FIFA 11+练习对功能性踝关节不稳者的康复研究
|
摘要
目的:探讨FIFA 11+练习对功能性踝关节不稳(functional ankle instability,FAI)人群的踝关节肌力、本体感觉和下肢动态平衡能力的影响。方法:将30名FAI男性大学生分为实验组和对照组,每组15人,实验组进行FIFA 11+康复训练,对照组进行弹力带+平衡垫康复训练,康复训练进行16周。康复训练前、后采集两组受试者不同角速度下(60°/s和240°/s)踝关节等速肌力[跖屈、背伸、内翻、外翻相对峰值力矩(relative reak tergue,RPT)]、本体感觉(位置觉和力觉)和下肢动态平衡能力(score、max rot. speed、rot. speed和grade)等指标的值。采用独立样本t检验对同时期两组间的差异进行分析,而训练干预前、后组内差异采用配对样本t检验进行分析。结果:经过16周干预,两组受试者在60°/s和240°/s下跖屈RPT、背伸RPT、内翻RPT、外翻RPT等肌力学指标、位置觉和力觉以及score、max rot. speed、rot. speed和grade等动态平衡指标较干预前相应指标均有显著性改善(P<0.05);训练干预后,两组受试者在max rot. speed值间具有显著性差异(P<0.05)。结论:FIFA 11+练习能显著提高FAI者踝关节肌力、本体感觉和下肢动态平衡能力,且FIFA 11+练习在改善FAI者踝关节爆发力和动态平衡能力方面优于力量+本体感觉训练法。因此,FIFA 11+练习可作为FAI后期康复的一种常用训练方法。
Objectives: To explore the effect of FIFA 11+exercise on ankle joint muscle strength,proprioception and lower limb dynamic balance in patients with functional ankle instability.Methods: Thirty FAI male college students were divided into experimental group and control group, 15 in each group;the experimental group was subjected to FIFA 11+ rehabilitation training,the control group was subjected to elastic band + balance pad rehabilitation training, and the rehabilitation training was carried out for 16 weeks. Before and after rehabilitation, the two groups of subjects were collected at different angular velocities(60°/s and 240°/s) for ankle joint isokinetic muscle strength(?exion, back extension, varus, valgus RPT), proprioception(positional sense and force sense) and the value of the lower limb dynamic balance(score, max rot. speed, rot.speed, and grade). Differences between the two groups were analyzed by independent sample t test, and the differences within the group after training intervention were analyzed by paired sample t test. Results: After 16 weeks of rehabilitation training intervention, the two groups of subjects underwent ?exion RPT, RPT, varus RPT, valgus RPT and other myodynamics, position and force at 60°/s and 240°/s. The dynamic balance indicators such as score, max rot. speed, rot. speed and grade were signi?cantly improved compared with the corresponding indicators before intervention(P< 0.05). After training intervention, the two groups had signi?cant difference(P< 0.05) on Max Rot. Speed value. Conclusions: FIFA 11+ exercises can signi?cantly improve the muscle strength, proprioception and lower limb dynamic balance of the ankle joints of FAI, and FIFA 11+exercises are superior to strength + proprioceptive training in improving the explosive force and dynamic balance of the ankle joints of FAI, therefore, FIFA 11+exercise can be used as a common training method for post-rehabilitation of functional ankle instability.
Objectives: To explore the effect of FIFA 11+exercise on ankle joint muscle strength,proprioception and lower limb dynamic balance in patients with functional ankle instability.Methods: Thirty FAI male college students were divided into experimental group and control group, 15 in each group;the experimental group was subjected to FIFA 11+ rehabilitation training,the control group was subjected to elastic band + balance pad rehabilitation training, and the rehabilitation training was carried out for 16 weeks. Before and after rehabilitation, the two groups of subjects were collected at different angular velocities(60°/s and 240°/s) for ankle joint isokinetic muscle strength(?exion, back extension, varus, valgus RPT), proprioception(positional sense and force sense) and the value of the lower limb dynamic balance(score, max rot. speed, rot.speed, and grade). Differences between the two groups were analyzed by independent sample t test, and the differences within the group after training intervention were analyzed by paired sample t test. Results: After 16 weeks of rehabilitation training intervention, the two groups of subjects underwent ?exion RPT, RPT, varus RPT, valgus RPT and other myodynamics, position and force at 60°/s and 240°/s. The dynamic balance indicators such as score, max rot. speed, rot. speed and grade were signi?cantly improved compared with the corresponding indicators before intervention(P< 0.05). After training intervention, the two groups had signi?cant difference(P< 0.05) on Max Rot. Speed value. Conclusions: FIFA 11+ exercises can signi?cantly improve the muscle strength, proprioception and lower limb dynamic balance of the ankle joints of FAI, and FIFA 11+exercises are superior to strength + proprioceptive training in improving the explosive force and dynamic balance of the ankle joints of FAI, therefore, FIFA 11+exercise can be used as a common training method for post-rehabilitation of functional ankle instability.
引文
邓树勋,王健,乔德才,等,2015.运动生理学[M].北京:高等教育出版社.
谷莉,2008.前交叉韧带本体感觉功能的临床认知[J].中国康复医学杂志,23(8):756-759.
贾蒙蒙,吴卫兵,伍勰,等,2018.FIFA11+练习对足球运动员膝关节生物力学特征和动态平衡能力的影响[J].中国体育科技,54(2):59-65.
孙孟凡,2017.PNF技术联合核心稳定性训练对功能性踝关节不稳康复的影响[D].武汉:武汉体育学院.
汤晨曦,2017.同振幅递进频率全身振动训练对功能性踝关节不稳的影响[D].成都:成都体育学院.
张阳,张秋霞,2013.单侧功能性踝关节不稳者两侧踝内外翻等速肌力差异性的研究[J].北京体育大学学报,36(12):88-92.
赵丽,李翠,顾博雅,等,2012.功能性踝关节不稳者动态平衡能力及等速肌力特征研究[J].中国医药导报,9(35):44-46,49.
朱燕,陈永强,丁莹,2012.功能性踝关节不稳的运动员与非运动员踝内外翻肌等速向心及等速离心测试的比较分析[J].中国康复医学杂志,27(5):437-441.
AGEL J,EVANS T A,DICK R,et al.,2007.Descriptive epidemiology of collegiate men’s soccer injuries:National collegiate athletic association injury surveillance system,1988-1989 through 2002-2003[J].J Athl Training,42(2):270-277.
AHMED A F,2010.Effect of sensorimotor training on joint proprioception and isokinetic strength ratios in subjects with unilateral functional ankle instability[J].Bull Faculty Phys Therapy,15(2):25-34.
AMRINDER S,DEEPINDER S,SINGH S J,2012.Effect of proprioceptive exercises on balance and center of pressure in athletes with functional ankle instability[J].Sports Med J/Medicina Sportiva,8(3):1927-1933.
ARNOLD B L,LINENS S W,DE LA MOTTE S J,et al.,2009.Concentric evertor strength differences and functional ankle instability:A meta-analysis[J].J Athl training,44(6):653-662.
BIZZINI M,JUNGE A,DVORAK J,2013.Implementation of the FIFA11+football warm up program:How to approach and convince the football associations to invest in prevention[J].Br J Sports Med,47(12):803-806.
BJ?RKHEIM A,2017.What is the effect of the FIFA 11+injury prevention programme on eccentric knee flexor strength in adolescent elite male football players:A randomised controlled trial[D].MS Thesis.
BLENKINSOP G M,PAIN M T G,HILEY M J,2017.Balance control strategies during perturbed and unperturbed balance in standing and handstand[J].R Soc open sci,4(7):161018.
DANESHJOO A,MOKHTAR A H,RAHNAMA N,et al.,2012a.The effects of injury preventive warm-up programs on knee strength ratio in young male professional soccer players[J].PLoS One,7(12):e50979.
DANESHJOO A,MOKHTAR A H,RAHNAMA N,et al.,2012b.The effects of comprehensive warm-up programs on proprioception,static and dynamic balance on male soccer players[J].PLoS ONE,7(12):e51568.
DANESHJOO A,MOKHTAR A H,RAHNAMA N,et al.,2013.The effects of injury prevention warm-up programmes on knee strength in male soccer players[J].Biol Sport,30(4):281-288.
DELAHUNT E,COUGHLAN G F,CAULFIELD B,et al.,2010.Inclusion criteria when investigating insufficiencies in chronic ankle instability[J].Med Sci Sports Exerc,42(11):2106-2121.
DOCHERTY C L,ARNOLD B L,2008.Force sense deficits in functionally unstable ankles[J].J Orthop Res,26(11):1489-1493.
DOCHERTY C L,ARNOLD B L,HURWITZ S,2006.Contralateral force sense deficits are related to the presence of functional ankle instability[J].J Orthop Res,24(7):1412-1419.
DONAHUE M,SIMON J,DOCHERTY C L,2011.Critical review of self-reported functional ankle instability measures[J].Foot Ankle Int,32(12):1140-1146.
DUNSKY A,BARZILAY I,FOX O,2017.Effect of a specialized injury prevention program on static balance,dynamic balance and kicking accuracy of young soccer players[J].World J Orthop,8(4):317-321.
ELSHEMY S A,BATTECHA K H,2013.Kinesio taping versus proprioceptive training on dynamic position sense of the ankle and eversion to inversion strength ratios in children with functional ankle instability[J].Medical J Cairo University,81(2):61-68.
FOX J,DOCHERTY C L,SCHRADER J,et al.,2008.Eccentric plantar-flexor torque deficits in participants with functional ankle instability[J].J Athl Training,43(1):51-54.
GOMES NETO M,CONCEI??O C S,DE LIMA BRASILEIRO A J A,et al.,2017.Effects of the FIFA 11 training program on injury prevention and performance in football players:Systematic review and meta-analysis[J].Clin Rehabil,31(5):651-659.
GRITSANADILOK W,CHENTANEZ T,HIRUNRAT S,et al.,2013.The effect of“The FIFA 11+”warm-up training on balance and proprioception in adolescent futsal players[J].J Sports Sci Tech,13(2):19-29.
GROTERS S,GROEN B E,VAN CINGEL R,et al.,2013.Double-leg stance and dynamic balance in individuals with functional ankle instability[J].Gait Posture,38(4):968-973.
HALE S A,HERTEL J,2005.Reliability and sensitivity of the foot and ankle disability index in subjects with chronic ankle instability[J].J Athl Training,40(1):35-40.
HANCI E,SEKIR U,GUR H,et al.,2016.Eccentric training improves ankle evertor and dorsiflexor strength and proprioception in functionally unstable ankles[J].Am J Phys Med Rehabil,95(6):448-458.
HARTSELL H D,SPAULDING S J,1999.Eccentric/concentric ratios at selected velocities for the invertor and evertor muscles of the chronically unstable ankle[J].Brit J Sports Med,33(4):255-258.
HA S Y,HAN J H,SUNG Y H,2018.Effects of ankle strengthening exercise program on an unstable supporting surface on proprioception and balance in adults with functional ankle instability[J].J Exer Rehabil,14(2):301-305.
HOOTMAN J M,DICK R,AGEL J,2007.Epidemiology of collegiate injuries for 15 sports:Summary and recommendations for injury prevention initiatives[J].J Athl Training,42(2):311-319.
HUBBARD T J,KAMINSKI T W,VANDER R A G,et al.,2004.Quantitative assessment of mechanical laxity in the functionally unstable ankle[J].Med Sci Sports Exer,36(5):760-766.
JAIN T K,WAUNEKA C N,LIU W,2014.The effect of balance training on ankle proprioception in patients with functional ankle instability[C]//Journal of foot and ankle research.BioMed Central,7(1):A37.
KIM K J,2013.Impact of combined muscle strength and proprioceptive exercises on functional ankle instability[J].J Int Acad Phys Therapy Res,4(2):600-604.
KONRADSEN L,2002.Factors contributing to chronic ankle instability:Kinesthesia and joint position sense[J].J Athl Training,37(4):381-385.
KRAVITZ L,AKALAN C,NOWICKI K,et al.,2003.Prediction of 1 repetition maximum in high-school power lifters[J].J Strength Cond Res,17(1):167-172.
KWAK K I,CHOI B J,2016.Effects of dual task training on balance and functional performance in high school soccer players with functional ankle instability[J].J Korean Phys Therapy,28(4):254-258.
LEE A J Y,LIN W H,2008.Twelve-week biomechanical ankle platform system training on postural stability and ankle proprioception in subjects with unilateral functional ankle instability[J].Clin Biomech,23(8):1065-1072.
MUNN J,SULLIVAN S J,SCHNEIDERS A G,2010.Evidence of sensorimotor deficits in functional ankle instability:A systematic review with meta-analysis[J].J Sci Med Sport,13(1):2-12.
NIELSEN A B,YDE J,1989.Epidemiology and traumatology of injuries in soccer[J].Am J Sports Med,17(6):803-807.
PRAPHAWICHA S,CHENTANEZ T,SINPHURMSUKSAKUL O,2013.The effects of the FIFA 11+warm up program on resting postural sway,reaction time,movement time and speed of finger tapping in adolescent futsal players[J].J Sports Sci Tech,13(1):19-30.
RIEMANN B L,LEPHART S M,2002.The sensorimotor system,part I:the physiologic basis of functional joint stability[J].J Athl Training,37(1):71-79.
SILVERS-GRANELLI H,MANDELBAUM B,ADENIJI O,et al.,2015.Efficacy of the FIFA 11+injury prevention program in the collegiate male soccer player[J].Am J Sports Med,43(11):2628-2637.
STEIB S,PFEIFER K,2015.Sensorimotor deficits in functional ankle instability[J].Z fur Orthopadie und Unfallchirurgie,153(3):253-258.
SMITH B I,DOCHERTY C L,SIMON J,et al.,2012.Ankle strength and force sense after a progressive,6-week strength-training program in people with functional ankle instability[J].J Athl Training,47(3):282-288.
WIKSTROM E A,TILLMAN M D,BORSA P A,2005.Detection of dynamic stability deficits in subjects with functional ankle instability[J].Med Sci Sports Exer,37(2):169-175.
谷莉,2008.前交叉韧带本体感觉功能的临床认知[J].中国康复医学杂志,23(8):756-759.
贾蒙蒙,吴卫兵,伍勰,等,2018.FIFA11+练习对足球运动员膝关节生物力学特征和动态平衡能力的影响[J].中国体育科技,54(2):59-65.
孙孟凡,2017.PNF技术联合核心稳定性训练对功能性踝关节不稳康复的影响[D].武汉:武汉体育学院.
汤晨曦,2017.同振幅递进频率全身振动训练对功能性踝关节不稳的影响[D].成都:成都体育学院.
张阳,张秋霞,2013.单侧功能性踝关节不稳者两侧踝内外翻等速肌力差异性的研究[J].北京体育大学学报,36(12):88-92.
赵丽,李翠,顾博雅,等,2012.功能性踝关节不稳者动态平衡能力及等速肌力特征研究[J].中国医药导报,9(35):44-46,49.
朱燕,陈永强,丁莹,2012.功能性踝关节不稳的运动员与非运动员踝内外翻肌等速向心及等速离心测试的比较分析[J].中国康复医学杂志,27(5):437-441.
AGEL J,EVANS T A,DICK R,et al.,2007.Descriptive epidemiology of collegiate men’s soccer injuries:National collegiate athletic association injury surveillance system,1988-1989 through 2002-2003[J].J Athl Training,42(2):270-277.
AHMED A F,2010.Effect of sensorimotor training on joint proprioception and isokinetic strength ratios in subjects with unilateral functional ankle instability[J].Bull Faculty Phys Therapy,15(2):25-34.
AMRINDER S,DEEPINDER S,SINGH S J,2012.Effect of proprioceptive exercises on balance and center of pressure in athletes with functional ankle instability[J].Sports Med J/Medicina Sportiva,8(3):1927-1933.
ARNOLD B L,LINENS S W,DE LA MOTTE S J,et al.,2009.Concentric evertor strength differences and functional ankle instability:A meta-analysis[J].J Athl training,44(6):653-662.
BIZZINI M,JUNGE A,DVORAK J,2013.Implementation of the FIFA11+football warm up program:How to approach and convince the football associations to invest in prevention[J].Br J Sports Med,47(12):803-806.
BJ?RKHEIM A,2017.What is the effect of the FIFA 11+injury prevention programme on eccentric knee flexor strength in adolescent elite male football players:A randomised controlled trial[D].MS Thesis.
BLENKINSOP G M,PAIN M T G,HILEY M J,2017.Balance control strategies during perturbed and unperturbed balance in standing and handstand[J].R Soc open sci,4(7):161018.
DANESHJOO A,MOKHTAR A H,RAHNAMA N,et al.,2012a.The effects of injury preventive warm-up programs on knee strength ratio in young male professional soccer players[J].PLoS One,7(12):e50979.
DANESHJOO A,MOKHTAR A H,RAHNAMA N,et al.,2012b.The effects of comprehensive warm-up programs on proprioception,static and dynamic balance on male soccer players[J].PLoS ONE,7(12):e51568.
DANESHJOO A,MOKHTAR A H,RAHNAMA N,et al.,2013.The effects of injury prevention warm-up programmes on knee strength in male soccer players[J].Biol Sport,30(4):281-288.
DELAHUNT E,COUGHLAN G F,CAULFIELD B,et al.,2010.Inclusion criteria when investigating insufficiencies in chronic ankle instability[J].Med Sci Sports Exerc,42(11):2106-2121.
DOCHERTY C L,ARNOLD B L,2008.Force sense deficits in functionally unstable ankles[J].J Orthop Res,26(11):1489-1493.
DOCHERTY C L,ARNOLD B L,HURWITZ S,2006.Contralateral force sense deficits are related to the presence of functional ankle instability[J].J Orthop Res,24(7):1412-1419.
DONAHUE M,SIMON J,DOCHERTY C L,2011.Critical review of self-reported functional ankle instability measures[J].Foot Ankle Int,32(12):1140-1146.
DUNSKY A,BARZILAY I,FOX O,2017.Effect of a specialized injury prevention program on static balance,dynamic balance and kicking accuracy of young soccer players[J].World J Orthop,8(4):317-321.
ELSHEMY S A,BATTECHA K H,2013.Kinesio taping versus proprioceptive training on dynamic position sense of the ankle and eversion to inversion strength ratios in children with functional ankle instability[J].Medical J Cairo University,81(2):61-68.
FOX J,DOCHERTY C L,SCHRADER J,et al.,2008.Eccentric plantar-flexor torque deficits in participants with functional ankle instability[J].J Athl Training,43(1):51-54.
GOMES NETO M,CONCEI??O C S,DE LIMA BRASILEIRO A J A,et al.,2017.Effects of the FIFA 11 training program on injury prevention and performance in football players:Systematic review and meta-analysis[J].Clin Rehabil,31(5):651-659.
GRITSANADILOK W,CHENTANEZ T,HIRUNRAT S,et al.,2013.The effect of“The FIFA 11+”warm-up training on balance and proprioception in adolescent futsal players[J].J Sports Sci Tech,13(2):19-29.
GROTERS S,GROEN B E,VAN CINGEL R,et al.,2013.Double-leg stance and dynamic balance in individuals with functional ankle instability[J].Gait Posture,38(4):968-973.
HALE S A,HERTEL J,2005.Reliability and sensitivity of the foot and ankle disability index in subjects with chronic ankle instability[J].J Athl Training,40(1):35-40.
HANCI E,SEKIR U,GUR H,et al.,2016.Eccentric training improves ankle evertor and dorsiflexor strength and proprioception in functionally unstable ankles[J].Am J Phys Med Rehabil,95(6):448-458.
HARTSELL H D,SPAULDING S J,1999.Eccentric/concentric ratios at selected velocities for the invertor and evertor muscles of the chronically unstable ankle[J].Brit J Sports Med,33(4):255-258.
HA S Y,HAN J H,SUNG Y H,2018.Effects of ankle strengthening exercise program on an unstable supporting surface on proprioception and balance in adults with functional ankle instability[J].J Exer Rehabil,14(2):301-305.
HOOTMAN J M,DICK R,AGEL J,2007.Epidemiology of collegiate injuries for 15 sports:Summary and recommendations for injury prevention initiatives[J].J Athl Training,42(2):311-319.
HUBBARD T J,KAMINSKI T W,VANDER R A G,et al.,2004.Quantitative assessment of mechanical laxity in the functionally unstable ankle[J].Med Sci Sports Exer,36(5):760-766.
JAIN T K,WAUNEKA C N,LIU W,2014.The effect of balance training on ankle proprioception in patients with functional ankle instability[C]//Journal of foot and ankle research.BioMed Central,7(1):A37.
KIM K J,2013.Impact of combined muscle strength and proprioceptive exercises on functional ankle instability[J].J Int Acad Phys Therapy Res,4(2):600-604.
KONRADSEN L,2002.Factors contributing to chronic ankle instability:Kinesthesia and joint position sense[J].J Athl Training,37(4):381-385.
KRAVITZ L,AKALAN C,NOWICKI K,et al.,2003.Prediction of 1 repetition maximum in high-school power lifters[J].J Strength Cond Res,17(1):167-172.
KWAK K I,CHOI B J,2016.Effects of dual task training on balance and functional performance in high school soccer players with functional ankle instability[J].J Korean Phys Therapy,28(4):254-258.
LEE A J Y,LIN W H,2008.Twelve-week biomechanical ankle platform system training on postural stability and ankle proprioception in subjects with unilateral functional ankle instability[J].Clin Biomech,23(8):1065-1072.
MUNN J,SULLIVAN S J,SCHNEIDERS A G,2010.Evidence of sensorimotor deficits in functional ankle instability:A systematic review with meta-analysis[J].J Sci Med Sport,13(1):2-12.
NIELSEN A B,YDE J,1989.Epidemiology and traumatology of injuries in soccer[J].Am J Sports Med,17(6):803-807.
PRAPHAWICHA S,CHENTANEZ T,SINPHURMSUKSAKUL O,2013.The effects of the FIFA 11+warm up program on resting postural sway,reaction time,movement time and speed of finger tapping in adolescent futsal players[J].J Sports Sci Tech,13(1):19-30.
RIEMANN B L,LEPHART S M,2002.The sensorimotor system,part I:the physiologic basis of functional joint stability[J].J Athl Training,37(1):71-79.
SILVERS-GRANELLI H,MANDELBAUM B,ADENIJI O,et al.,2015.Efficacy of the FIFA 11+injury prevention program in the collegiate male soccer player[J].Am J Sports Med,43(11):2628-2637.
STEIB S,PFEIFER K,2015.Sensorimotor deficits in functional ankle instability[J].Z fur Orthopadie und Unfallchirurgie,153(3):253-258.
SMITH B I,DOCHERTY C L,SIMON J,et al.,2012.Ankle strength and force sense after a progressive,6-week strength-training program in people with functional ankle instability[J].J Athl Training,47(3):282-288.
WIKSTROM E A,TILLMAN M D,BORSA P A,2005.Detection of dynamic stability deficits in subjects with functional ankle instability[J].Med Sci Sports Exer,37(2):169-175.