連續側向跳對踝關節不穩定運動員的影響

林建志; 林盈祥; 李恆儒

doi:10.6222/pej.201909_52(3).0006

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P341 - 353

社会科学 > 体育学

DOI： 10.6222/pej

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连续侧向跳对踝关节不稳定运动员的影响

The influence of continuous side hop for athletes with chronic ankle instability

林建志(Jian-Zhi Lin) ；林盈祥(Ying-Hsiang Lin) ；李恒儒(Heng-Ju Lee)

体育学报； 52 卷 3 期 (2019 / 09 / 01) ， P341 - 353

繁体中文 DOI： 10.6222/pej.201909_52(3).0006

慢性踝关节不稳定；单脚着地；动态着地策略； chronic ankle instability ； single-leg landing ； dynamics landing strategy

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摘要 │ 参考文献 (32) │ 国际计量

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Introduction: Ankle sprain was one of the most common sports injuries, which is often occurs at the repeated jumps and lateral movement of the landing phase. Recurrent ankle sprain may develop into chronic ankle instability (chronic ankle instability, CAI). Most previous studies of ankle instability investigated differences between CAI and healthy subjects, but few studies have emphazied on those who had sprined ankles but without mechanical or pathalogical symptoms (ankle sprain coper, Coper). The objective of this study was to evaluate the continues side hopping and landing patterns in CAI athletes, Coper athletes, and healthy athletes. We focus on using functional movements to analyze the motion differences between these three groups. Methods: There were 30 collegiate Division I athletes (10 healthy control, 10 Copers, and 10 CAI who were sex, age, height, and weight matched with healthy control) volunteered in this study. All groups need to fill the Cumberland Ankle Instability Tool (CAIT) for grouping. All participants performed a side-to-side hopping task that consisted of hopping single-legged 4 times consecutively from side to side across 2 lines marked apart on 2 individual force plates. The hoping distance was normalized by 210% of individual's ASIS distance. Kinematics and kinetics data were collected by 10 Vicon infrared cameras at 200 Hz and two Kistler force platforms at 1000 Hz. Two-way mixed analysis of variance (ANOVA) was used to compare the difference of biomechanics parameters between the direction of landing and groups. The level of statistical significance was set at α ＜ .05. Results: There was no significant difference in joint kinematics among groups during both medial and lateral side hopping. The healthy group showed significantly greater ROM of ankle joint compared to the CAI group. When landing on medial side, joint angles of ankle plantar flexion, knee flexion and hip flexion were significantly greater than landing on lateral side. In addition, joint kinematics of frontal plane were significantly affected by landing directions. Conclusions: In this study, we found CAI group was limited with ankle dorsiflexion angle, which reduces shock attenuation of ankle joint, and thus has a large vertical ground reation force. The ankle joint status of Coper was between healthy and CAI groups. However, landing directions could influence kinematics patterns in frontal plane entirely. Landing from lateral hopping, maintained posture stability by hip abduction and adduction angles, though landing from medial hopping utilized ankle inversion and eversion angles. That might be the reason of re-injury in CAI and Copers.

参考文献 ( 32 ) 〈TOP〉

李育铭, Y. M.,李恒儒, H. J.(2013)。不同方向的跃起着地对下肢矢状面关节运动学、动力学和能量学的影响。体育学报，46(1)，33-43。
连结：
林建志, J. Z.,李育铭, Y. M.,李恒儒, H. J.(2015)。前十字韧带重建後运动员从事跃起着地动作下肢关节运动与肌肉活化特徵。体育学报，48(1)，45-58。
连结：
Brown, C. N.,Padua, D. A.,Marshall, S. W.,Guskiewicz, K. M.(2009).Variability of motion in individuals with mechanical or functional ankle instability during a stop jump maneuver.Clinical Biomechanics,24,762-768.
Brown, C. N.,Padua, D. A.,Marshall, S. W.,Guskiewicz, K. M.(2011).Hip kinematics during a stop-jump task in patients with chronic ankle instability.Journal of Athletic Training,46(5),461-470.
Brown, C. N.,Padua, D. A.,Marshall, S. W.,Guskiewicz, K. M.(2008).Individuals with mechanical ankle instability exhibit different motion patterns than those with functional ankle instability and ankle sprain copers.Clinical Biomechanics,23(6),822-831.

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