本体感觉神经肌肉促进法和全身振动训练对功能性踝关节不稳干预效果的比较

doi:10.3969/j.issn.1006-9771.2022.07.006

摘要/Abstract

摘要：

目的比较本体感觉神经肌肉促进法(PNF)和全身振动训练(WBVT)对功能性踝关节不稳(FAI)患者的干预效果。

方法 2021年5月至7月,于北京体育大学招募FAI男大学生17例,随机分为PNF组(n = 8)和WBVT组(n = 9),分别接受PNF训练和WBVT,共6周。干预前后采用Y平衡测试仪、动态平衡仪、三维测力台和运动捕捉系统进行测试。

结果训练方法对Y平衡成绩、平均轨迹误差以及各落地后动力学参数的主效应均不显著(F < 4.090, P > 0.05),训练方法和时间对落地后踝关节屈伸活动范围的交互效应显著(F = 6.232, P = 0.030),PNF的效应量更大;时间和训练方法对左右地面反作用力峰值出现时间交互效应显著(F = 10.674, P = 0.008),WBVT组峰值出现时间更晚(P < 0.05)。

结论 PNF和WBVT对FAI患者的效果总体相当。

关键词: 功能性踝关节不稳, 本体感觉神经肌肉促进法, 全身振动训练

Abstract:

Objective To compare the effects of proprioceptive neuromuscular facilitation (PNF) and whole body vibration training (WBVT) on functional ankle instability (FAI).

Methods From May to July, 2021, 17 male FAI undergraduates from Beijing Sport University received PNF (n = 8) and WBVT (n = 9), for six weeks. They were assessed with Y-balance test, Pro-Kin, Kistler and Motion Analysis Raptor before and after invention, to observe Y-balance score, average trajectory error, kinematics and dynamics after jump-landing of affected limb.

Results The main effect of training was not significant for all the Y-balance score, average trajectory error, kinematics and dynamics (F < 4.090, P > 0.05). However, the interactive effect of training and time was significant for the range of motion of ankle flexion (F = 6.232, P = 0.030), and the effect size was more for PNF; it was also significant for the time arriving peak ground reaction force (left-right) after landing (F = 10.674, P = 0.008), and the time was latter for WBVT (P < 0.05).

Conclusion PNF and WBVT are similarly effective on FAI.

Key words: functional ankle instability, proprioceptive neuromuscular facilitation, whole body vibration training

中图分类号:

R684.7

刘羽多,万祥林. 本体感觉神经肌肉促进法和全身振动训练对功能性踝关节不稳干预效果的比较[J]. 《中国康复理论与实践》, 2022, 28(7): 776-782.

LIU Yuduo,WAN Xianglin. Comparison of effects of proprioceptive neuromuscular facilitation and whole body vibration training on functional ankle instability[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(7): 776-782.

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组别	n	年龄/岁	身高/cm	体质量/kg
PNF组	8	20.05±2.27	177.30±8.66	72.01±12.48
WBVT组	9	19.71±0.67	174.17±5.41	71.09±4.26
t值		0.851	1.437	0.042
P值		0.418	0.171	0.967

组别	n	干预前	干预后	Cohen d
PNF组	8	94.83±3.55	101.26±8.53	1.052
WBVT组	9	101.92±9.63	107.52±8.52	0.653
Cohen d		1.015	0.782

组别	n	干预前	干预后	Cohen d
PNF组	8	33.38±6.74	27.96±6.06	0.904
WBVT组	9	33.00±7.78	26.35±4.46	1.112
Cohen d		0.055	0.325

组别	n	干预前	干预后	Cohen d
PNF组	8	3.68±2.36	2.15±1.84	0.773
WBVT组	9	4.09±2.97	2.41±1.79	0.727
Cohen d		0.162	0.153

组别	n	干预前	干预后	t值	P值	Cohen d
PNF组	8	48.93±7.29	33.53±11.53	4.328	0.012	1.707
WBVT组	9	52.17±3.33	45.79±5.15	3.479	0.010	1.560
t值		1.107	2.242
P值		0.292	0.075
Cohen d		0.622	1.495