■外侧踝关节扭伤是运动和日常生活活动中最常见的肌肉骨骼问题之一。这项研究调查了联合神经肌肉训练和常规训练(包括加强,运动范围,和平衡练习)肌肉形态,动平衡,感知踝关节不稳定,慢性踝关节不稳定(CAI)患者的功能能力。
■神经肌肉和常规训练计划的结合可能会对肌肉形态产生额外的益处,动平衡,和CAI科目的功能能力。
■一项单盲平行臂随机对照试验。
■二级。
■共有34名CAI参与者被随机分为实验组(EG)和对照组(CG)。EG接受了常规和神经肌肉训练,而CG接受常规训练。使用超声检查测量腓骨长肌和胫骨前肌的横截面积。测量包括到达方向距离,踝关节不稳定,以及脚部和脚踝的结果评分,在12次干预之前和之后以及4周后在随访阶段进行了所有评估.
■重复测量方差分析(ANOVA)显示EG的显着改善,特别是在受伤侧胫骨前肌的横截面积和Y平衡测试的后内侧到达方向位移中。此外,与CG相比,EG\'s足和踝关节结局评分显着增加(P<0.05)。然而,群体效应大小从轻微到中等(对冲g,0.40-0.73)。
■结合神经肌肉和常规训练计划,在胫骨前肌形态方面比常规训练产生更大的益处。后内侧动态平衡,以及CAI患者的功能能力。
■神经肌肉和常规训练计划的结合可以增强肌肉形态,动平衡,感知踝关节不稳定,以及CAI患者的功能能力。
UNASSIGNED: Lateral ankle sprain is one of the most common musculoskeletal issues during sports and activities of daily living. This study investigated the effect of combined neuromuscular training and conventional training (including strengthening, range of motion, and balance exercises) on muscle morphology, dynamic balance, perceived ankle instability, and functional capacity in persons with chronic ankle instability (CAI).
UNASSIGNED: The combination of neuromuscular and conventional training programs might result in additional benefits on the morphology of muscle, dynamic balance, and functional capacity in subjects with CAI.
UNASSIGNED: A single-blind parallel-arm randomized controlled trial.
UNASSIGNED: Level 2.
UNASSIGNED: A total of 34 participants with CAI were divided randomly into experimental (EG) and control groups (CG). The EG received conventional and neuromuscular training, while the CG underwent conventional training. Cross-sectional areas of the peroneus longus and tibialis anterior muscles were measured using ultrasonography. Measurements included reaching direction distance, ankle instability, and the foot and ankle outcome score, all evaluated before and immediately after 12 intervention sessions and 4 weeks later in the follow-up phase.
UNASSIGNED: Repeated-measures analysis of variance (ANOVA) revealed significant improvement in the EG, particularly in the cross-sectional area of the tibialis anterior muscle on the injured side and the posteromedial reaching direction displacement of the Y balance test. Moreover, the EG\'s foot and ankle outcome scores increased significantly compared with the CG (P < 0.05). However, the group effect size ranged from minor to moderate (Hedges g, 0.40-0.73).
UNASSIGNED: Combining neuromuscular and conventional training programs yields greater benefits than conventional training alone regarding tibialis anterior muscle morphology, posteromedial dynamic balance, and functional capacity in persons with CAI.
UNASSIGNED: The combination of neuromuscular and conventional training programs could enhance muscle morphology, dynamic balance, perceived ankle instability, and functional capacity in persons with CAI.