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

Abstract

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

CLC Number:

R684.7

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.

Figures/Tables 5

References 35

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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

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

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