The impact of whole-body vibration training and proprioceptive neuromuscular facilitation on biomechanical characteristics of lower extremity during cutting movement in individuals with functional ankle instability: A parallel-group study

IF 1.4 3区医学 Q4 ENGINEERING, BIOMEDICAL

Clinical Biomechanics Pub Date : 2024-02-15 DOI:10.1016/j.clinbiomech.2024.106208

Huimeng Chen , Wenxia Hu , Yuduo Liu , Jia Na , Qiujie Li , Xianglin Wan

{"title":"The impact of whole-body vibration training and proprioceptive neuromuscular facilitation on biomechanical characteristics of lower extremity during cutting movement in individuals with functional ankle instability: A parallel-group study","authors":"Huimeng Chen , Wenxia Hu , Yuduo Liu , Jia Na , Qiujie Li , Xianglin Wan","doi":"10.1016/j.clinbiomech.2024.106208","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>We compared the effects of whole-body vibration training and proprioceptive neuromuscular facilitation on the biomechanical characteristics of the lower limbs in functional ankle instability patients during cutting movement to ascertain the superior rehabilitation method.</p></div><div><h3>Methods</h3><p>Twenty-two male College students with unilateral functional ankle instability volunteered for this study and were randomly divided into whole-body vibration training group and proprioceptive neuromuscular facilitation group. Kinematics data and ground reaction forces were collected using infrared motion capture system and 3-D force plates synchronously during cutting. Repeated measures two-way ANOVA was performed to analyze the data.</p></div><div><h3>Findings</h3><p>Both training methods reduced the maximum hip abduction angle (<em>p</em> = 0.010, effect size: proprioceptive neuromuscular facilitation = 0.69; whole-body vibration training = 0.20), maximum knee flexion angle (<em>p</em> = 0.008, effect size: proprioceptive neuromuscular facilitation = 0.39, whole-body vibration training = 1.26) and angular velocity (<em>p</em> = 0.014, effect size: proprioceptive neuromuscular facilitation = 0.62, whole-body vibration training = 0.55), maximum ankle inversion angular velocity (<em>p</em> = 0.020, effect size: proprioceptive neuromuscular facilitation = 0.52, whole-body vibration training = 0.81), and knee flexion angle at the time of maximum vertical ground reaction forces (<em>p</em> = 0.018, effect size: proprioceptive neuromuscular facilitation = 0.27, whole-body vibration training = 0.76), and increased the maximum ankle dorsiflexion moment (<em>p</em> = 0.049, effect size: proprioceptive neuromuscular facilitation = −0.52, whole-body vibration training = −0.22). Whole-body vibration training reduced the maximum ground reaction forces value in the mediolateral directions (<em>p</em> = 0.010, effect size = 0.82) during cutting movement.</p></div><div><h3>Interpretation</h3><p>These findings suggested that the two types of training might increase neuromuscular conduction function around the ankle. After these two types of training, functional ankle instability patients showed a similar risk of injury to the lateral ankle ligaments during cutting.</p></div>","PeriodicalId":50992,"journal":{"name":"Clinical Biomechanics","volume":null,"pages":null},"PeriodicalIF":1.4000,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical Biomechanics","FirstCategoryId":"5","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0268003324000408","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"ENGINEERING, BIOMEDICAL","Score":null,"Total":0}

引用次数: 0

Abstract

Background

We compared the effects of whole-body vibration training and proprioceptive neuromuscular facilitation on the biomechanical characteristics of the lower limbs in functional ankle instability patients during cutting movement to ascertain the superior rehabilitation method.

Methods

Twenty-two male College students with unilateral functional ankle instability volunteered for this study and were randomly divided into whole-body vibration training group and proprioceptive neuromuscular facilitation group. Kinematics data and ground reaction forces were collected using infrared motion capture system and 3-D force plates synchronously during cutting. Repeated measures two-way ANOVA was performed to analyze the data.

Findings

Both training methods reduced the maximum hip abduction angle (p = 0.010, effect size: proprioceptive neuromuscular facilitation = 0.69; whole-body vibration training = 0.20), maximum knee flexion angle (p = 0.008, effect size: proprioceptive neuromuscular facilitation = 0.39, whole-body vibration training = 1.26) and angular velocity (p = 0.014, effect size: proprioceptive neuromuscular facilitation = 0.62, whole-body vibration training = 0.55), maximum ankle inversion angular velocity (p = 0.020, effect size: proprioceptive neuromuscular facilitation = 0.52, whole-body vibration training = 0.81), and knee flexion angle at the time of maximum vertical ground reaction forces (p = 0.018, effect size: proprioceptive neuromuscular facilitation = 0.27, whole-body vibration training = 0.76), and increased the maximum ankle dorsiflexion moment (p = 0.049, effect size: proprioceptive neuromuscular facilitation = −0.52, whole-body vibration training = −0.22). Whole-body vibration training reduced the maximum ground reaction forces value in the mediolateral directions (p = 0.010, effect size = 0.82) during cutting movement.

Interpretation

These findings suggested that the two types of training might increase neuromuscular conduction function around the ankle. After these two types of training, functional ankle instability patients showed a similar risk of injury to the lateral ankle ligaments during cutting.

查看原文本刊更多论文

全身振动训练和本体感觉神经肌肉促进对功能性踝关节不稳定患者切削运动时下肢生物力学特征的影响：平行组研究

背景我们比较了全身振动训练和本体感觉神经肌肉促进对功能性踝关节不稳定患者切割运动时下肢生物力学特征的影响，以确定更优越的康复方法。方法22名患有单侧功能性踝关节不稳定的男大学生自愿参加本研究，并随机分为全身振动训练组和本体感觉神经肌肉促进组。在切削过程中，使用红外线运动捕捉系统和三维力板同步采集运动学数据和地面反作用力。结果两种训练方法都减少了最大髋关节外展角度（P = 0.010，效应大小：本体感觉神经肌肉促进 = 0.69；全身振动训练 = 0.20）、最大屈膝角度（p = 0.008，效应大小：本体感觉神经肌肉促进 = 0.39；全身振动训练 = 1.26）和角速度（p = 0.014，效应大小：本体感觉神经肌肉促进 = 0.62；全身振动训练 = 0.55）、最大踝关节内翻角速度（p = 0.020，效应大小：本体感觉神经肌肉促进 = 0.52，全身振动训练 = 0.81）和最大垂直地面反作用力时的膝关节屈曲角（p = 0.018，效应大小：本体感觉神经肌肉促进 = 0.27，全身振动训练 = 0.76），并增加了最大踝关节背屈力矩（p = 0.049，效应大小：本体感觉神经肌肉促进 = -0.52，全身振动训练 = -0.22）。全身振动训练降低了切削运动中内侧方向的最大地面反作用力值（p = 0.010，效应大小 = 0.82）。经过这两种训练后，功能性踝关节不稳定患者在切削过程中踝关节外侧韧带受伤的风险相似。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Clinical Biomechanics 医学-工程：生物医学

CiteScore

3.30

自引率

5.60%

发文量

189

审稿时长

12.3 weeks

期刊介绍： Clinical Biomechanics is an international multidisciplinary journal of biomechanics with a focus on medical and clinical applications of new knowledge in the field. The science of biomechanics helps explain the causes of cell, tissue, organ and body system disorders, and supports clinicians in the diagnosis, prognosis and evaluation of treatment methods and technologies. Clinical Biomechanics aims to strengthen the links between laboratory and clinic by publishing cutting-edge biomechanics research which helps to explain the causes of injury and disease, and which provides evidence contributing to improved clinical management. A rigorous peer review system is employed and every attempt is made to process and publish top-quality papers promptly. Clinical Biomechanics explores all facets of body system, organ, tissue and cell biomechanics, with an emphasis on medical and clinical applications of the basic science aspects. The role of basic science is therefore recognized in a medical or clinical context. The readership of the journal closely reflects its multi-disciplinary contents, being a balance of scientists, engineers and clinicians. The contents are in the form of research papers, brief reports, review papers and correspondence, whilst special interest issues and supplements are published from time to time. Disciplines covered include biomechanics and mechanobiology at all scales, bioengineering and use of tissue engineering and biomaterials for clinical applications, biophysics, as well as biomechanical aspects of medical robotics, ergonomics, physical and occupational therapeutics and rehabilitation.