Noise-enhanced dynamic single leg balance in subjects with functional ankle instability

(整期优先)网络出版时间:2012-02-12
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<正>Background:Stochasticresonancestimulation(SRS)transmitssubsensoryelectricalGaussianwhitenoiseintothebodytoenhancesensorimotorfunction.Thistherapyhasimprovedstaticsinglelegbalanceinsubjectswithfunctionalankleinstability.However,theeffectofthisstimulationondynamicsinglelegbalanceisnotknown.ImprovementsindynamicsinglelegbalancewithSRSmayhaveimplicationsForenhancingfunctionalrehabilitationforankleinstability.Thus,thepurposeofthisstudywastodeterminetheeffectsofSRSondynamicsinglelegbalanceinsubjectswithfunctionalankleinstability.Methods:Thisstudywasanexperimentalresearchdesignanddatawerecollectedinasportsmedicineresearchlaboratory.Twelvesubjectswithfunctionalankleinstability(69±15kg;173±10cm;21±2years)reportedahistoryofanklesprainsandinstabilityattheanklewithphysicalactivity.Asinglelegjump-landingtestwasusedtoassessdynamicbalance.Subjectswererequiredtojumpbetween50%and55%ofthemaximalverticaljumpheight,landonasinglelegatopaforceplate,andstabilizeasquicklyaspossible.Jump-landingtestswereperformedwithandwithoutSRS.Threetrialswereperformedforeachtreatmentcondition(SRSandcontrol).Arandomizedblockdesignwasusedtodeterminetestorder.Anterior/posteriorandmedial/lateraltime-to-stabilizationwerecomputedtoassessdynamicbalance.Lessertimeindicatedbetterstability.One-tailedpairedsamplesttestswereusedforanalysis(α≤0.05).Results:SRSimprovedanterior/posteriortime-to-stabilization(stochasticresonance=1.32±0.31s,control=1.74±0.80s,p=0.03),butdidnotenhancemedial/lateraltime-to-stabilization(stochasticresonance=1.95±0.40s,control=1.92±0.48s,p=0.07).Conclusion:CliniciansmightuseSRStofacilitatebalanceimprovementswithsagittalplanedynamicsinglelegbalanceexercisesthatpatientsmaynotbeabletoperformotherwise.