目的 探讨肌内效贴对高强度训练后下肢训练伤的防护效果。方法 2019-06至2019-07从某部集训战士中选取51名受试者,随机分为三组:肌内效贴组(KT组)、安慰剂贴组(PT组)和静态拉伸组(SC组),每组17名。10 km武装奔袭后即刻、24 h、48 h、72 h,比较三组视觉模拟评分(VAS)、膝关节功能(ROM)、Lysholm评分、大腿周径等。结果 在训练后即刻、24 h、48 h、72 h,KT组的VAS值均低于SC组和PT组(P<0.05);KT组在训练后48 h、72 h对ROM的改善明显优于PT组和SC组(P<0.05),训练后48 h 的Lysholm评分高于PT组及SC组(P<0.01);SC组在训练后72 h的VAS值低于PT组,对ROM的改善优于PT组(P<0.05)。三组不同时间的大腿周径无统计学差异。结论 肌内效贴有利于高强度训练后缓解下肢肌肉疼痛,增强膝关节稳定性,且能改善关节活动度,可用于下肢军事训练伤的防治。
Abstract
Objective To explore the protection effect of kinesio taping(KT) on lower extremity military training injuries after intensive physical training program.Methods Fifty-one subjects from June 2019 to July 2019were randomly divided into KT group (n=17), placebo tape group (n=17) and stretching group (n=17), and the visual analogue scale (VAS), range of motion (ROM), Lysholm score, thigh circumference and other related indicators were compared between the three groups at immediately post-exercise,24 h, 48 h and 72 h after 10 km of armed raid.Results The scores of VAS of KT group was lower than the other two groups at corresponding time points after training(P<0.05), at 48 h and 72 h post-training KT group obviously improved the ROM (P<0.05), Lysholm score was improved compared with the other two groups (P<0.01) at 48 h post-training, the VAS score of the stretching group was lower than that of the placebo tape group and the ROM improvement in stretching group was superior to the latter at 72 h with significant difference (P<0.05), and there was no significant difference in thigh circumference within or between the three groups during recovery.Conclusion KT is favorable in the recovery of lower limb muscle soreness after high intensity training, enhances the stability of knee joint, and has beneficial effect on range of motion, which can be used for the prevention and treatment of lower limb military training injuries.
关键词
肌内效贴 /
高强度训练 /
下肢军事训练伤
Key words
kinesio taping /
intensive physical training /
military training injury in lower extremity
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参考文献
[1] Yancosek K E, Roy T, Erickson M. Rehabilitation programs for musculoskeletal injuries in military personnel [J]. Curr Opin Rheumatol, 2012, 24(2):232-236.
[2] Ming L Y, Zuyao Y. Effects of kinesio tape on lower limb muscle strength, hop test, and vertical jump performances: a meta-analysis 2[J]. BMC Musculoskel Dis, 2019, 20(1):212-223.
[3] Haksever B, Kinikli G L, Tunay V B, et al. Effect of kinesiotaping intervention on knee muscle strength and delayed onset muscle soreness pain Following eccentric fatigue training[J].Fizyoterapi Rehabilitasyon, 2016, 27 (1):12-18.
[4] 黄 楠, 张 军, 张亚军, 等. 肌内效胶贴联合运动训练治疗慢性下腰痛的疗效[J]. 武警医学, 2015, 26 (2): 142-144.
[5] Kouhzad M, Hosein, Khademi K, et al. Immediate and delayed effects of forearm Kinesio taping on grip strength [J]. Iran Red Crescent Me ,2014,16(8):e19797.
[6] 祁 奇, 陈文华, 余 波, 等. 肌内效贴对女性大学生膝关节肌力的影响[J].中国康复理论与实践, 2015, 21(7):849-853.
[7] Agten C A, Buck F M, Dyer L, et al. Delayed-onset muscle soreness: temporal assessment with quantitative MRI and shear-wave ultrasound elastography[J]. Am J Roentgenol, 2017, 208(2):402-412.
[8] Agostini V, Viscinti L, Trucco M, et al. Knee proprioception may be altered by treatment in athletes suffering from delayed onset muscle soreness[J]. J Mech Med Biol, 2019, 19(3):1950011.
[9] Houle M, Daneau C, Lessard A, et al. Short-term effect of delayed-onset muscle soreness on trunk proprio- ception during force reproduction tasks in a healthy adult population: a crossover study.[J]. Eur J Appl Physiol, 2020, 120(1):181-190.
[10] 宋法明.不同膝关节贴扎类型对足球运动员急停动作稳定性的影响[J].中国组织工程研究, 2017, 21 (10):1583-1588.
[11] 吴 澄,朱玉连,刘 强,等.肌内效贴辅助下肢训练对脑卒中偏瘫患者下肢运动功能的影响研究[J].中国康复, 2017, 32(2):131-134.
[12] 张国海,王人卫.肌内效贴对延迟性肌肉酸痛和肌肉功能恢复的影响[J].体育科学, 2017, 37(12): 46-51.
[13] 纪任欣,于 波,吴卫青,等.肌内效贴扎对老年膝骨性关节炎病人下肢本体感觉的影响[J].实用老年医学, 2018, 1(1): 26-29.
[14] Lee J H, Lee K S, Koo H M, et al. Comparison of soft cervical collar versus cervical-5 cross-taping on cervical active range of motion in asymptomatic subjects[J]. J Phys Ther Sci, 2012, 24(2): 149-151.
[15] Merino R, Mayorga D, Fernández E, et al. Effect of kinesio taping on hip and lower trunk range of motion in triathletes: a pilot study[J]. J Sport Health Res, 2010, 2(2): 109-118.
[16] Lumbroso D E, Ziv E, Kalichman L. The effect of kinesio tape application on hamstring and gastrocnemius muscles in healthy young adults[J]. J Bodyw Mov Ther, 2014,18(1):130-138.
[17] 陈文华, 余 波. 软组织贴扎技术基础与实践－肌内效贴实用诊疗技术图解[M].上海:上海科学技术出版社, 2017:12-13.
[18] Ban C H, Timothy J S, Danika H L, et al. Reproducibility of current perception threshold with the Neuro- meter vs the Stimpod NMS450 peripheral nerve stimulator in healthy volunteers: an observational study [J]. Can J Anesth, 2013, 60(8): 753-760.
[19] Akagi R, Takahashi H. Acute effect of static stretching on hardness of the gastrocnemius muscle[J]. Med Sci Sport Exer, 2013, 45(7): 1348-1354.
[20] Haksever B, Kinikli G L, Tunay V B, et al. Effect of kinesio taping intervention on knee muscle strength and delayed onset muscle soreness pain following eccentric fatigue training[J].Fizyoterapi Rehabilitasyon, 2016, 27(1): 12-18.
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