在患有状肌病的运动员中,对变化的敏感性和挑性负载测试的反应性
Diego Ruffino1, Matías Alfonso2, Vilma Campana3
1Escuela de Kinesiología y Fisioterapia, Facultad de Ciencias Médicas, Universidad Nacional de Córdoba, Córdoba, Argentina.
Brazilian journal of physical therapy
|May 2, 2024
概括
单脚下降 (SLDS) 和抵抗膝盖延伸 (KE) 测试显示了对状肌病的良好反应. 与KE相比,SLDS表现出更高的变化灵敏度,这使得它成为潜在的更好的结果指标.
科学领域:
- 运动医学 运动医学
- 整形外科 整形外科 整形外科
- 康复科学 康复科学 康复科学
背景情况:
- 疼痛诱发测试对于评估疼痛严重程度和状肌病的结果至关重要.
- 评估这些测试的心理测量特性对于可靠的临床应用至关重要.
研究的目的:
- 为了评估地板/天花板的影响,对变化的敏感性,以及单腿下降 (SLDS) 和抵抗膝盖延伸 (KE) 测试的响应度切线.
- 确定这些挑性负载测试的临床重要差异 (MCID) 在患有肌病的运动员中.
主要方法:
- 41名患有状肌病的运动员在基线和12周进行了SLDS和KE测试.
- 使用视觉模拟尺度 (VAS) 评价疼痛;通过效果大小 (ES) 和标准化响应平均值 (SRM) 计算对变化的敏感性.
- 用联合和基于分布的方法确定响应度切线和MCID.
主要成果:
- 无论是SLDS还是KE都显示出最小的地板/天花板效应,除了12周后的KE (约. 1/3的参与者).
- 与KE (ES:0.96,SRM:1.09) 相比,SLDS对变化的敏感性更高 (ES:1.93,SRM:1.43).与KE相比,SLDS对变化的敏感性更高.
- MCID值为SLDS的1.6分,KE的1.0分;基于分布的估计是1.2 (SLDS) 和1.1 (KE).
结论:
- SLDS和KE测试表明对变化的中度至高灵敏度,并为患有状肌病的运动员建立了MCID值.
- 随着康复的进展,这两种测试都可用于监测负载期间的疼痛.
- 与SLDS测试相比,KE测试具有更高的地板效应和更低的变化灵敏度.
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