强化髋周肌群力量训练对功能性踝关节不稳的效果

发布时间：2018-05-30 00:34

本文选题：髋周肌群 + 力量训练　；参考：《中国康复理论与实践》2017年10期

【摘要】：目的观察强化髋周肌群力量训练对功能性踝关节不稳(FAI)的影响。方法 2015年5月至2016年6月,选取本院就诊的FAI患者40例,按随机数字表法分为对照组(n=20)和观察组(n=20)。两组均进行常规运动训练,即踝关节周围肌群力量训练和本体感觉训练,观察组在此基础上辅以髋周肌群力量训练。共6周。治疗前后分别对两组患者进行髋周肌群力量评估、姿势稳定性评估、星偏移平衡测试(SEBT)评估及坎伯兰踝关节不稳问卷(CAIT)评分。结果治疗前,两组各项评价指标均无显著性差异(P0.05)。治疗后,观察组髋外展及后伸肌群峰力矩明显提高(t3.528,P0.01);两组整体稳定指数、前后稳定指数、左右稳定指数均下降(t2.360,P0.05);SEBT 8个方向的平均距离均增大(t2.254,P0.05);CAIT得分均明显增高(t3.268,P0.01);且观察组上述指标均优于对照组(t2.161,P0.05)。结论在常规踝关节肌群力量及本体感觉训练基础上辅以强化髋周肌群力量训练,有助于改善患者的FAI。
[Abstract]:Objective to observe the effect of strength training on functional ankle instability (FAI). Methods from May 2015 to June 2016, 40 FAI patients in our hospital were randomly divided into two groups: control group (n = 20) and observation group (n = 20). Both groups received routine exercise training, namely, the strength training of the peripheral muscles of the ankle joint and proprioceptive training, and the observation group was supplemented by the strength training of the group of peri-hip muscles. A total of 6 weeks. Before and after treatment, we evaluated the strength of perihip muscles, posture stability, star offset balance test (SEBT) and Cumberland ankle instability questionnaire (CAITS). Results before treatment, there was no significant difference in evaluation indexes between the two groups (P 0.05). After treatment, the peak-moment of hip abduction and extensor muscle in the observation group increased significantly, and the global stability index and the anterior and posterior stability index of the two groups were significantly increased. The mean distances of the eight directions of SEBT were all increased, and the CAIT scores of t 2.254 and P 0.05 were all significantly higher than those of the control group, and the above indexes in the observation group were better than those in the control group. Conclusion on the basis of routine ankle muscle strength and proprioceptive training, strengthening the strength training of perihip muscle group is helpful to improve FAI of patients.
【作者单位】：东南大学附属中大医院康复医学科;南京市鼓楼区建宁路社区卫生服务中心;
【基金】：南京市体育局体育科研局管课题(No.NJTY2015-501)
【分类号】：R49;R684

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