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慢性脚不稳定的患者的部肌肉力量:系统性审查和元分析

Jiawei Zheng¹, Bing Xu¹, Xinxin Xiong¹

¹Engineering Research Center of Sports Health Intelligent Equipment of Hubei Province, Wuhan Sports University, Wuhan, 430079, PR China.

Physical therapy in sport : official journal of the Association of Chartered Physiotherapists in Sports Medicine

|July 23, 2025

概括

与健康个体相比,患有慢性脚不稳定 (CAI) 的个体表现出较弱的同位测绑架和延伸强度. 这一发现强调了评估部肌肉功能在CAI管理中的重要性.

科学领域:

生物力学和肌肉骨健康
运动医学与康复运动医学与康复

背景情况:

慢性脚不稳定 (CAI) 是一种常见的疾病,通常与下肢功能障碍有关.
需要进一步调查CAI与近端肌肉强度,特别是部肌肉强度的缺陷之间的潜在联系.

研究的目的:

系统地审查和分析现有文献,以确定CAI患者是否与健康对照人群相比表现出部肌肉强度缺陷.
用标准化平均差异来量化任何已识别的强度差异的大小.

主要方法:

在五个数据库中进行了系统的文献搜索,直到2025年5月,遵守PRISMA指南.
包括的研究经过质量评估,使用修改后的唐斯和黑名单.
进行了一项随机效应元分析,以计算部肌肉强度结果的标准化平均差异 (SMD).

主要成果:

分析包括10项研究,548名参与者 (271名CAI,277名健康).
与健康对照人群相比,患有CAI的个体表现出明显较低的同位素部绑架 (SMD:0.56),延伸 (SMD:0.62) 和外部旋转强度 (SMD:0.59).
在60°/s的异动力强度中没有观察到显著的差异. 灵敏度分析表明部外部旋转强度的潜在不稳定性.

结论:

在患有CAI的个体中,关节绑架和延伸存在显著的同位体强度缺陷.
常规的部肌肉强度评估应纳入被诊断患有CAI的个体的临床评估.

关键词:

长期的脚不稳定脚不稳定关节的部关节是什么意思异动力学强度异动力学强度同位数强度的强度是什么肌肉力量肌肉力量是指肌肉的力量.

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