Upper-body wobbleboard training effects on the post-dislocation shoulder
Upper-body wobbleboard training effects on the post-dislocation shoulder
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DOI：
10.1016/j.ptsp.2004.05.005
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发表时间：
2005-02-01
影响因子：
2.4
通讯作者：
Maher, C
中科院分区：
文献类型：
--
作者：
Naughton, J;Adams, R;Maher, C
目的：本研究评估了为期四周的上肢摆动板训练计划对脱位后肩关节前臂抬升动作辨别的影响。设计：对治疗组和对照组进行前后测量。研究对象：对15名既往有前路脱位的患者和15名未受伤的患者的60个肩部进行了测试。方法：在四周的时间里，脱臼组训练躺在瑞士球上，并在摇摆板上保持上半身平衡。对照组在此期间不进行任何训练，以检查在辨别测试中是否有学习效果。在训练前和训练后，对“警察停车”动作进行了负重站位、前视的动作辨别测试。在真正垂直向前0.95到4.77厘米之间的5个位置被用于辨别动作，每个肩膀都被测试了一系列100次前臂抬高动作，在肩膀处进行外部旋转。受试者用数字1-5来命名每次试验的距离，然后做出绝对判断。采用非参数信号检测接收机工作特征分析，得到判别分数。结果：经过一个月的上肢摇摆板训练，与对照组相比，先前脱位的肩部有明显的运动识别改善，并且与未受损伤的肢体相比，受损伤的肢体有更大的改善。结论：上肢摇板训练可提高前12个月发生肩关节脱位的患者对接近脱位姿势肩关节动作的辨别能力。(c) 2004 Elsevier Ltd.版权所有。
Objectives: This study assessed the effects of a four-week upper-body wobbleboard training program on discrimination of forearm-raising movements at the post-dislocation shoulder.Design: Pre- and post-measures on a treatment group and control group.Subjects: Sixty shoulders were tested from 15 subjects with previous anterior dislocations and from 15 uninjured subjects.Methods: During the four-week period, the dislocator group trained lying over a Swiss ball and balancing their upper body on a wobbleboard. The control group, included to check any learning effects on the discrimination test, undertook no training during this period. Movement discrimination tests of a 'policeman's stop' action were conducted in weight-bearing stance, with forward vision available, both pre and post the training period. Five locations between 0.95 and 4.77 cm forward of true vertical were used for the discrimination movements, and each shoulder was tested with a series of 100 forearm-raising movements giving external rotation at the shoulder. Absolute judgements were made, with subjects naming the distance on each trial using the numbers 1-5. Non-parametric signal detection receiver operating characteristic analysis was applied to obtain a discrimination score.Results: Following one month of upper-body wobbleboard training, there was a significant movement discrimination improvement at the shoulders of previous dislocators compared to controls, and a greater improvement for the involved compared to the uninvolved limb.Conclusion: Upper-body wobbleboard training can improve discrimination of shoulder movements in a position near to the dislocation posture for subjects who have had a shoulder dislocation in the previous 12 months. (c) 2004 Elsevier Ltd. All rights reserved.