摘要
目的观察本体感神经肌肉易化法(PNF)对实兵对抗演习后坦克乘员肌疲劳的干预作用。方法采用自制调查表筛选出415名实兵对抗演习结束后肌疲劳的坦克乘员,随机分为PNF组211人及对照组204人,PNF组演习结束后当天且连续7 d针对双上肢及骨盆带肌肉采用本体感觉神经肌肉促进法干预。在实兵对抗演习结束当天至第7天分别评定肌疲劳程度、VAS评分以及生化指标。结果演习结束后第7天PNF组中度肌疲劳人数少于对照组(P<0.05);VAS评分PNF组明显低于对照组(P<0.05);PNF组Mb、ALT、AST、LDH、CK与对照组比较差异有统计学意义。结论 PNF法能有效减轻实兵对抗演习后坦克乘员肌疲劳程度。
Objective To observe the effect of proprioceptive neuromuscular facilitation(PNF) intervention on muscular fatigue after force-on-force training in tank soldiers. Methods A total of 415 muscular fatigue of tank soldiers following force-on-force training were selected by means of self-designed questionnaire and randomly divided them into the control group with a total of 204 stayed quietly after-training and the PNF group with a total of 211 receiving PNF intervention on muscle around both upper extremities and pelvic girdle on the day after training and over a period of 7 days. The degrees of muscle fatigue,visual analog scale(VAS) and blood biochemistry parameters were precisely observed at 1,7 days after force-on-force training,respectively. Results The significant differences about the moderate degree of muscle fatigue,VAS and rate of blood biochemistry parameters(myoglobin,alanine aminotransferase,aspartate aminotransferase,lactate dehydrogenase,creatine kinase) at7 day after training among the two groups were observed(P <0.05). Conclusion PNF can effectively relieve muscle fatigue of tank soldiers after force-on-force training.
引文
[1]ENOKA RM,BAUDRY S,RADROFF,et al.Unraveling the neurophysiology of muscle fatigue[J].J Electromyogr kinesiol,2011,21(2):208-209.
[2]朱敏,何晓军,赵武伟,等.两种肌肉调理方法对新学员5km越野后肌疲劳干预效果的比较[J].武警医学,2011,22(12):1029-1031.
[3]龙智铨.顽固性网球肘诊疗进展[J].现代中西医结合杂志,2010,19(16):2075-2076.
[4]路怀民,刘波,王泉巅,等.骨科弹道式冲击波配合前臂伸肌群本体感觉神经肌肉促进训练治疗顽固性网球肘40例报道[J].中国运动医学杂志,2013,32(3):243-244.
[5]黄昌林,张莉,薛刚.制定《军事训练伤诊断标准及防治原则》的说明[J].人民军医,2002,45(10):559.
[6]王新华,周荣斌,王丽敏.装甲车辆乘员军事训练伤研究进展[J].人民军医,2013,56(1):5-7.
[7]麦明泉,伍少玲,马超,等.单次手法和物理治疗颈型颈椎病:疼痛和关节活动的即刻及短期效果比较[J].中国组织工程研究与临床康复,2010,14(46):8691-8694.
[8]徐林新,李新立,夏强,等.某全训坦克部队官兵军训中发生肌疲劳的调查[J].解放军预防医学杂志,2003,21(1):42-43.
[9]吴洪,冉春风,刘丽平,等.神经肌肉关节促进法对膝关节粘连关节镜松解术后的治疗作用[J].中国康复,2010,25(2):123-125.
[10]何晓军,马敏敏,赵武伟,等.本体感觉神经肌肉促进法对5km越野后肌疲劳的作用及最佳干预时机[J].中国组织工程研究与临床康复,2011,15(2):356-359.
[11]徐建武,陈克梦,马馨,等.PNF拉伸对机体局部大负荷运动后快速恢复的效果[J].中国运动医学杂志,2015,34(10):962-966.