慢性的な足首の不安定性を持つ人々のバランストレーニングの有効性:メタメタ分析による傘のレビュー
Pedro Martínez-Lozano1,2, Eleuterio A Sánchez-Romero2,3,4,5, Oliver Martínez-Pozas2,4
1Department of Physiotherapy, Faculty of Sport Sciences, Universidad Europea de Madrid, Villaviciosa de Odón, Spain.
Journal of back and musculoskeletal rehabilitation
|February 12, 2026
まとめ
バランストレーニング (BT) は,慢性的な足首の不安定性 (CAI) を有する成人におけるダイナミックな姿勢制御を適度に改善します. しかし,静的バランスおよび他の機能的結果に関する証拠は依然として限られており,さらなる高品質な研究が必要である.
科学分野:
- スポーツ医学 スポーツ医学
- リハビリテーション・サイエンス・サイエンス
- 臨床バイオメカニクス 臨床バイオメカニクス
背景:
- 慢性的な足首の不安定性 (CAI) は,足首の横側筋が原因で,プロプロイセプティブの欠陥と姿勢制御の障害を引き起こします.
- バランストレーニング (BT) は一般的なリハビリテーション戦略ですが,その有効性は不確実です.
研究 の 目的:
- CAIの成人におけるBTの有効性を評価するための体系的なレビューの総括的なレビューを実施する.
- 証拠の質を批判的に評価し,CAIのためのBTに関する発見を統合する.
主な方法:
- 複数のデータベース (PubMed,Web of Science,Scopus,ScienceDirect) で2025年11月1日までの体系的なレビューを検索しました.
- 評価された方法論的品質 (AMSTAR 2),バイアスのリスク (ROBIS),証拠の確実性 (GRADE).
- ランダム効果モデルを使用して可能な限りメタ分析を行った.
主要な成果:
- 27件のシステマティックレビュー (5件,25件の研究の定量データ,n=1,821) を含む.
- BTはダイナミックな姿勢制御を大幅に改善しました (ヘッジスのg=0.91,高異質性).
- 静的バランス,痛み,ROM,力,生活の質に関する証拠は限られたか不一致でした.
結論:
- BTは,CAIにおけるダイナミックな姿勢制御の改善のための適度な確実性の証拠を提供しています.
- 静的バランスと,異質性によるより広範な機能的結果に関する証拠は限られている.
- 証拠基盤を強化するために,標準化されたプロトコルで高品質の試験が必要です.
関連する概念動画
Directing Effect of Substituents: meta-Directing Groups
6.1K
Substituents on the benzene ring that direct an incoming electrophile to undergo substitution at the meta position are called meta directors. All meta directors either have a positive charge on the atom directly bonded to the ring or a partial positive charge. These groups function by withdrawing electrons from the ring through inductive and resonance effects. Consider the carbocation intermediates formed upon the addition of an electrophile on nitrobenzene at the...
6.1K
meta-Directing Deactivators: –NO2, –CN, –CHO, –⁠CO2R, –COR, –CO2H
6.8K
All meta-directing substituents are deactivating groups. These substituents withdraw electrons from the aromatic ring, making the ring less reactive toward electrophilic substitution. For example, the nitration of nitrobenzene is 100,000 times slower than that of benzene because of the deactivating effect of the nitro group. The first step in an electrophilic aromatic substitution is the addition of an electrophile to form a resonance-stabilized carbocation. The energy diagrams for...
6.8K
Ankle Joint
3.1K
The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...
3.1K
Microtubule Instability
6.3K
Microtubules are hollow cylindrical filaments having a diameter of approximately 25 nm and a length that varies from 200 nm to 25 μm. GTP-bound tubulin subunits form αβ-heterodimers for microtubule assembly. These core building blocks interact longitudinally, polymerizing into protofilaments. The protofilaments then interact with one another through lateral bonding forces to form stable cylindrical microtubules. These cylindrical filaments are dynamic as they undergo repeated...
6.3K
Balancing Redox Equations
62.5K
Electrochemistry is the science involved in the interconversion of electrical and chemical reactions. Such reactions are called reduction-oxidation, or redox reactions. These important reactions are defined by changes in oxidation states for one or more reactant elements and include a subset of reactions involving the transfer of electrons between reactant species. Electrochemistry as a field has evolved to yield sufficient insights on the fundamental principles of redox chemistry and multiple...
62.5K
Review and Preview
8.4K
In statistics, several tools are used to interpret the data. Measures of central tendency represent the characteristics of the data, such as mean, median, and mode. Additionally, measures of variance like standard deviation and range are used to find the spread of data from the mean. Relative standing measures the distance between data locations. Commonly used measures of relative standings are percentile, z score, and quartiles.
Percentiles are a type of fractile that partition data into...
Percentiles are a type of fractile that partition data into...
8.4K


