and the CAIT scores of t 2.254 and P 0.05 were all significantly higher than those of the control group, and the above indexes in the observation group were better than those in the control group. Conclusion on the basis of routine ankle muscle strength and proprioceptive training, strengthening the strength training of perihip muscle group is helpful to improve FAI of patients.
【作者單位】: 東南大學(xué)附屬中大醫(yī)院康復(fù)醫(yī)學(xué)科;南京市鼓樓區(qū)建寧路社區(qū)衛(wèi)生服務(wù)中心;
【基金】:南京市體育局體育科研局管課題(No.NJTY2015-501)
【分類號】:R49;R684
【相似文獻(xiàn)】
相關(guān)期刊論文 前6條
1 Bohannon RW;張福全;;腦卒中后肌群肌力間存在明顯關(guān)系[J];國外醫(yī)學(xué)(物理醫(yī)學(xué)與康復(fù)學(xué)分冊);1991年02期
2 劉p茜,
本文編號:1953140
本文鏈接:http://sikaile.net/yixuelunwen/waikelunwen/1953140.html
最近更新
教材專著