Joshua S Mohess, Hyunwook Lee, Serkan Uzlaşir, Erik A Wikstrom
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引用次数: 0
摘要
临床情景:患有慢性踝关节不稳定(CAI)的患者通常会完成平衡训练方案,以改善姿势控制并降低复发性损伤风险。然而,在传统的平衡训练方案之后,慢性踝关节不稳定仍然存在,这表明这些方案可能缺少对患者有益的元素。视觉闭塞模式(如频闪护目镜)或许可以增强平衡训练,进一步提高 CAI 患者的姿势控制能力。然而,对现有证据的累积审查仍有待进行:重点临床问题:与单独进行平衡训练相比,在进行平衡训练时佩戴频闪护目镜是否能为 CAI 患者带来更大的姿势控制改善?所有 3 项研究都表明,与标准平衡训练组相比,频闪护目镜组在静态或动态姿势控制的测量方面都有统计学意义上的显著改善。然而,在纳入研究的所有姿势控制结果评估中,明显改善并不一致:临床底线:与单独完成平衡训练相比,在完成平衡训练的同时佩戴频闪护目镜,CAI患者的姿势控制能力可能会得到更大改善:总体而言,3项研究均提供了一致的中高质量证据,表明CAI患者在进行平衡训练时使用频闪护目镜的证据等级为C级。
The Effects of Augmenting Balance Training with Stroboscopic Goggles on Postural Control in Chronic Ankle Instability Patients: A Critically Appraised Topic.
Clinical scenario: Individuals with chronic ankle instability (CAI) typically complete balance training protocols to improve postural control and reduce recurrent injury risk. However, the presence of CAI persists after traditional balance training protocols suggesting that such programs may be missing elements that could be beneficial to patients. Visual occlusion modalities, such as stroboscopic goggles, may be able to augment balance training exercises to further enhance postural control gains in those with CAI. However, a cumulative review of the existing evidence has yet to be conducted.
Focused clinical question: Does wearing stroboscopic goggles during balance training result in greater improvements to postural control than balance training alone in those with CAI?
Summary of key findings: All 3 studies indicated that the stroboscopic goggles group had statistically significant improvements in either a measure of static or dynamic postural control relative to the standard balance training group. However, significant improvements were not consistent across all postural control outcomes assessed in the included studies.
Clinical bottom line: Postural control may improve more in those with CAI when stroboscopic goggles were worn while completing balance training exercises relative to completing balance training exercises alone.
Strength of recommendation: Overall, consistent moderate- to high-quality evidence was present in the 3 studies, suggesting grade C evidence for the use of stroboscopic goggles during balance training in those with CAI.
期刊介绍:
The Journal of Sport Rehabilitation (JSR) is your source for the latest peer-reviewed research in the field of sport rehabilitation. All members of the sports-medicine team will benefit from the wealth of important information in each issue. JSR is completely devoted to the rehabilitation of sport and exercise injuries, regardless of the age, gender, sport ability, level of fitness, or health status of the participant.
JSR publishes peer-reviewed original research, systematic reviews/meta-analyses, critically appraised topics (CATs), case studies/series, and technical reports that directly affect the management and rehabilitation of injuries incurred during sport-related activities, irrespective of the individual’s age, gender, sport ability, level of fitness, or health status. The journal is intended to provide an international, multidisciplinary forum to serve the needs of all members of the sports medicine team, including athletic trainers/therapists, sport physical therapists/physiotherapists, sports medicine physicians, and other health care and medical professionals.