不同视觉条件平衡训练对慢性踝关节不稳患者本体感觉的影响  

Effect of balance training with different visual conditions on proprioception in patients with chronic ankle instability

作　　者：吴一晗 刘中强 魏乔叶 刘明冬 陈科奕 李志刚 Wu Yihan;Liu Zhongqiang;Wei Qiaoye;Liu Mingdong;Chen Keyi;Li Zhigang(School of Physical Education,Southwest Medical University,Luzhou 646000,Sichuan Province,China;Department of Rehabilitation Medicine,People’s Hospital of Wulong District of Chongqing,Chongqing 408500,China;Rehabilitation Centre,Traditional Chinese Medicine Hospital of Shehong,Shehong 629200,Sichuan Province,China)

机构地区：[1]西南医科大学体育学院,四川省泸州市646000 [2]重庆市武隆区人民医院康复医学科,重庆市408500 [3]四川省射洪市中医院康复治疗中心,四川省射洪市629200

出　　处：《中国组织工程研究》2025年第5期1050-1057,共8页Chinese Journal of Tissue Engineering Research

基　　金：自贡市哲学社会科学重点研究基地运动与健康创新研究中心项目(YDJKY23-22),项目负责人:吴一晗;2023年成都大学全国幼儿体育发展研究中心研究项目(YETY2023B04),项目负责人:李志刚。

摘　　要：背景:频闪视觉训练可以迫使感觉重新加权,通过增强对于本体感觉信息的敏感性而使其重新恢复原有权重,这可能是改善本体感觉的有效方法。目的:确定低频、高频和正常视觉条件下的平衡训练对慢性踝关节不稳患者踝关节本体感觉的影响。方法:在西南医科大学学生中招募36例慢性踝关节不稳患者,随机分为低频视觉训练组(n=12)、高频视觉训练组(n=12)和正常视觉训练组(n=12),均进行渐进跳跃稳定平衡训练,其中低频视觉训练组、高频视觉训练组在训练过程中佩戴频闪眼镜,频闪频率分别为1.75,5 Hz,每周训练3次,连续训练4周。训练前及训练完成后1周内,评估所有受试者的踝关节本体感觉、动态姿势稳定性和踝关节稳定性自我评价。结果与结论:①踝关节本体感觉具有显著的时间主效应(P<0.05);与训练前相比,低频视觉训练组和高频视觉训练组受试者训练4周后的踝关节本体感觉有明显改善(P<0.05);训练4周后,低频视觉训练组受试者的踝关节本体感觉较正常视觉训练组有明显改善(P<0.05);②踝关节稳定性自我评价具有显著的时间主效应、组别×时间因素主效应(P<0.05);与训练前比较,3组训练4周后的踝关节稳定性自我评价均提高(P<0.05);训练4周后,高频视觉训练组受试者的踝关节稳定性自我评价高于正常视觉训练组(P<0.05);③与训练前相比,低频视觉训练组、高频视觉训练组受试者训练4周后的前向动态姿势稳定性、后内侧动态姿势稳定性、后外侧动态姿势稳定性均有明显改善(P<0.05),正常视觉训练组受试者训练4周后的前向动态姿势稳定性、后外侧动态姿势稳定性均有明显改善(P≤0.05);④结果表明,无论频率如何,在频闪视觉条件下进行平衡训练均可以改善慢性踝关节不稳患者的本体感觉、踝关节稳定性自我评价及动态姿势稳定性。BACKGROUND:Stroboscopic visual training can force sensory reweighting to restore the original weights by increasing sensitivity to proprioceptive information,which may be an effective method to improve proprioception.OBJECTIVE:To determine the effects of balance training in three conditions,low frequency,high frequency and normal vision,on ankle proprioception in patients with chronic ankle instability.METHODS:Thirty-six patients with chronic ankle instability recruited from the students of Southwest Medical University were randomly assigned to a lowfrequency vision training group,a high-frequency vision training group,and a normal vision training group,with 12 subjects in each group.Subjects in the three groups underwent progressive hop stabilization and balance training,in which the low-frequency vision training group and the high-frequency vision training group wore stroboscopic spectacles during the training,with a stroboscopic frequency of 1.75 and 5 Hz,respectively.The training in each group was performed three times a week for 4 consecutive weeks.Assessments,including ankle proprioception,ankle stability self-assessment and dynamic postural stability,were performed before training and within 1 week after the completion of training.RESULTS AND CONCLUSION:There was a significant main effect of time factor in ankle proprioception(P<0.05).Compared with the pre-training period,subjects in the low-frequency vision training group and the high-frequency vision training group showed significant improvement in ankle proprioception after 4 weeks of training(P<0.05);and subjects in the low-frequency vision training group showed a significant improvement in ankle proprioception compared with that of the normal vision training group after 4 weeks of training(P<0.05).There were significant main effects of time factor and group×time interaction in ankle proprioception(P<0.05).Compared with the pre-training period,the ankle stability self-assessment in all three groups was improved after 4 weeks of training(P<0.05).And th

关 键 词：慢性踝关节不稳 频闪视觉 平衡训练 感觉重新加权 本体感觉 动态姿势稳定性 

分 类 号：R459.9[医药卫生—治疗学] R339.14[医药卫生—临床医学] R493