Pulsed Shortwave Diathermy and Prolonged Long-Duration Stretching Increase Dorsiflexion Range of Motion More Than Identical Stretching Without Diathermy.

Pulsed Shortwave Diathermy and Prolonged Long-Duration Stretching Increase Dorsiflexion Range of Motion More Than Identical Stretching Without Diathermy.
复制标题

脉冲短波透热疗法和长时间拉伸比不进行透热疗法的相同拉伸更能增加背屈运动范围。

DOI:
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发表时间:
2002
影响因子:
3.3
通讯作者:
M. Ricard
M. Ricard
中科院分区:
医学2区
文献类型:
--
作者:
S. E. Peres;D. Draper;K. Knight;M. Ricard

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目的:比较3种治疗方法对踝关节背屈运动范围的影响:延长的长时间拉伸、脉冲短波透热疗法后拉伸以及脉冲短波透热疗法、拉伸和冰敷联合治疗。设计和设置:2 × 5 × 15重复测量(2个因素)设计指导本研究。小腿三头肌柔韧性的运动范围变化是因变量。3个独立变量为治疗组、试验前和试验后测量值以及日期。治疗组有4个水平:对照、拉伸(通过重物和滑轮拉伸10分钟)、透热疗法和拉伸(透热疗法20分钟和拉伸10分钟)以及透热疗法、拉伸和冰敷(透热疗法20分钟,透热疗法15分钟后拉伸10分钟,在拉伸的最后5分钟期间冰敷5分钟)。每例受试者在3周内接受14次治疗,末次治疗后6天进行随访测量。受试者:44名健康的大学生志愿者,没有参与任何弹性计划。测量:我们测量踝关节背屈使用数字倾角仪治疗前后。结果:治疗14天后,加热和拉伸后的活动范围增加比单独拉伸后更大。在额外休息6天后,加热和拉伸运动范围的增加大于单独拉伸的增加。结论:在长时间静态拉伸之前应用脉冲短波透热疗法在3周内增加柔韧性方面比单独拉伸更有效。14次治疗后,长时间的长时间拉伸结合脉冲短波透热疗法,然后冰敷引起更大的即时和净运动范围的增加比单独延长长时间拉伸。
OBJECTIVE: To compare the effects of 3 treatments on ankle dorsiflexion range of motion: prolonged long-duration stretching, pulsed shortwave diathermy followed by stretching, and pulsed shortwave diathermy, stretching, and ice combined. DESIGN AND SETTING: A 2 x 5 x 15 repeated-measures (on 2 factors) design guided this study. Range-of-motion change in triceps surae flexibility was the dependent variable. The 3 independent variables were treatment group, pretest and posttest measurements, and day. Treatment group had 4 levels: control, stretching (10 minutes of stretching via the weight and pulley), diathermy and stretching (20 minutes of diathermy and 10 minutes of stretching), and diathermy, stretching, and ice (20 minutes of diathermy, 10 minutes of stretching applied after 15 minutes of diathermy, and 5 minutes of ice applied during the last 5 minutes of stretching). Each subject received 14 treatments throughout 3 weeks, with a follow-up measurement taken 6 days after the last treatment. SUBJECTS: Forty-four healthy college-student volunteers not involved in any flexibility program. MEASUREMENTS: We measured ankle dorsiflexion using a digital inclinometer before and after treatment. RESULTS: After 14 days of treatment, the range-of-motion increase was greater after heat and stretching than after stretching alone. After 6 additional days of rest, the heat and stretching range-of-motion increase was greater than that for stretching alone. CONCLUSION: Pulsed shortwave diathermy application before prolonged long-duration static stretching was more effective than stretching alone in increasing flexibility throughout 3 weeks. After 14 treatments, prolonged long-duration stretching combined with pulsed shortwave diathermy followed by ice application caused greater immediate and net range-of-motion increases than prolonged long-duration stretching alone.