血流限制训练对慢性脚不稳定症患者的影响:系统性审查和元分析
Meng Liu1, Sha Pu Lu Bi1, Yuhang Cao2,3
1School of Physical Education and Health, Nanning Normal University, Nanning, 530100, China.
BMC musculoskeletal disorders
|October 22, 2025
概括
血流限制训练 (BFRT) 在慢性脚不稳定 (CAI) 患者中显著提高了姿势控制和脚功能. 这种方法改善了平衡,减少了不稳定性,并加强了关键的脚肌肉,提供了一个有前途的治疗方法.
科学领域:
- 运动医学 运动医学
- 康复科学 康复科学 康复科学
- 生物力学 生物力学
背景情况:
- 慢性脚不稳定 (CAI) 是一种普遍影响姿势控制和脚功能的疾病.
- 传统的康复方法可能无法完全恢复最佳的脚性能.
- 血流限制训练 (BFRT) 是一种新兴的干预措施,对肌肉骨疾病有潜在的益处.
研究的目的:
- 系统地审查BFRT对CAI患者的姿势控制和脚功能的影响.
- 综合来自随机对照试验 (RCT) 关于BFRT对特定功能结果的影响的证据.
- 评估BFRT在改善CAI患者平衡,脚稳定性和肌肉性能方面的有效性.
主要方法:
- 在主要数据库 (PubMed,Embase,Cochrane等) 的系统文献搜索. 在2025年2月之前.
- 包括在CAI人群中评估BFRT干预措施的RCT.
- 评估Y平衡测试达到距离,坎伯兰脚不稳定工具 (CAIT) 得分,脚肌肉力量和肌肉激活.
主要成果:
- 分析了8个涉及243名CAI患者的RCT.
- BFRT显著改善了Y平衡的前部触及距离 (MD=4.90,P=0.002).
- 在CAIT得分 (MD=3.09,P<0.001),脚脊伸缩器强度 (SMD=0.90,P=0.04),脚下伸缩器强度 (SMD=1.12,P=0.02) 和前部激活 (MD=11.13,P=0.002) 中观察到显著改善.
结论:
- 在CAI患者中,BFRT在增强姿势控制和脚功能方面表现出显著的有效性.
- 关键的改进包括平衡,感知到脚的稳定性,以及脚肌肉的强度/激活.
- 虽然有希望,但一些研究的低质量需要更大,高质量的RCT进行强有力的验证.
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