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Balance training for neuromuscular control and performance enhancement: a systematic review.

机译:神经肌肉控制和性能增强的平衡训练:系统综述。

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OBJECTIVE: As a result of inconsistencies in reported findings, controversy exists regarding the effectiveness of balance training for improving functional performance and neuromuscular control. Thus, its practical benefit in athletic training remains inconclusive. Our objective was to evaluate the effectiveness of training interventions in enhancing neuromuscular control and functional performance. DATA SOURCES: Two independent reviewers performed a literature search in Cochrane Bone, Joint and Muscle Trauma Group Register and Cochrane Controlled Trials Register, MEDLINE, EMBASE, PEDro (Physiotherapy Evidence Database), and SCOPUS. STUDY SELECTION: Randomized controlled trials and controlled trials without randomization with healthy and physically active participants aged up to 40 years old were considered for inclusion. Outcomes of interest were postural control, muscle strength, agility, jump performance, sprint performance, muscle reflex activity, rate of force development, reaction time, and electromyography. DATA EXTRACTION: Data of interest were methodologic assessment, training intervention, outcome, timing of the outcome assessment, and results. Standardized mean differences and 95% confidence intervals were calculated when data were sufficient. DATA SYNTHESIS: In total, 20 randomized clinical trials met the inclusion criteria. Balance training was effective in improving postural sway and functional balance when compared with untrained control participants. Larger effect sizes were shown for training programs of longer duration. Although controversial findings were reported for jumping performance, agility, and neuromuscular control, there are indications for the effectiveness of balance training in these outcomes. When compared with plyometric or strength training, conflicting results or no effects of balance training were reported for strength improvements and changes in sprint performance. CONCLUSIONS: We conclude that balance training can be effective for postural and neuromuscular control improvements. However, as a result of the low methodologic quality and training differences, further research is strongly recommended.
机译:目的:由于所报告的发现不一致,因此存在关于平衡训练对改善功能表现和神经肌肉控制的有效性的争论。因此,它在运动训练中的实际好处仍然没有定论。我们的目标是评估训练干预措施在增强神经肌肉控制和功能表现方面的有效性。数据来源:两名独立评论者对Cochrane骨,关节和肌肉创伤组注册和Cochrane对照试验注册,MEDLINE,EMBASE,PEDro(物理治疗证据数据库)和SCOPUS进行了文献检索。研究选择:考虑纳入随机对照试验和不随机分组的年龄在40岁以下的健康和体育锻炼参与者的对照试验。感兴趣的结果是姿势控制,肌肉力量,敏捷性,跳跃表现,短跑表现,肌肉反射活动,力量发展速度,反应时间和肌电图。数据提取:感兴趣的数据是方法学评估,培训干预,结果,结果评估的时机和结果。当数据足够时,计算标准均值差异和95%置信区间。数据综合:总共有20项随机临床试验符合纳入标准。与未经训练的对照参与者相比,平衡训练可有效改善姿势摇摆和功能平衡。对于持续时间较长的训练计划,效果较大。尽管有争议的发现报道了关于跳跃性能,敏捷性和神经肌肉控制的发现,但仍有迹象表明在这些结果中进行平衡训练是有效的。与力量训练或力量训练相比较时,据报矛盾的结果或没有平衡训练的效果,这些力量训练可以改善力量和改善短跑成绩。结论:我们得出结论,平衡训练可以有效改善姿势和神经肌肉控制。但是,由于方法学质量和培训差异低,强烈建议进一步研究。

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