| 张达宽,韩立宝,李永杰,付申宇,何猛,刘洪举,苟波.肌内效贴对离心收缩诱发的踝关节肌肉疲劳后的肌力和平衡能力的影响[J].中国康复,2023,38(4):217-221 |
| 肌内效贴对离心收缩诱发的踝关节肌肉疲劳后的肌力和平衡能力的影响 |
| Effect of kinesthetic tape on muscle strength and balance ability after eccentric contraction-induced ankle muscle fatigue |
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| DOI： |
| 中文关键词: 踝关节 肌内效贴 离心运动 疲劳 肌力 平衡 |
| 英文关键词: ankle joint tape centrifugal exercise fatigue muscle strength balance |
| 基金项目:国家社会科学基金项目(16XTY004)；2022年贵州省卫生健康委科学技术基金项目(gzwkj2022-306) |
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| 中文摘要: |
| 目的：探讨肌内效贴贴扎对离心运动诱发的踝关节周围肌群疲劳后肌肉力量以及静态平衡能力的即刻影响。方法：受试对象为45名健康男性大学生，将受试者随机分成3组各15例进行不同测试(正常组、肌肉疲劳组以及肌内效贴组)。其中，正常组直接进行肌力与平衡测试；肌肉疲劳组在BIODEX等速训练仪的离心/离心的训练方式下进行连续的踝背伸及跖屈进而诱导肌肉疲劳，当疲劳出现时立即进行肌力与平衡测试；肌内效贴组采用与肌肉疲劳组相同的训练方法，在疲劳后即刻接受肌内效贴贴扎随后进行肌力与平衡测试，包括：向心模式60°/s和180°/s速度下的等速肌力和睁眼/闭眼状态下的静态平衡测试。结果：在等速肌力方面，肌肉疲劳组60°/s与180°/s跖屈、背伸各项肌力指标均较正常组降低 (均P＜0.05)；肌内效贴组60°/s跖屈峰力矩与平均功率、60°/s背伸峰力矩、平均峰力矩、平均功率均较肌肉疲劳组增加(均P＜0.05)。180°/s跖屈平均峰力矩、背伸平均峰力矩、平均功率均较肌肉疲劳组增加(均P＜0.05)，肌内效贴组背伸峰力矩较正常组降低(P＜0.05)。在静态平衡方面，在睁眼状态下肌肉疲劳组Y轴平均压力中心（COP）、运动椭圆面积、运动长度均较正常组增加（均P＜0.05）。肌内效贴组运动椭圆面积、运动长度均较肌肉疲劳组降低（均P＜0.05）。肌内效贴组较正常组运动椭圆面积增加（P＜0.05）。闭眼状态下肌肉疲劳组Y轴COP、前后方向平均运动速度、左右方向平均运动速度、运动椭圆面积、运动长度较正常组增加(均P＜0.05)；肌内效贴组前后方向平均运动速度、左右方向平均运动速度、运动椭圆面积和运动长度均较肌肉疲劳组降低(均P＜0.05)。结论：离心运动可引起踝关节周围肌群产生疲劳反应，肌内效贴能促进踝关节周围肌群肌力恢复和改善平衡控制能力。 |
| 英文摘要: |
| Objective: To explore the immediate effect of intramuscular plaster binding on muscle strength and static balance ability after eccentric exercise-induced fatigue of muscles around the ankle joint.Methods: A total of 45 healthy male college students were randomly divided into 3 groups with 15 cases each for different tests (normal group, muscle fatigue group and intramuscular patch group). Among them, the normal group was directly tested for muscle strength and balance; In the muscle fatigue group, under the centrifugal/centrifugal training mode of BIODEX isokinetic training instrument, the ankle joint was subjected to continuous ankle back extension and plantar flexion to induce muscle fatigue. When fatigue appeared, muscle strength and balance tests were performed immediately; The intramuscular effect patch group was given the same training method as the muscle muscle fatigue group. Immediately after fatigue, it received the promotion patch and then was subjected to the muscle strength and balance test, including the isokinetic muscle strength at the speed of 60 °/s and 180 °/s in the centripetal mode and the static balance test at the open/closed state. Results: In terms of isokinetic muscle strength, the indexes of plantar flexion and back extension in the muscle fatigue group at 60 °/s and 180 °/s were lower than those in the normal group (all P<0.05); The peak moment and average power of plantar flexion at 60 °/s, the peak moment of back extension at 60 °/s, the average peak moment and the average power of intramuscular patch group were higher than those of muscle fatigue group (all P<0.05). The average peak moment of plantar flexion at 180 °/s, average peak moment of back extension and average power in the intramuscular patch group were higher than those in the muscle fatigue group (all P<0.05), and the peak moment of back extension in the intramuscular patch group was lower than that in the normal group (P<0.05). In terms of static balance, the mean pressure center (COP) of Y-axis, the area of exercise ellipse and the length of exercise in the muscle fatigue group were increased as compared with those in the normal group (all P<0.05). The elliptical area and length of exercise in the intramuscular effect patch group were decreased as compared with those in the muscle fatigue group (all P<0.05). The area of motor ellipse in the intramuscular patch group increased as compared with that in the normal group (P<0.05). The mean COP of the Y-axis, the mean velocity of movement in the front and back directions, the mean velocity of movement in the left and right directions, the area of movement ellipse, and the length of movement in the muscle fatigue group were significantly increased as compared with those in the normal group (all P<0.05); The average movement speed in the front and back directions, the average movement speed in the left and right directions, the movement ellipse area and the movement length in the intramuscular effect patch group were reduced as compared with those in the muscle fatigue group (all P<0.05). Conclusion: Centrifugal exercise can cause fatigue reaction of muscles around the ankle joint, and intramuscular plaster can promote muscle strength recovery and improve balance control ability of muscles around the ankle joint. |
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