Chinese Journal of Tissue Engineering Research ›› 2024, Vol. 28 ›› Issue (28): 4586-4592.doi: 10.12307/2024.468
Zhang Junjie1, Zhou Wei2, Liu Haiyuan1, Guo Chenggen3
Received:
2023-08-07
Accepted:
2023-09-05
Online:
2024-10-08
Published:
2023-11-27
Contact:
Liu Haiyuan, PhD, Professor, Doctoral supervisor, Graduate School, Capital University of Physical Education and Sports, Beijing 100191, China
Zhou Wei, China School of Athletics, Beijing Sport University, Beijing 100084, China
About author:
Zhang Junjie, PhD candidate, Graduate School, Capital University of Physical Education and Sports, Beijing 100191, China
CLC Number:
Zhang Junjie, Zhou Wei, Liu Haiyuan, Guo Chenggen. A meta-analysis of the effect of post-activation potentiation on athletic performance after activation of lower-extremity relative strength levels[J]. Chinese Journal of Tissue Engineering Research, 2024, 28(28): 4586-4592.
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2.2 纳入研究的基本特征与质量评价结果 纳入Meta分析所有的研究均是2010年及以后发表,其中6篇是在过去5年内发表[3,10,19,21,23-24],见表2,3。采用PEDro量表对随机对照试验的文献质量进行评分,其均值为5.71分,总体被纳入研究报告的方法学质量接近较高质量等级。纳入的11篇文献均为运动人体试验干预研究[3,9-10,17-24],其中随机对照试验有7项[3,9,17-21],多数研究未明确是否进行了施盲设置。运动人体科学试验相关研究由于其试验设计自身的局限性,在施盲和扩大样本量方面存在较大的难度,进而可能影响了纳入文献的方法学质量。另外,共纳入4项明确按照下肢1RM/BM的比值为分组标准的非随机对照试验研究[10,22-24],均报道了具体的分组要求和标准。纳入文献均为运动人体试验干预研究,故而意向干预偏离为高偏倚风险,见表3。受试者纳入条件明确,且能够按照试验设计,顺利完成试验干预,测试结果报告均较完整。强壮组和普通组的基线水平均不存在显著性意义(P > 0.05),两组人数均等,被试均衡可比。"
2.3 Meta分析结果 2.3.1 短跑表现发表偏倚评价及其效应量的Meta分析结果 漏斗图结果显示,图形不十分对称,见图3A,Egger 检验未发现纳入研究存在明显的发表偏倚(P=0.195 > 0.1)。有2项研究报道了诱导干预后的短跑冲刺时间变化情况,见图4。Meta分析结果显示,研究间存在无显著性意义的轻度异质性(I2=34%,P=0.15),因此采用固定效应模型将8组关于短跑表现的数据总体效应合并分析,发现合并效应量(SMD)及95%CI为-1.34(-1.74至-0.93),差异存在显著性意义(P < 0.000 01)。森林图显示,短跑时间95%CI落在无效线左侧,即强壮组激活后增强效应对短跑表现的积极效果显著优于普通组。 2.3.2 跳跃表现发表偏倚评价及其效应量的Meta分析结果 漏斗图结果显示,图形不十分对称,见图3B,Egger 检验未发现纳入研究存在明显的发表偏倚(P=0.311 > 0.1)。共有7项研究纳入分析,见图5,有5项研究报道了蹲跳高度(squat Jump,SJ),有2项研究报道了下蹲跳高度(countermovement jump,CMJ),NISHIOKA等[19]的研究报道中既有蹲跳高度也有下蹲跳高度。Meta分析结果显示,研究间存在无显著性意义的轻度异质性(I2=7%,P=0.37),故采用固定效应模型,合并总效应量的95%CI为0.29(-0.06-0.64),差异不存在显著性意义(P=0.10)。对蹲跳高度和下蹲跳高度进行亚组分析,发现蹲跳高度的效应量及95%CI为0.19(-0.29-0.66)、下蹲跳高度的效应量(SMD)及95%CI为0.41(-0.11-0.93)。森林图显示,蹲跳高度95%CI和下蹲跳高度95%CI均与无效线相交,即强壮组的激活后增强效应对蹲跳高度和下蹲跳高度的积极效果,与普通组差异无显著性意义。"
为探索异质性的来源,进一步研究不同下肢相对力量水平被试激活后增强效应对跳跃高度表现合并效应量的影响,因此进行敏感性分析。剔除JAMES等[23]的研究后发现异质性由I2=69%明显降低至I2=45%,P=0.44 > 0.1,进一步分析该篇研究发现,其以16名有力量训练基础的男性大学生运动员作为研究对象,按照1RM/BM > 2为强壮组(2.01±0.15),反之为普通组(1.20±0.20),干预动作模式是负重蹲跳和杠铃半蹲,结局指标是跳跃表现的运动学和动力学参数指标。剔除JAMES等[23]这篇文章后发现,合并效应量及95%CI由0.41(0.08-0.75)降至0.29(-0.06-0.64),结果差异存在显著性意义(P=0.02),故剔除该篇研究,且不纳入合并分析。 2.3.3 动力学参数发表偏倚评价及其效应量的Meta分析结果 漏斗图结果显示,图形不十分对称,见图3C,Egger检验未发现纳入研究存在明显的发表偏倚(P=0.265 > 0.1)。共6项研究纳入分析,见图6。Meta分析结果显示,研究间存在无显著性意义的轻度异质性(I2=15%,P=0.28),采用固定效应模型,得到合并的总效应量(SMD)的95%CI为0.22(-0.03-0.47),差异无显著性意义(P=0.09)。对峰值冲量、峰值功率、最大地面反作用力以及力的生成速率亚组进行组间分析:发现峰值冲量的效应量及95%CI为-0.07(-0.62-0.47)、峰值功率的效应量及95%CI为0.21(-0.29-0.72)、最大地面反作用力的效应量及95%CI为0.31(-0.20-0.81)、力的生成速率的效应量及95%CI为0.36(-0.11-0.82)。森林图显示,峰值冲量95%CI、最大地面反作用力95%CI、力的生成速率95%CI横线均与无效线相交,说明强壮组激活后增强效应对峰值冲量、峰值功率、最大地面反作用力及力的生成速率的增强效果,与普通组的差异不存在显著性意义。"
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