首页|简化太极拳干预对慢性踝关节不稳定者康复效果及神经肌肉控制能力的影响

简化太极拳干预对慢性踝关节不稳定者康复效果及神经肌肉控制能力的影响

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目的:探讨为期12周的简化太极拳训练对慢性踝关节不稳定(chronic ankle instability,CAI)者康复效果及神经肌肉控制功能的影响.方法:将34例CAI者随机分为实验组和对照组.两组受试者分别接受为期12周的简化太极拳训练(实验组)和健康宣教(对照组).干预前后分别对受试者主观不稳定感觉、踝关节肌力、本体感觉及动态姿势稳定性进行评估测试.结果:12周干预后,实验组的坎伯兰踝关节不稳量表(Cumberland Ankle Instability Tool,CAIT)评分,改良星形偏移平衡测试(the modified Star Excursion Balance Test,mSEBT)后内向和后外向的最大伸展距离,以及踝关节跖屈、内翻和外翻时的峰值力矩均显著增加(P<0.05);踝关节跖屈及内翻时的被动运动本体感觉阈值显著降低(P<0.05).干预后,实验组CAIT评分、mSEBT中的后内向和后外向的最大伸展距离,以及踝关节跖屈、内翻及外翻时的峰值力矩均显著高于对照组(P<0.05);踝关节跖屈被动运动本体感觉阈值显著低于对照组(P<0.05).结论:12周的简化太极拳训练可以改善CAI者的临床主观不稳定感,可能与踝关节肌力、本体感觉和动态姿势稳定性功能改善有关.建议将简化太极拳训练作为CAI者康复方法之一.
Effects of simplified Tai Chi intervention on rehabilitation and neuromuscular control in individuals with chronic ankle instability
Objective To explore the effect of 12-week simplified Tai Chi training on rehabilitation and neuromuscular control in individuals with chronic ankle instability(CAI).Methods Thirty-four partic-ipants with CAI were randomly divided into an experimental group and a control group,each of 17.The control group received 12-week health education,while the experimental group underwent simpli-fied Tai Chi training for the same length.Before and after the intervention,both groups were evaluat-ed their self-reported instability feeling,ankle muscle strength,proprioception and dynamic postural stability.Results After intervention,a significant increase was observed in the average Cumberland An-kle Instability Tool(CAIT),the maximum extension distance in the posteromedial and posterolateral di-rections of the modified Star Excursion Balance Test(mSEBT)in,as well as the ankle peak torque in plantarflexion,inversion and eversion(P<0.05)in the experimental.Moreover,the ankle passive motion proprioceptive threshold in plantarflexion and inversion decreased significantly in the experimental group after intervention(P<0.05).Meanwhile,after intervention,the average CAIT score,maximum ex-tension distances in the posteromedial and posterolateral directions in the mSEBT,and the ankle peak torques in plantarflexion,inversion and eversion of the experimental group were significantly higher than the control group(P<0.05),while the ankle passive motion proprioceptive threshold in plantarflex-ion was significantly lower than the latter(P<0.05).Conclusion Twelve-week simplified Tai Chi train-ing can improve the clinical subjective instability of CAI participants,maybe related to the improve-ment of ankle muscle strength,proprioception and dynamic postural stability.Therefore,it is suggest-ed that simplified Tai Chi should be one of the rehabilitation methods for CAI patients.

Tai Chichronic ankle instabilitydynamic postural stabilityproprioceptionmuscle strength

许国才、汤惠如、范志龙、王疆娜、张翠、聂祥坤

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山东体育学院(山东 济南 250102)

临沂市妇幼保健院(山东 临沂 276000)

山东省体育科学研究中心(山东 济南 250014)

太极拳 慢性踝关节不稳定 动态姿势稳定性 本体感觉 肌肉力量

国家自然科学基金

12102235

2024

中国运动医学杂志
中国体育科学学会

中国运动医学杂志

CSTPCD北大核心
影响因子:0.856
ISSN:1000-6710
年,卷(期):2024.43(9)