拉伸对平衡的急性和慢性影响:通过多层次元分析进行系统审查
Lars Hubertus Lohmann1, Astrid Zech1, Gerit Plöschberger2
1Department of Human Movement Science and Exercise Physiology, University of Jena, Jena, Germany.
Frontiers in medicine
|September 30, 2024
概括
伸展可能会稍微改善平衡,特别是在眼睛开的时候,但证据质量很低. 需要更多的研究来证实益处,并了解平衡训练的机制.
科学领域:
- 运动生理学 运动生理学
- 生物力学 生物力学
- 运动科学 运动科学 运动科学
背景情况:
- 平衡对于日常活动至关重要,受到感官运动控制,肌肉力量和大小的影响.
- 虽然抵抗训练是平衡的常见方法,但拉伸是特定人群的新兴选择.
- 迄今为止,还没有任何综合性审查检查过拉伸对平衡表现的影响.
研究的目的:
- 系统地审查和元分析拉伸干预对平衡参数的影响.
- 评估各种拉伸类型对平衡的急性和慢性影响.
- 评估证据对伸展对平衡的影响的确定性.
主要方法:
- 搜索了PubMed,科学网络和Scopus数据库,直到2024年2月.
- 包括检查急性/慢性拉伸对平衡的影响的研究与被动/主动对照,没有人口限制.
- 使用PEDro级别评估方法质量和使用GRADE标准证据确定性;在适当的情况下进行元分析.
主要成果:
- 包括18个急性和11个慢性研究. 与被动对照相比,拉伸显示慢性研究的摇摆参数 (眼睛开放) 中出现了中度改善 (ES:0.63) 和急性研究的小改善 (ES:0.21).
- 大多数其他小组分析和主动对照比较结果都显示微不足道或无意义的影响.
- 聚合效应在某些情况下达到统计学意义,但由于证据的确定性较低而受到限制.
结论:
- 伸展可能为平衡提供一些好处,特别是减少眼睛开时的摇摆,尽管效果不大,证据质量低.
- 证据的确定性受到偏见风险,不准确性和潜在的出版偏见的严重限制.
- 需要进一步的高质量研究来证实这些发现并探索潜在的机制,因为关键调节者很少被评估.
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