同振幅递进频率全身振动训练对功能性踝关节不稳的影响

发布时间：2019-01-22 19:15

【摘要】：目的:研究同振幅递进频率振动训练和弹力带+平衡垫训练对功能性踝关节不稳患者踝关节的本体感觉、平衡能力、肌肉力量的影响,对比两种训练方法的疗效差异,探索同振幅递进频率振动训练对功能性踝关节不稳的机制。方法:采取随机对照实验设计,于成都体育学院公开招募功能性踝关节不稳受试者,从中选取符合纳入标准的单侧功能性踝关节不稳男性受试者30名,随机分成实验组和对照组。实验组采用同振幅递进频率全身振动训练方案;对照组采用临床常用的运动训练方案。分别于训练前,训练2周、4周、6周、8周进行受试者体重、双侧踝关节屈伸肌力、内外翻肌力、本体感觉、平衡能力进行测评。实验结束后对所得到数据进行统计分析。结果:1.实验组与对照组训练前后Cumberland踝关节不稳评定问卷评分,位置觉,双足稳定指数,单足稳定指数均显著提高(P0.05);但训练8周后两组之间对比均无显著性差异(P0.05)。2.实验组双侧、对照组健侧踝关节内翻、外翻,跖屈、背伸相对峰力矩在训练前后均无显著性差异(P0.05);训练8周后,对照组患侧踝关节内翻、外翻,跖屈、背伸相对峰力矩训练后较训练前显著提高(P0.05);且与实验组患侧比较存在显著提高(P0.05)。结论:1.同振幅递进频率全身振动训练和弹力带+平衡垫训练对功能性踝关节不稳均有效。2.同振幅递进频率全身振动训练通过提高受试者双侧踝关节的平衡能力、本体感觉来改善功能性踝关节不稳。3.弹力带+平衡垫训练通过提高功能性踝关节不稳者双侧平衡能力、本体感觉以及患侧肌力来改善功能性踝关节不稳。4.同振幅递进频率全身振动与弹力带+平衡垫训练方法均可作为FAI常用的康复训练方法,但是同振幅递进频率全身振动训练较弹力带训练+平衡垫训练相对单次用时短、舒适度高。若能适当配合一些肌力训练则更加值得推荐。
[Abstract]:Objective: to study the effects of the same amplitude progressive frequency vibration training and elastic belt balance pad training on the ankle proprioception, balance ability and muscle strength in patients with functional ankle instability. To explore the mechanism of functional ankle instability in the same amplitude progressive frequency vibration training. Methods: a randomized controlled experimental design was used to recruit subjects with functional ankle instability from Chengdu Institute of physical Education, and 30 male subjects with unilateral functional ankle instability were selected. They were randomly divided into experimental group and control group. The experimental group adopted the same amplitude progressive frequency whole body vibration training scheme, the control group adopted the common clinical exercise training program. Before training, 2 weeks, 4 weeks, 6 weeks and 8 weeks of training, the subjects' body weight, bilateral ankle flexion and extensor strength, internal and external varus muscle strength, proprioceptive sensation and balance ability were measured. At the end of the experiment, the obtained data were statistically analyzed. Results: 1. The scores of Cumberland ankle instability assessment questionnaire, position perception, bipedal stability index and one-foot stability index were significantly increased before and after training in the experimental group and the control group (P0.05). But after 8 weeks of training, there was no significant difference between the two groups (P0.05). There was no significant difference in the relative peak torque of bilateral ankle flexion, valgus, metatarsal flexion and back extension between the experimental group and the control group before and after training (P0.05). After 8 weeks of training, the relative peak torque of ankle varus, valgus, metatarsal flexion and dorsal extension in the control group was significantly higher than that before training (P0.05), and significantly increased compared with the experimental group (P0.05). Conclusion: 1. The same amplitude progressive frequency whole body vibration training and elastic belt balance pad training are effective for functional ankle instability. 2. In the same amplitude progressive frequency whole body vibration training can improve the functional ankle instability by improving the balance ability and proprioceptive feeling of the bilateral ankle joints. 3. Elastic belt balance pad training can improve the functional ankle instability by improving bilateral balance ability, proprioceptive sensation and affected side muscle strength. 4. The same amplitude progressive frequency whole body vibration and the elastic band balance pad training method can be used as the common rehabilitation training methods of FAI, but the same amplitude progressive frequency whole body vibration training is shorter than the elastic band training balance pad training time compared with the single time. The comfort is high. If you can properly cooperate with some muscle strength training is more worthy of recommendation.
【学位授予单位】：成都体育学院
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R87

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