本体感受重新加权能力对功能性任务中下肢生物力学的影响 (NEURIBIO)
本体感受重载能力对功能性任务和无计划侧步切割动作中下肢生物力学影响的研究
前十字韧带 (ACL) 损伤在手球比赛中很常见,尤其是在年轻球员中。 最近的调查强调了中枢神经系统作为 ACL 断裂潜在危险因素的影响。
根据姿势条件动态重新加权本体感受信号的能力对于平衡控制至关重要。
因此,本研究的目的是研究在功能性任务和计划外的侧切动作中,本体感受重新加权对 ACL 负荷的生物力学决定因素的影响。
研究概览
详细说明
团队手球是一项创伤性运动,尤其是在前交叉韧带 (ACL) 损伤方面。 年轻女性更容易受到伤害,因为与男性相比,她们发生 ACL 断裂的可能性高 3 到 5 倍。
一些解剖学、生物力学和感觉运动风险因素已被明确识别,但最近强调了中枢神经系统的影响。 事实上,已经表明,患有 ACL 断裂的个体表现出负责姿势控制和感觉运动处理的大脑区域之间的功能连接性下降。 由于在比赛情况下发生的意外情况,现在提倡大脑的作用(即神经控制)来解释在假装对手等复杂任务中导致受伤的感觉运动错误。 肌肉振动是评估姿势控制过程中本体感觉整合的可靠工具。 当姿势条件发生变化时,从一种本体感受提示转变为另一种提示的能力至关重要。 这种动态重新加权过程允许获得最佳的姿势控制。 然而,最近的调查显示,这一过程在有症状的人群、老年患者甚至疲劳条件下发生了变化。 更准确地说,有些人似乎能够改变本体感受的依赖,而其他人则不能。 据我们所知,尚无研究调查功能性任务期间本体感受重新加权与 ACL 负荷的生物力学决定因素之间的联系。 因此,本研究的目的是比较年轻手球运动员在意外侧切动作和单腿下垂垂直跳跃期间的下肢生物力学,根据他们重新调整本体感受信号的能力。
研究类型
注册 (实际的)
阶段
- 不适用
联系人和位置
学习地点
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Brest、法国、29200
- CHRU Brest
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参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
描述
纳入标准:
- 15至25岁
- 至少两年的手球强化训练,掌握无计划侧切动作的技术动作
- 每周至少 5 小时的训练量
- 签署同意书(参与者和未成年人的父母)
排除标准:
- 最近的下肢骨关节病变(即不到三个月),无论是否有外伤
- 不适合同意或拒绝参加研究
- 明显的站立平衡障碍或致残性神经病理学
- 肌肉骨骼系统(关节、肌腱或肌肉)的疼痛是永久性的或在运动过程中
- 在执行运动姿势之前的临床检查 (> 6) 期间疲劳(使用博格量表评估)
- 已知皮肤对任何粘合剂产品过敏
学习计划
研究是如何设计的?
设计细节
- 主要用途:基础_科学
- 分配:北美
- 介入模型:单组
- 屏蔽:没有任何
武器和干预
参与者组/臂 |
干预/治疗 |
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其他:健康志愿者
手球运动员
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受试者将单足支撑(只有一只脚着地)在平台中央的测试下肢上。
形成“Y”的三条线将根据负责下肢的三个方向排列:前(ANT)、后内侧(PM)和后外侧(PL)。
然后,目标是在返回起始位置之前,在所有三个方向上都达到最长的距离,同时脚尖放松。
受试者将在每个下肢的每个方向进行 4 次训练试验,然后将记录 3 次试验以保持平均值。
其他名称:
受试者会从台阶上掉下来,用一条腿着地,然后跳得尽可能高,并再次稳定在同一条腿上。
台阶的高度为 30 厘米。
受试者将严格按照说明进行 3 次连续跳跃:下降到地面标记的高度,并尽可能高地弹跳,同时在地面上停留的时间最少。
在第二次与地面接触期间,受试者必须稳定 3 秒,以便重复说明和测量。
其他名称:
目的是创造一个意想不到的比赛情境,接近受试者在手球练习中的日常动作。 受试者将在通常训练中使用的假人模拟的对手面前进行回避切入动作。 受试者将直线冲刺,然后在力台上,他的投篮臂一侧会快速改变方向,或者继续直线奔跑。 一个随机的灯光信号将向玩家指示他必须执行操作的方向。 将执行运动学和动力学(膝盖力矩)的计算机重建。
其他名称:
受试者将被要求站立,双脚(双脚着地)不动地支撑在稳定和不稳定的地面(泡沫)上。
肌腱振动 (80Hz) 将随机应用于对象的跟腱或椎旁肌肉。
这种振动会导致振动区域的本体感受信息发生变化,从而导致姿势平衡的破坏。
因此,根据压力中心(CoP)的位移量,计算本体感受权重比(dRPW),从而推导出CNS在姿势任务期间分配给各种本体感受输入的权重。
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研究衡量的是什么?
主要结果指标
结果测量 |
措施说明 |
大体时间 |
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计划外的回避切割动作期间的膝关节外展力矩(定量测量)。
大体时间:包容
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测量值将是下肢支撑在推腿上时膝关节最大外展力矩的平均值,超过 5 次侧步切割机动测试。
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包容
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次要结果测量
结果测量 |
措施说明 |
大体时间 |
---|---|---|
单腿落地垂直跳跃落地跳跃时的膝外展瞬间。
大体时间:包容
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测量将根据跳跃着陆时膝盖外展力矩的平均值进行。 受试者将严格按照说明进行 3 次连续跳跃。 |
包容
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Star Excursion 平衡测试性能。
大体时间:包容
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获得的值(以厘米为单位或相对于下肢的长度)反映了下肢在负载下的动态姿势性能,而没有下肢特定关节的特异性。
受试者将在每个下肢的每个方向进行 4 次训练试验,然后将记录 3 次试验以保持平均值。
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包容
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脚踝、膝盖、臀部的角度,方向改变时骨盆的方向。
大体时间:包容
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脚踝、膝盖、臀部的角度(以度为单位)和骨盆在方向改变期间的方向将在计划外的侧步切割机动测试期间通过计算机重建来确定。
这些值将允许根据本体感受特征(塑料对象与刚性对象)比较生物力学特性。
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包容
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具有本体感受塑料轮廓的受试者的百分比。
大体时间:包容
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DRPW 为 1 表示 100% 使用来自脚踝的信息,而 dRPW 为 0 表示 100% 使用来自臀部的信息。
因此,可以计算从稳定土壤到不稳定土壤过程中该 dRPW 的演变。
“塑料”受试者在不稳定的地面上(与稳定地面相比)降低了他们的 dRPW(“正常”行为)。
“刚性”对象在经过不稳定的地面时保持(甚至增加)他们的 dRPW。
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包容
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合作者和调查者
调查人员
- 首席研究员:Olivier REMY-NERIS、CHRU Brest
出版物和有用的链接
一般刊物
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有用的网址
- Laver L, Landreau P, Seil R, Popovic N, éditeurs. Handball Sports Medicine [Internet]. Berlin, Heidelberg: Springer Berlin Heidelberg; 2018
- Laver L, Myklebust G. Handball Injuries: Epidemiology and Injury Characterization. In: Doral MN, Karlsson J, éditeurs. Sports Injuries: Prevention, Diagnosis, Treatment and Rehabilitation
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