侧内及其在脚不稳定的使用
Inés Palomo-Fernández1, Laura Martín-Casado1, Félix Marcos-Tejedor2
1Department of Nursing, Physiotherapy and Occupational Therapy, Faculty of Health Sciences, University of Castilla-La Mancha, Toledo, Spain.
Scandinavian journal of medicine & science in sports
|June 2, 2023
概括
侧内,特别是0.3cm和0.6cm,可以减少脚稳定肌肉的反应时间,并在患有慢性脚不稳定 (CAI) 的个体中提高平衡. 这些发现表明CAI管理的潜在好处.
科学领域:
- 生物力学 生物力学
- 运动医学 运动医学
- 康复科学 康复科学 康复科学
背景情况:
- 慢性脚不稳定 (CAI) 是一种影响动态关节稳定的普遍情况.
- 神经肌肉控制受损和稳定肌肉的反应时间缩短是CAI的关键因素.
- 需要有效的干预措施来改善平衡并降低CAI患者再次受伤的风险.
研究的目的:
- 为了研究侧内不同高度对脚稳定肌肉 (Peroneus Longus, Peroneus Brevis, Tibialis Anterior) 的反射反应和CAI患者的动态平衡的直接影响.
- 评估足部的姿势 (正常或躺卧) 是否会影响侧内的有效性.
- 确定侧内的最佳高度,以改善CAI中的神经肌肉控制和平衡.
主要方法:
- 采用双盲交叉研究设计,对25名被诊断为CAI的参与者进行了研究.
- 参与者被分为正常 (n=12) 和俯卧 (n=13) 脚姿势组.
- 在星际出行平衡测试 (SEBT) 和30°脚反转机动期间,测试了0.00,0.3,0.4和0.6厘米高的侧内.
- 电肌图 (EMG) 测量了脚稳定肌肉的反应时间 (RT),而SEBT评估了动态姿势平衡.
主要成果:
- 脚姿势没有显著影响测量的变量.
- 应用0.3厘米和0.6厘米的侧内显著降低了大 (PB) 和前 (TA) 肌肉的反应时间 (RT),长 (PL) 的趋势.
- 侧内 (0.3厘米和0.6厘米) 在SEBT上提高了性能,除了在前侧方向,表明增强了动态平衡.
结论:
- 侧内,特别是0.3厘米和0.6厘米的高度,可以有效地减少CAI患者关键脚稳定肌肉的反射反应时间.
- 这些内底表现出改善动态平衡的能力,根据SEBT的测量,在CAI患者中进行测量.
- 这些发现支持使用侧内作为一种潜在的治疗工具,用于管理慢性脚不稳定性和改善功能表现.
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