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首页> 外文期刊>Journal of athletic training >Customized noise-stimulation intensity for bipedal stability and unipedal balance deficits associated with functional ankle instability
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Customized noise-stimulation intensity for bipedal stability and unipedal balance deficits associated with functional ankle instability

机译:定制的噪声刺激强度,可实现与功能性踝关节不稳相关的双足稳定性和单足平衡不足

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Context: Stochastic resonance stimulation (SRS) administered at an optimal intensity could maximize the effects of treatment on balance. Objective: To determine if a customized optimal SRS intensity is better than a traditional SRS protocol (applying the same percentage sensory threshold intensity for all participants) for improving double- and single-legged balance in participants with or without functional ankle instability (FAI). Design: Case-control study with an embedded crossover design. Setting: Laboratory. Patients or Other Participants: Twelve healthy participants (6 men, 6 women; age = 22±2 years, height = 170±7 cm, mass = 64±10 kg) and 12 participants (6 men, 6 women; age = 23±3 years, height = 174±8 cm, mass = 69±10 kg) with FAI. Intervention(s): The SRS optimal intensity level was determined by finding the intensity from 4 experimental intensities at the percentage sensory threshold (25% [SRS25], 50% [SRS50], 75% [SRS 75], 90% [SRS90]) that produced the greatest improvement in resultant center-of-pressure velocity (R-COPV) over a control condition (SRS0) during double-legged balance. We examined double- and single-legged balance tests, comparing optimal SRS (SRSopt1) and SRS0 using a battery of center-of-pressure measures in the frontal and sagittal planes. Main Outcome Measure(s): Anterior-posterior (A-P) and medial-lateral (M-L) center-of-pressure velocity (COPV) and center-of-pressure excursion (COPE), R-COPV, and 95th percentile center-of-pressure area ellipse (COPA-95). Results: Data were organized into bins that represented optimal (SRS opt1), second (SRSopt2), third (SRSopt3), and fourth (SRSopt4) improvement over SRS0. The SRSopt1 enhanced RCOPV (P ≤ .05) over SRS0 and other SRS conditions (SRS0 = 0.94±0.32 cm/s, SRSopt1 = 0.80±0.19 cm/s, SRSopt2 = 0.88±0.24 cm/s, SRSopt3 = 0.94±0.25 cm/s, SRSopt4 = 1.00±0.28 cm/s). However, SRS did not improve R-COPV over SRS0 when data were categorized by sensory threshold. Furthermore, SRSopt1 improved double-legged balance over SRS0 from 11% to 25% in all participants for the center-of-pressure frontal- and sagittal-plane assessments (P ≤ .05). The SRSopt1 also improved single-legged balance over SRS0 from 10% to 17% in participants with FAI for the center-of-pressure frontal- and sagittal-plane assessments (P ≤ .05). The SRSopt1 did not improve single-legged balance in participants with stable ankles. Conclusions: The SRSopt1 improved double-legged balance and transfers to enhancing single-legged balance deficits associated with FAI.
机译:背景:以最佳强度施用随机共振刺激(SRS)可以使治疗对平衡的影响最大化。目的:确定定制的最佳SRS强度是否优于传统SRS协议(对所有参与者应用相同百分比的感觉阈值强度),以改善有或没有功能性踝不稳(FAI)的参与者的双腿和单腿平衡。设计:具有嵌入式交叉设计的病例对照研究。地点:实验室。患者或其他参与者:12名健康参与者(6名男性,6名女性;年龄= 22±2岁,身高= 170±7 cm,质量= 64±10 kg)和12名参与者(6名男性,6名女性;年龄= 23± 3年,身高= 174±8厘米,体重= 69±10公斤)。干预:通过在百分比感官阈值(25%[SRS25],50%[SRS50],75%[SRS 75],90%[SRS90])中从4种实验强度中找到强度来确定SRS最佳强度水平)在双足平衡期间比控制条件(SRS0)产生的合成压力中心速度(R-COPV)有了最大的改善。我们检查了双腿和单腿平衡测试,使用在额面和矢状面上的一组压力中心量度比较了最佳SRS(SRSopt1)和SRS0。主要观察指标:前后(AP)和内侧-内侧(ML)压力中心速度(COPV)和压力中心偏移(COPE),R-COPV和95%中心压力区域椭圆(COPA-95)。结果:数据被组织成代表相对于SRS0的最佳(SRS opt1),第二(SRSopt2),第三(SRSopt3)和第四(SRSopt4)改进的箱。在SRS0和其他SRS条件下(SRS0 = 0.94±0.32 cm / s,SRSopt1 = 0.80±0.19 cm / s,SRSopt2 = 0.88±0.24 cm / s,SRSopt3 = 0.94±0.25 cm),SRSopt1增强了RCOPV(P≤.05) / s,SRSopt4 = 1.00±0.28 cm / s)。但是,按感觉阈值对数据进行分类时,SRS不能比SRS0改善R-COPV。此外,对于压力中心额面和矢状面评估,SRSopt1将所有参与者的双腿平衡比SRS0从11%提高到25%(P≤.05)。对于压力中心额面和矢状面评估,FAI参与者的SRSopt1也比SRS0的单腿平衡从10%提高到17%(P≤.05)。 SRSopt1不能改善脚踝稳定参与者的单腿平衡。结论:SRSopt1改善了双足余额和转移,从而增加了与固定资产投资相关的单足余额赤字。

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