【作者】 杨慧；

【导师】 侯世伦；

【作者基本信息】 北京体育大学 ， 康复医学与理疗学， 2023， 硕士

【摘要】 研究目的:本研究通过对比不同干预方法对延迟性肌肉酸痛的影响效果,探究筋膜加压带对延迟性肌肉酸痛症状改善的干预效果,为延迟性肌肉酸痛的缓解提供新方法。研究方法:招募北京体育大学30名非体育专业的男生,随机分为三组,筋膜加压带组(Tissue Flossing Group,TFG)、冷水浸泡组(Cold Water Immersion Group,CWIG)和对照组(Control Group,CG)。受试者通过运动造模产生小腿三头肌的延迟性肌肉酸痛,造模完成后随机分组进行干预,分别在造模前、造模后即刻、干预后即刻、造模后24h、48h及72h等时间点收集非优势侧小腿的测试数据。测试指标包括视觉模拟评分量表(Visual Analogue Scale,VAS)、小腿围度、肌肉硬度、踝关节位置觉、等长肌力及等速峰值力矩等。使用SPSS25.0对所得数据进行统计学分析,数据用M±SD表示。使用双因素重复测量方差分析观察时间和组别之间是否存在交互效应。用各指标不同时间点与基线的差值来表示各指标的变化值,使用单因素方差分析对同一指标同一时间点不同组的数据进行比较,使用配对样本T检验对组内不同时间点与基线进行比较。P<0.05为差异显著,P<0.01为差异非常显著。研究结果:1.VAS方面:时间与组别之间不存在交互效应,时间主效应差异非常显著(P<0.01)。组间分析结果为干预后即刻、造模后72h CWIG和CG之间的差异显著(P<0.05),造模后72h TFG与CG之间差异显著(P<0.05)。组内分析结果为干预后即刻CWIG与基线的差异不显著。2.小腿围度方面:时间与组别之间不存在交互效应,时间主效应差异非常显著(P<0.01),组别主效应差异显著(P<0.05)。组间分析结果为造模后48h CWIG与CG之间的差异显著(P<0.05)。组内分析结果为TFG干预后即刻、造模后24h与基线差异不显著,CWIG干预后即刻、造模后24h、48h及72h与基线的差异均不显著,CG干预后即刻、造模后72h与基线差异不显著。3.肌肉硬度方面:时间与组别之间不存在交互效应,时间和组别主效应差异均非常显著(P<0.01)。组间分析结果为造模后24h、48h及72h CWIG与CG腓肠肌外侧头肌肉硬度之间差异显著(P<0.05),干预后即刻、造模后48h及72h CWIG与CG内侧头肌肉硬度之间差异显著(P<0.05)。组内分析结果为TFG和CWIG各时间点与基线的差异均不显著,CG干预后即刻和造模后24h与基线差异不显著。4.位置觉方面:时间与组别之间不存在交互效应,时间和组别主效应均不显著。组间分析结果为造模后72h TFG与CWIG之间差异显著(P<0.05)。组内分析结果为干预后即刻和造模后72h CWIG与基线差异显著(P<0.05),造模后即刻、造模后72h CG与基线差异显著(P<0.05)。5.肌力方面:时间与组别之间不存在交互效应,时间和组别主效应均不显著。组间分析结果差异均不显著。组内分析结果为TFG和CWIG各时间点与基线差异均不显著,CG造模后即刻、干预后即刻及造模后72h与基线的差异显著(P<0.05)。研究结论:1.10分钟15℃冷水浸泡和Sanctband绿色筋膜加压带短时多次干预均可改善18-25岁男性DOMS后出现的肌肉疼痛、肌肉肿胀、肌肉硬度和位置觉变化。2.10分钟15℃冷水浸泡对肌力恢复并无作用;Sanctband绿色筋膜加压带短时多次干预后短时间内可改善肌肉肿胀、肌肉硬度和位置觉变化。3.10分钟15℃冷水浸泡与Sanctband绿色筋膜加压带干预两者相比,前者改善DOMS疼痛、肌肉肿胀、肌肉硬度和位置觉的作用优于后者,而后者在恢复肌力方面优于前者。更多还原

【Abstract】 Objective:By comparing the effects of different intervention methods on Delayed Onset Muscle Soreness(DOMS),this study explores the therapeutic effect of Tissue Flossing on DOMS,and provides a new method for the relief of DOMS.Methods:Thirty male non-sports subjects were recruited in Beijing Sport University and randomly divided into three groups:Tissue Flossing group(TFG),Cold Water Immersion group(CWIG)and Control group(CG).DOMS modeling was performed on the calf of the subjects and after the completion of the modeling,the intervention was performed in groups.The indexes of non-dominant leg were tested before modeling,immediately after modeling,immediately after intervention,24 h,48 h and 72 h after modeling.The test indexes included Visual Analogue Scale(VAS),calf circumference,muscle stiffness,ankle position sense,isometric muscle strength and isokinetic peak torque.SPSS 25.0 was used for statistical analysis of the data,and the data were expressed as M±SD.Two-way repeated measures analysis of variance was used to compare the three groups at different time points to analyze whether there was interaction between time and group.The difference between the different time points of each index and the baseline was used to represent the change value of the index.One-way analysis of variance was used to compare the three groups at the same time point of the same index,and the paired sample T test was used to compare the different time points in the group with the baseline.P<0.05means significant difference,P<0.01 means very significant difference.Results:1.VAS:there was no interaction between time and group,and the main effect of time difference was very significant(P<0.01).The results of inter-group analysis showed that there was a significant difference between CWIG and CG immediately after intervention and 72 h after modeling(P<0.05),and there was a significant difference between TFG and CG 72 h after modeling(P<0.05).The results of intra-group analysis showed that there was no significant difference between CWIG and baseline data immediately after intervention.2.Calf circumference:there is no interaction between time and group,the main effect of time was very significant(P<0.01),and the main effect of group was significant(P<0.05).The results of inter-group analysis showed that there was a significant difference between CWIG and CG 48 hours after modeling(P<0.05).The results of intra-group analysis showed that there was no significant difference between immediately after intervention,24 h after modeling and baseline in TFG.There was no significant difference between CWIG immediately after intervention,24 h,48 h and 72 h after modeling and baseline.There was no significant difference between CG immediately after intervention and 72 h after modeling and baseline.3.Muscle stiffness:there was no interaction between time and group,and the main effects of time and group were very significant(P<0.01).The results of inter-group analysis showed that there were significant differences in gastrocnemius lateral head’s muscle stiffness between CWIG and CG at 24 h,48 h and 72 h after modeling(P<0.05),and there were significant differences in medial head’s muscle stiffness between CWIG and CG at immediately after intervention,48 h and 72 h after modeling(P<0.05).The results of intra-group analysis showed that there was no significant difference between each time point in TFG and CG and baseline,and there was no significant difference between CG immediately after intervention,24 h after modeling and baseline.4.Position sense:There is no interaction between time and group,and the main effects of time and group are not significant.The difference between TFG and CWIG was significant at 72 h after modeling(P<0.05).The results of intra-group analysis showed that there was a significant difference between baseline and immediately after intervention,72 h after modeling in CWI(P<0.05),and there was a significant difference between baseline and immediately after modeling,72 h after modeling in CG(P<0.05).5.Muscle strength:There was no interaction between time and group,and the main effects of time and group were not significant.There was no significant difference between groups.The results of intra-group analysis showed that there was no significant difference between each time point in CWIG and CG and baseline,but there was significant difference between immediately after modeling,immediately after intervention,72 h after modeling and baseline in CG(P<0.05).Conclusion:1.10 minutes 15 degrees Celsius cold water immersion and Sanctband green tissue flossing short-term multiple interventions can improve muscle pain,muscle swelling,muscle hardness and position sense changes after DOMS in men aged 18-25years.2.10 minutes 15 degrees Celsius cold water immersion had no effect on muscle strength recovery;Sanctband green tissue flossing short-term multiple interventions can improve muscle swelling,muscle hardness and position sense changes in a short time after intervention.3.Compared with Sanctband green tissue flossing intervention,10 minutes 15 degrees Celsius cold water immersion is superior to the latter in improving DOMS pain,muscle swelling,muscle hardness and position sense,while the latter is superior to the former in restoring muscle strength.更多还原