护踝类型对落地时下肢运动学的影响:Meta分析和系统评价
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国 家 自 然 科 学 基 金 项 目 ( 30870600, 11972242, 11632013 ), 山 西 省 高 等 学 校 哲 学 社 会 科 学 研 究 项 目 ( 2017313, 201801015, 2019W025),教育部人文社会科学研究规划基金项目(18YJA890034),山西省研究生教育创新项目(2020SY501,2020SY502),山西省 回国留学人员科研资助项目(2020?032),太原理工大学学科建设经费


The Effect of Ankle Brace on Biomechanics of the Lower Extremity During Landing: A Systematic Review and Meta Analysis
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    摘要:

    目的 系统评估护踝对运动员和普通大学生落地时踝关节运动生物力学的影响,为不同运动水平人群选择护踝提供理论依据。方法 以(“护踝”或“踝关节支撑”)和(“落地”或“起跳”)和(“生物力学”或“运动学”或“动力学”或“肌电”或“神经肌肉”)为主题在CNKI、万方等数据库进行检索;以“(ankle brace OR ankle braces OR ankle bracing OR ankle support) AND (landing OR land OR jump OR hopped OR hopping) AND (biomechanics OR kinematics OR kinetics OR electromyography OR neuromuscular)”为英文检索策略,检索Web of science、EBSCO、PubMed等数据库,检索期限为2000年1月~2020年12月。选用Cochrane偏倚风险评估工具对纳入文献进行质量评价,采用Meta分析中的亚组分析确定不同类型护踝对踝关节运动学的影响。结果 共13项研究、222名受试者纳入Meta分析。对于运动员,两种护踝均可减少踝关节内翻(弹性护踝:26.7%,SMD=-1.647,P=0.040;半刚性护踝:25.8%,SMD=-0.562,P<0.001),但仅弹性护踝可减少踝关节跖屈8.4%(SMD=-3.42,P=0.021)。对于普通大学生,两种护踝均可减小踝关节内翻(弹性护踝:35.4%,SMD=-1.000,P=0.013;半刚性护踝:31.1%,SMD=-0.881,P<0.001)、跖屈(弹性护踝:23.3%,SMD=-1.381,P<0.001;半刚性护踝:36.3%,SMD=-1.605,P<0.001)。结论 两种护踝对有5年以上训练史的业余篮球、排球、跑步运动员均有一定的预防作用,弹性护踝可以限制落地时踝关节内翻和跖屈,而半刚性护踝只能限制踝关节内翻,故弹性护踝的预防效果更好。对于无任何训练背景的普通大学生,两种护踝均可限制踝关节内翻和跖屈,其中弹性护踝对内翻限制更大,半刚性护踝对跖屈限制更明显。因此,若普通大学生有跟腓韧带损伤史,优先考虑选用弹性护踝;有距腓前韧带损伤史的普通大学生,

    Abstract:

    Objective To examine the effects of ankle brace on biomechanics of the lower extremity during landing, so as to provide a theoretic support to choose ankle brace for people with different sports levels. Methods The key words (ankle brace OR ankle braces OR ankle bracing OR ankle support) AND (landing OR land OR jump OR hopped OR hopping) AND (biomechanics OR kinematics OR kinetics OR electromyography OR neuromuscular) in Chinese and English were searched from different electronic databases (CNKI, Web of Science, EBSCO, PubMed and other databases), for a period of Jan. 2000 to Dec. 2020. Cochrane was used to evaluate the quality of eligible studies. For meta analysis, subgroup analysis was used to assess the impact of ankle braces on ankle biomechanics.Results Thirteen studies with a total of 222 participants were included for mata analysis in this study. The semi-rigid ankle brace reduced the peak of ankle inversion by 25.8% compared with the elastic ankle brace (SMD=-0.562, P<0.001). Moreover, the elastic ankle brace reduced ankle plant flexion during landing among athletes (SMD=-3.42, P=-0.021). As for collagiate students, both elastic ankle and semi-rigid ankle decreased the ankle inversion (elastic ankle brace: 35.4%, SMD=-1.000, P=-0.013; semi-rigid ankle brace: 31.11%, SMD=-0.881, P<0.001) and ankle plant flexion (elastic ankle brace:23.30%, SMD=-1.381, P<0.001;semi-rigid ankle brace: 36.33%, SMD=-1.605, P<0.001).Conclusions Both ankle braces can prevent ankle sprain for athletes (basketball, volleyball, running) who experience training more than 5 years. The elastic ankle brace can limit the inversion and plantar flexion, while the semi-rigid ankle brace can merely decrease the ankle inversion. Therefore, athletes are more suitable for the elastic ankle brace. As for collegiate students without training history, both ankle brace can decrease the ankle inversion and plantar flexion. The elastic ankle brace has greater restriction on inversion, while the semi-rigid ankle brace has more restriction on plantar flexion. Therefore, the elastic ankle brace should be utilized if collegiate students have calcaneofibular ligament injury, while the semi-rigid ankle brace is more suitable for collegiate students who have a history of anterior talofibular ligament injury.

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张泽毅,李文彦,范婷,刘卉,张美珍,武晓刚,陈维毅.护踝类型对落地时下肢运动学的影响:Meta分析和系统评价[J].医用生物力学,2022,37(2):361-368

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  • 收稿日期:2021-04-29
  • 最后修改日期:2021-06-02
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  • 在线发布日期: 2022-04-27
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