我们旨在对患有功能性踝关节不稳定(FAI)的青少年男性足球运动员进行力量和平衡训练,以评估运动恐惧症,踝关节不稳定,踝关节功能,和性能。这项整群随机对照试验包括51名来自六个不同球队的FAI青少年精英男性足球运动员,分为力量,balance,和对照组(SG,n=17;BG,n=17;和CG,分别为n=17)。SG和BG每周进行三次力量和平衡训练,持续6周。主要结果是Tampa运动恐惧症-17量表(TSK)和坎伯兰踝关节不稳定工具(CAIT)评分,以评估运动恐惧症和FAI。分别。次要结果是踝关节力量(四个方向),动平衡,静态平衡(椭圆,位移,速度),和性能(图8和侧跳测试)。干预后TSK和CAIT均观察到显着的交互作用(两者,P<0.01)。在事后分析中,BG在降低TSK方面具有显著更好的结果。SG和BG显示CAIT评分有较大改善。回归分析显示CAIT严重程度与TSK显著相关(P=0.039,R=0.289)。对于次要结果,SG和BG在踝关节背屈/内翻强度方面较好,静态平衡位移,和图8和侧跳测试(所有,P<0.05)。BG显示出显著更好的静态平衡椭圆结果(P<0.05)。6周的干预显着增强了运动恐惧症的管理,踝关节稳定性,和性能。平衡训练有效缓解运动障碍和改善平衡,与单独的力量训练相比。即使CAIT严重程度的微小变化也会影响恐惧症,强调平衡训练的潜在好处。将平衡训练整合到训练计划中可以解决踝关节不稳定的身体和心理方面。建议研究探索这些干预措施的纵向效果及其预防损伤复发的潜力。
We aimed to implement strength and balance training for elite adolescent male soccer players with functional ankle instability (FAI) to assess
kinesiophobia, ankle instability, ankle function, and performance. This cluster randomized controlled
trial comprised 51 elite adolescent male soccer players with FAI recruited from six different teams, divided into strength, balance, and control groups (SG, n = 17; BG, n = 17; and CG, n = 17, respectively). The SG and BG underwent strength and balance training sessions three times per week for 6 weeks. Primary outcomes were the Tampa scale for
kinesiophobia-17 (TSK) and Cumberland ankle instability tool (CAIT) scores to assess
kinesiophobia and FAI, respectively. Secondary outcomes were ankle strength (four directions), dynamic balance, static balance (ellipse, displacement, velocity), and performance (figure 8 and side-hop tests). A significant interaction effect was observed for both TSK and CAIT post-intervention (both, P < 0.01). In post hoc analyses, the BG had significantly better outcomes in reducing TSK. The SG and BG showed greater improvements in CAIT scores. Regression analysis indicated that CAIT severity correlated significantly with TSK (P = 0.039, R = 0.289). For secondary outcomes, the SG and BG were superior in terms of ankle dorsiflexion/inversion strength, static balance displacement, and figure-8 and side-hop tests (all, P < 0.05). The BG showed significantly better static balance ellipse results (P < 0.05). The 6-week intervention significantly enhanced kinesiophobia management, ankle stability, and performance. Balance training effectively mitigated kinesiophobia and improved balance, compared with strength training alone. Even small variations in CAIT severity can influence
kinesiophobia, highlighting the potential benefits of balance training. Integrating balance training into training programs can address both physical and psychological aspects of ankle instability. Research is recommended to explore the longitudinal effects of these interventions and their potential to prevent injury recurrence.