The effect of a neuromuscular-cognitive training program on postural stability, hop performance, and agility in Division-I Women's Tennis athletes: A pilot study

IF 2.2 3区 医学 Q1 REHABILITATION
Ke’La H. Porter , Lina Ochoa , Danielle M. Torp , Matthew C. Hoch
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Abstract

Background

Situational awareness and cognitive function are often discounted in sports training programs, potentially limiting their effectiveness.

Objective

This research aimed to examine the effect of a six-week neuromuscular-cognitive training program on postural stability, hop performance, and agility with and without perceptual-cognitive challenge in a tennis team.

Design

Double baseline, quasi-experimental pretest-posttest.

Methods

Ten collegiate female tennis athletes volunteered to participate in this study. Participants completed two baseline testing sessions, a six-week training program, and a post-test session one week after the training program. Participants completed the neuromuscular-cognitive training twice a week for six weeks. The training integrated cognitive load (e.g., working memory and inhibitory control) during exercise (e.g., balance and shuffling). At each data collection session, subjects completed a single-limb stance on a force plate with and without an upper extremity reaction test, single-leg hop, single-leg memory hop, reactive agility, and a lower extremity reaction task. Pre-to post-intervention changes were analyzed using t-tests with corresponding Hedge's g effect sizes. Results were considered significant when p ≤ 0.05 and Hedge's g effect sizes were moderate to strong.

Results

Statistically significant improvements were identified for single and dual-task anteroposterior mean center of pressure velocity (g = −0.684–0.803), single-task time-to-boundary mediolateral mean minima (g = 0.921), and single and dual-task time-to-boundary anteroposterior mean minima (0.708–0.830). Additionally, significant improvements were identified in the upper extremity reaction task during the dual-task static balance (g = −0.795).

Conclusion

Neuromuscular-cognitive training may be beneficial in improving postural stability outcomes; however, more research is needed to develop this type of training further.
神经肌肉-认知训练计划对一级女子网球运动员姿势稳定性、跳跃表现和敏捷性的影响:试点研究。
背景:在运动训练计划中,情境意识和认知功能往往被忽视,这可能会限制其有效性:本研究旨在考察为期六周的神经肌肉-认知训练计划对网球队的姿势稳定性、跳跃表现和敏捷性的影响,以及是否存在感知-认知挑战:设计:双基线、准实验性前测-后测:方法:10 名大学网球女运动员自愿参加本研究。参加者完成了两次基线测试、为期六周的训练计划以及训练计划结束一周后的后测。参与者每周完成两次神经肌肉-认知训练,为期六周。训练将认知负荷(如工作记忆和抑制控制)与运动(如平衡和洗牌)结合起来。在每次数据收集过程中,受试者都要在测力板上完成单肢站立,同时进行或不进行上肢反应测试、单腿跳跃、单腿记忆跳跃、反应敏捷和下肢反应任务。采用 t 检验和相应的 Hedge's g 效果大小分析干预前和干预后的变化。当 p≤0.05 和 Hedge's g 效应量为中等至强时,结果被认为是有意义的:单任务和双任务的前胸平均压力中心速度(g = -0.684-0.803)、单任务到边界内外侧平均最小值的时间(g = 0.921)以及单任务和双任务到边界前胸平均最小值的时间(0.708-0.830)均有统计学意义的改善。此外,在双任务静态平衡(g = -0.795)中,上肢反应任务也有明显改善:结论:神经肌肉-认知训练可能有助于改善姿势稳定性结果;然而,还需要更多的研究来进一步发展这种类型的训练。
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来源期刊
Musculoskeletal Science and Practice
Musculoskeletal Science and Practice Health Professions-Physical Therapy, Sports Therapy and Rehabilitation
CiteScore
4.10
自引率
8.70%
发文量
152
审稿时长
48 days
期刊介绍: Musculoskeletal Science & Practice, international journal of musculoskeletal physiotherapy, is a peer-reviewed international journal (previously Manual Therapy), publishing high quality original research, review and Masterclass articles that contribute to improving the clinical understanding of appropriate care processes for musculoskeletal disorders. The journal publishes articles that influence or add to the body of evidence on diagnostic and therapeutic processes, patient centered care, guidelines for musculoskeletal therapeutics and theoretical models that support developments in assessment, diagnosis, clinical reasoning and interventions.
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