【摘要】：目的:研究同振幅遞進(jìn)頻率振動訓(xùn)練和彈力帶+平衡墊訓(xùn)練對功能性踝關(guān)節(jié)不穩(wěn)患者踝關(guān)節(jié)的本體感覺、平衡能力、肌肉力量的影響,對比兩種訓(xùn)練方法的療效差異,探索同振幅遞進(jìn)頻率振動訓(xùn)練對功能性踝關(guān)節(jié)不穩(wěn)的機(jī)制。方法:采取隨機(jī)對照實(shí)驗(yàn)設(shè)計(jì),于成都體育學(xué)院公開招募功能性踝關(guān)節(jié)不穩(wěn)受試者,從中選取符合納入標(biāo)準(zhǔn)的單側(cè)功能性踝關(guān)節(jié)不穩(wěn)男性受試者30名,隨機(jī)分成實(shí)驗(yàn)組和對照組。實(shí)驗(yàn)組采用同振幅遞進(jìn)頻率全身振動訓(xùn)練方案;對照組采用臨床常用的運(yùn)動訓(xùn)練方案。分別于訓(xùn)練前,訓(xùn)練2周、4周、6周、8周進(jìn)行受試者體重、雙側(cè)踝關(guān)節(jié)屈伸肌力、內(nèi)外翻肌力、本體感覺、平衡能力進(jìn)行測評。實(shí)驗(yàn)結(jié)束后對所得到數(shù)據(jù)進(jìn)行統(tǒng)計(jì)分析。結(jié)果:1.實(shí)驗(yàn)組與對照組訓(xùn)練前后Cumberland踝關(guān)節(jié)不穩(wěn)評定問卷評分,位置覺,雙足穩(wěn)定指數(shù),單足穩(wěn)定指數(shù)均顯著提高(P0.05);但訓(xùn)練8周后兩組之間對比均無顯著性差異(P0.05)。2.實(shí)驗(yàn)組雙側(cè)、對照組健側(cè)踝關(guān)節(jié)內(nèi)翻、外翻,跖屈、背伸相對峰力矩在訓(xùn)練前后均無顯著性差異(P0.05);訓(xùn)練8周后,對照組患側(cè)踝關(guān)節(jié)內(nèi)翻、外翻,跖屈、背伸相對峰力矩訓(xùn)練后較訓(xùn)練前顯著提高(P0.05);且與實(shí)驗(yàn)組患側(cè)比較存在顯著提高(P0.05)。結(jié)論:1.同振幅遞進(jìn)頻率全身振動訓(xùn)練和彈力帶+平衡墊訓(xùn)練對功能性踝關(guān)節(jié)不穩(wěn)均有效。2.同振幅遞進(jìn)頻率全身振動訓(xùn)練通過提高受試者雙側(cè)踝關(guān)節(jié)的平衡能力、本體感覺來改善功能性踝關(guān)節(jié)不穩(wěn)。3.彈力帶+平衡墊訓(xùn)練通過提高功能性踝關(guān)節(jié)不穩(wěn)者雙側(cè)平衡能力、本體感覺以及患側(cè)肌力來改善功能性踝關(guān)節(jié)不穩(wěn)。4.同振幅遞進(jìn)頻率全身振動與彈力帶+平衡墊訓(xùn)練方法均可作為FAI常用的康復(fù)訓(xùn)練方法,但是同振幅遞進(jìn)頻率全身振動訓(xùn)練較彈力帶訓(xùn)練+平衡墊訓(xùn)練相對單次用時(shí)短、舒適度高。若能適當(dāng)配合一些肌力訓(xùn)練則更加值得推薦。
[Abstract]:Objective: to study the effects of the same amplitude progressive frequency vibration training and elastic belt balance pad training on the ankle proprioception, balance ability and muscle strength in patients with functional ankle instability. To explore the mechanism of functional ankle instability in the same amplitude progressive frequency vibration training. Methods: a randomized controlled experimental design was used to recruit subjects with functional ankle instability from Chengdu Institute of physical Education, and 30 male subjects with unilateral functional ankle instability were selected. They were randomly divided into experimental group and control group. The experimental group adopted the same amplitude progressive frequency whole body vibration training scheme, the control group adopted the common clinical exercise training program. Before training, 2 weeks, 4 weeks, 6 weeks and 8 weeks of training, the subjects' body weight, bilateral ankle flexion and extensor strength, internal and external varus muscle strength, proprioceptive sensation and balance ability were measured. At the end of the experiment, the obtained data were statistically analyzed. Results: 1. The scores of Cumberland ankle instability assessment questionnaire, position perception, bipedal stability index and one-foot stability index were significantly increased before and after training in the experimental group and the control group (P0.05). But after 8 weeks of training, there was no significant difference between the two groups (P0.05). There was no significant difference in the relative peak torque of bilateral ankle flexion, valgus, metatarsal flexion and back extension between the experimental group and the control group before and after training (P0.05). After 8 weeks of training, the relative peak torque of ankle varus, valgus, metatarsal flexion and dorsal extension in the control group was significantly higher than that before training (P0.05), and significantly increased compared with the experimental group (P0.05). Conclusion: 1. The same amplitude progressive frequency whole body vibration training and elastic belt balance pad training are effective for functional ankle instability. 2. In the same amplitude progressive frequency whole body vibration training can improve the functional ankle instability by improving the balance ability and proprioceptive feeling of the bilateral ankle joints. 3. Elastic belt balance pad training can improve the functional ankle instability by improving bilateral balance ability, proprioceptive sensation and affected side muscle strength. 4. The same amplitude progressive frequency whole body vibration and the elastic band balance pad training method can be used as the common rehabilitation training methods of FAI, but the same amplitude progressive frequency whole body vibration training is shorter than the elastic band training balance pad training time compared with the single time. The comfort is high. If you can properly cooperate with some muscle strength training is more worthy of recommendation.
【學(xué)位授予單位】：成都體育學(xué)院
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R87

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