强化髋内收肌等长肌力训练对功能性踝关节不稳的效果

doi:10.3969/j.issn.1006-9771.2022.02.001

《中国康复理论与实践》 ›› 2022, Vol. 28 ›› Issue (2): 125-131.doi: 10.3969/j.issn.1006-9771.2022.02.001

强化髋内收肌等长肌力训练对功能性踝关节不稳的效果

余慧¹,陈紫砚²,戴瑞祥³,王晓东⁴()

1.北京大学深圳医院康复科,广东深圳市 518000
2.深圳大学体育部,广东深圳市 518000
3.深圳大学附属华南医院,广东深圳市 518000
4.深圳大学师范学院体育系,广东深圳市 518000

收稿日期:2021-09-07 修回日期:2022-01-18 出版日期:2022-02-25 发布日期:2022-03-09
通讯作者: 王晓东 E-mail:wang_xd@szu.edu.cn
作者简介:余慧(1992-),女,汉族,湖北鄂州市人,硕士,初级康复师,主要研究方向：骨科与运动康复。
基金资助:
广东省教育厅项目(2017WTSCX104)

Effect of intensive isometric strength training of hip adductor on functional ankle instability

YU Hui¹,CHEN Ziyan²,DAI Ruixiang³,WANG Xiaodong⁴()

1. Department of Rehabilitation, Peking University Shenzhen Hospital, Shenzhen, Guangdong 518000, China
2. Sports Department of Shenzhen University, Shenzhen, Guangdong 518000, China
3. South China Hospital of Shenzhen University, Shenzhen, Guangdong 518000, China
4. Department of Physical Education, Teachers College, Shenzhen University, Shenzhen, Guangdong 518000, China

Received:2021-09-07 Revised:2022-01-18 Published:2022-02-25 Online:2022-03-09
Contact: WANG Xiaodong E-mail:wang_xd@szu.edu.cn
Supported by:
Department of Education of Guangdong Province(2017WTSCX104)

摘要/Abstract

摘要：

目的探讨强化髋内收肌等长肌力训练对功能性踝关节不稳者平衡能力影响。方法 2019年11月至2020年1月,从深圳某高校中招募功能性踝关节不稳的大学生18例,按照随机数字表法分为对照组(n = 9)和试验组(n = 9)。两组均进行踝关节稳定训练,试验组增加髋内收肌等长肌力训练。每次1 h,每周3次,共4周。训练前后分别进行坎伯兰踝关节不稳评定问卷(CAIT)、Y平衡测试(YBT)、Balance-check平衡设备和Back-check髋内收肌最大等长肌力测试。结果训练后,两组CAIT评分、YBT各方向距离、Balance-check的得分较训练前提高(t > 2.540, P < 0.05);试验组Back-check髋内收肌肌力较训练前显著提高(t = 8.485, P < 0.001)。试验组CAIT评分、YBT (后内侧、外侧)距离、Balance-check得分、Back-check髋内收肌肌力的训练前后差值均大于对照组(t > 2.168, P < 0.05),平均旋转角速度、最大旋转角速度和平衡等级差值均小于对照组(t > 2.804, P < 0.05)。结论加强髋内收肌等长肌力训练更有利于功能性踝关节不稳者平衡能力恢复。

关键词: 功能性踝关节不稳, 髋内收肌, 平衡, 等长运动

Abstract:

Objective To explore the effect of intensive hip adductor isometric strength training on the balance ability of functional ankle joint instability. Methods From November, 2019 to January, 2020, 18 college students with functional ankle instability were recruited from a university in Shenzhen and randomly divided into control group (n = 9) and experimental group (n = 9). Both groups received ankle stability training, and the experimental group received isometric muscle strength training of hip adductor in addition, one hour a time, three times a week, for four weeks. The Cumberland Ankle Instability Assessment Questionnaire (CAIT), Y Balance Test (YBT), Balance-check balance equipment and Back-check hip adductor maximum isometric strength test were performed before and after training. Results After training, the scores of CAIT, YBT and balance-check increased in both groups (t > 2.540, P < 0.05); the strength of adductor hip muscle significantly increased in the experimental group (t = 8.485, P < 0.001). The d-value of CAIT score, YBT distance, the score of Balance-check, and the strength of adductor hip muscle were more in the experimental group than in the control group (t > 2.168, P < 0.05); the d-value of the average rotation speed, the maximum rotation speed and the balance level were less in the experimental group than in the control group (t > 2.804, P < 0.05). Conclusion Hip adductor isometric muscle strength training may promote the recovery of the balance after functional ankle instability.

Key words: functional ankle instability, hip adductor, balance, isometric exercise

中图分类号:

R684.7

余慧,陈紫砚,戴瑞祥,王晓东. 强化髋内收肌等长肌力训练对功能性踝关节不稳的效果[J]. 《中国康复理论与实践》, 2022, 28(2): 125-131.

YU Hui,CHEN Ziyan,DAI Ruixiang,WANG Xiaodong. Effect of intensive isometric strength training of hip adductor on functional ankle instability[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(2): 125-131.

图/表 5

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组别	n	性别/n		年龄/岁	侧别/n
组别	n	男	女	年龄/岁	左	右
对照组	9	7	2	22.00±2.06	4	5
试验组	9	7	2	22.33±1.66	5	4
χ²/t值		0		0.378	0.459
P值		1		0.710	0.653

组别	n	训练前	训练后	差值	t值	P值
对照组	9	18.33±3.61	20.78±3.77	2.44±1.94	3.733	0.005
试验组	9	12.78±3.67	18.56±5.48	5.78±3.23	5.363	0.001
t值		3.241	1.003	2.652
P值		0.005	0.331	0.017

组别	n	方向	训练前	训练后	差值	t值	P值
对照组	9	前侧	50.78±6.28	59.89±6.57	9.11±3.68	7.409	< 0.001
		后内侧	76.56±12.45	95.67±12.10	19.11±5.32	10.766	< 0.001
		后外侧	87.44±13.14	99.78±10.76	12.33±4.18	8.845	< 0.001
试验组	9	前侧	49.78±7.14^a	60.11±8.80^d	10.33±5.19^g	5.966	< 0.001
		后内侧	67.44±10.26^b	94.67±7.68^e	27.22±6.94^h	11.764	< 0.001
		后外侧	83.22±7.66^c	100.67±7.11^f	17.44±5.71ⁱ	9.176	< 0.001

组别	n		训练前	训练后	差值	t值	P值
对照组	9	得分	13014.00±3418.39	15638.33±591.132	2624.33±3100.17	2.540	0.035
		平均旋转角速度/°•s^-1	4.33±1.01	4.64±0.89	0.31±0.67	1.397	0.200
		最大旋转角速度/°•s^-1	12.52±2.46	11.62±1.92	-0.90±1.95	-1.383	0.204
		平衡等级	1.83±1.10	1.06±0.11	-0.78±1.07	-2.191	0.060
试验组	9	得分	7867.22±4586.03^a	15534.44±289.53^e	7667.22±4621.56ⁱ	4.977	0.001
		平均旋转角速度/°•s^-1	5.58±1.88^b	3.69±1.38^f	-1.90±1.21^j	-4.684	0.002
		最大旋转角速度/°•s^-1	15.17±4.16^c	9.29±3.69^g	-5.88±1.96^k	-8.966	< 0.001
		平衡等级	3.48±1.46^d	1.02±0.07^h	-2.47±1.44^l	-5.098	0.001

组别	n	训练前	训练后	差值	t值	P值
对照组	9	24.11±5.45	24.33±5.34	0.22±0.36	1.835	0.104
试验组	9	24.56±4.55	26.56±4.52	2.06±0.71	8.485	< 0.001
t值		0.188	6.709	6.709
P值		0.853	< 0.001	< 0.001

强化髋内收肌等长肌力训练对功能性踝关节不稳的效果

Effect of intensive isometric strength training of hip adductor on functional ankle instability

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