短期核心稳定性训练对功能运动和平衡的影响

Jiyeon Kim, Joungbo Ko, Jongil Lim, Hyejung Choi, Kyoungho Seo, Sukho Lee
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摘要

最近,在疼痛医学、物理治疗和运动康复研究领域,保持人体肌肉的排列和控制左右对称的重要性已得到广泛认可。因此,核心稳定性锻炼一直备受关注。目的:探讨短期核心稳定性训练对轻度下肢不适受试者的功能运动和平衡的影响。方法:将20例轻度下肢不适患者随机分为非训练对照组(CG, n=10)和核心稳定性运动训练组(EG, n=10)。当CG保持他们的日常工作时,EG完成了20个30分钟的训练课程,包括10个修改垫普拉提计划练习,旨在提高核心稳定性。采用功能运动测试、平衡测试和视觉模拟量表(VAS)分别评估20次核心稳定性训练前后的功能运动、动态平衡和不适程度。对所有因变量进行双向(按时间分组)重复测量方差分析,所有统计检验的显著性均为p< 0.05。结果:EG显示功能运动显著增加,表明跨栏步数增加(CG;-4.7 vs. EG;25%, p = 0.024,组×时间效应)和肩关节活动度(CG;-13.04 vs. EG;5%, p = 0.037,组×时间效应)。只有四肢EG的动态平衡评分有显著改善(右:EG = 7.7%, p = 0.007;左:EG = 8.10%, p = 0.011,时间效应)。EG组踝关节VAS评分明显降低(EG;-74.76%, p = 0.024,时间效应)。结论:本研究强调20次短期核心稳定性训练对轻度下肢不适患者的下肢功能运动和平衡能力有积极影响。
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Effects Of A Short-term Core Stability Exercise On Functional Movement And Balance
Recently, the importance of maintaining the alignment of the human muscles and managing the left and right symmetry has been widely recognized in fields that study pain medicine, physical therapy and exercise rehabilitation. As a result, core stability exercise has been spotlighting. PURPOSE: To investigate the effects of a short-term core stability exercise on functional movement and balance in subjects with mild lower-limb discomfort. METHODS: Twenty people with mild lower-limb discomfort were randomly assigned to a non-training control (CG, n=10) and core stability exercise training group (EG, n=10). While CG maintained their daily routine, EG completed twenty 30-min training sessions consisted of 10 modified mat pilates program exercises aimed at increasing core stability. Functional movement, dynamic balance, and discomfort level were assessed before and after twenty sessions of core stability training using functional movement test, balance test and visual analog scale (VAS), respectively. Two-way (group by time) repeated measures ANOVA’s were performed for all dependent variables, and the significance for all statistical tests was set at p<.05. RESULTS: EG demonstrated a significant increase in functional movement indicated by increased hurdle step (CG; -4.7 vs. EG; 25%, p = 0.024, group × time effect) and shoulder mobility (CG; -13.04 vs. EG; 5%, p = 0.037, group × time effect). The dynamic balance score was significantly improved only in EG for both limbs (right: EG = 7.7%, p = 0.007; left: EG = 8.10%, p = 0.011, time effect). A significant reduction of VAS score in ankle was exhibited in EG (EG; -74.76%, p = 0.024, time effect). CONCLUSION: This study highlights that twenty sessions of short-term core stability exercise can positively affect the lower limb’s functional movement and balance ability in people with mild lower-limb discomfort.
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