Dynamic neuromuscular stabilization training for chronic ankle instability: A randomized controlled trial in amateur athletes.

IF 1.4 4区 医学 Q3 ORTHOPEDICS
Sevval Yesilkir, Gizem Ergezen Sahin
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引用次数: 0

Abstract

BackgroundChronic ankle instability (CAI) is a widespread condition in athletes, characterized by recurrent episodes of ankle "giving way," diminished neuromuscular control and balance deficits. Traditional rehabilitation programmes typically emphasize strength and posture control, while more effective strategies incorporate balance training, including open chain exercises, vestibular training and multi-planar movements. In addition, novel approaches such as Dynamic Neuromuscular Stabilization (DNS) present an innovative method that aims to restore functional stability by activating the brain's natural movement control mechanisms.ObjectiveThis study aimed to determine and compare the impacts of balance and DNS training on functionality, instability severity, stabilization, balance, reaction time and performance in amateur athletes with CAI.MethodsThis single-blind randomized controlled trial was conducted with 36 amateur athletes (DNS training group: n = 12, balance training group: n = 12, conventional training group: n = 12) over a 6-week period. The DNS training group participated in exercises based on DNS principles, while the balance training group focused on training to enhance postural stability and vestibular function, and the conventional training group underwent conventional rehabilitation. The primary outcomes were measured using the Cumberland Ankle Instability Tool (CAIT) and Y Balance Test (YBT). Secondary measures were assessed through the Foot and Ankle Ability Measure (FAAM), Foot Lift Test (FLT), Balance Error Scoring System (BESS) and BlazePod™ Reaction Time (RT) Test. Assessments were carried out at three distinct time points: at baseline (pre-test), following 6 weeks of training (post-test), and at 12 weeks (follow-up test).ResultsDNS and balance training significantly improved all measures compared to conventional therapy (p < 0.05). DNS training showed significant superiority in FLT score, while balance training demonstrated significant performance increase in foam surface single-leg stance and foam surface tandem stance subscales of the BESS, with the high effect sizes (ranging from 0.95 to 1.00).ConclusionInnovative and effective interventions, such as DNS and balance training, play a crucial role in the rehabilitation processes of amateur athletes with CAI, with these effects being sustained in the long term.

动态神经肌肉稳定训练治疗慢性踝关节不稳定:一项业余运动员随机对照试验。
背景:慢性踝关节不稳定(CAI)在运动员中是一种普遍的疾病,其特征是踝关节反复发作,神经肌肉控制减弱和平衡缺陷。传统的康复方案通常强调力量和姿势控制,而更有效的策略包括平衡训练,包括开链练习、前庭训练和多平面运动。此外,动态神经肌肉稳定(DNS)等新方法提出了一种创新的方法,旨在通过激活大脑的自然运动控制机制来恢复功能稳定性。目的探讨平衡训练和DNS训练对业余CAI运动员的功能、不稳定程度、稳定性、平衡、反应时间和运动成绩的影响。方法采用单盲随机对照试验,选取36名业余运动员(DNS训练组:n = 12,平衡训练组:n = 12,常规训练组:n = 12),为期6周。DNS训练组根据DNS原理进行训练,平衡训练组着重进行增强姿势稳定性和前庭功能的训练,常规训练组进行常规康复。使用Cumberland踝关节不稳定工具(CAIT)和Y平衡测试(YBT)测量主要结果。次要测量通过足踝能力测量(FAAM)、足举测试(FLT)、平衡误差评分系统(BESS)和BlazePod™反应时间(RT)测试进行评估。评估在三个不同的时间点进行:基线(测试前),训练后6周(测试后)和12周(随访测试)。结果与常规治疗相比,dns和平衡训练显著改善了各项指标(p < 0.05)。DNS训练在FLT得分上表现出显著优势,而平衡训练在泡沫面单腿站立和泡沫面串联站立分量表上表现出显著提高,且具有较高的效应量(0.95 ~ 1.00)。结论创新有效的干预措施,如DNS和平衡训练,在业余CAI运动员的康复过程中起着至关重要的作用,并且这些效果是长期持续的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.70
自引率
0.00%
发文量
194
审稿时长
6 months
期刊介绍: The Journal of Back and Musculoskeletal Rehabilitation is a journal whose main focus is to present relevant information about the interdisciplinary approach to musculoskeletal rehabilitation for clinicians who treat patients with back and musculoskeletal pain complaints. It will provide readers with both 1) a general fund of knowledge on the assessment and management of specific problems and 2) new information considered to be state-of-the-art in the field. The intended audience is multidisciplinary as well as multi-specialty. In each issue clinicians can find information which they can use in their patient setting the very next day.
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