踝关节不稳的本体感觉特征

发布时间：2019-04-01 20:53

【摘要】：目的通过利用单轴和多轴轨迹追踪测试获取踝关节不稳者的踝关节本体感觉特征,指导踝关节本体感觉训练。方法选取25名单侧踝关节不稳青年男性受试者作为不稳组,选取25名无下肢伤病青年男性受试者作为对照组。采用Pro-Kin本体感觉测试及康复系统,测试分析两组受试者负重主动闭链运动下的踝关节本体感觉差异。选取的测试分析指标包括前后单轴轨迹追踪误差率(APALE)、左右单轴轨迹追踪误差率(MLALE)、多轴本体感觉追踪平均误差率(MATE)、多轴各基本象限追踪误差率(SATE1-8)。结果 (1)对照组左右腿之间各项本体感觉指标皆无显著性差异。(2)不稳组患侧与对照组右侧的APALE和MLALE均无显著性差异。(3)不稳组患侧与对照组右侧的MATE有显著性差异,另外多轴各基本象限中除第一象限(S1)和第四象限(S4)外皆有显著性差异。(4)不稳组健侧与患侧各项本体感觉指标皆无显著性差异。结论 (1)无下肢伤病者的双侧踝关节本体感觉特征基本相同,不存在单侧优势。(2)踝关节不稳者患侧踝关节单独进行内外翻或跖背屈时本体感觉特征较为正常,但在复合运动如背屈内翻、跖屈内翻等动作中本体感觉表现较差。(3)单侧踝关节不稳者患侧本体感觉可能对健侧产生影响,使健侧踝关节本体感觉同时减弱。在早期预防和后期康复中需要关注两侧同时训练,并且以踝关节复合运动练习为主。
[Abstract]:Aim to obtain the characteristics of ankle proprioceptive sensation in patients with ankle instability by using uniaxial and multi-axis trajectory tracking tests, and to guide the training of ankle proprioceptive sensation. Methods 25 young male subjects with unilateral ankle instability were selected as unstable group and 25 young male subjects without lower limb injury as control group. Pro-Kin proprioceptive test and rehabilitation system were used to test and analyze the difference of ankle proprioceptive sensation between the two groups under active closed-chain movement. The selected indexes include forward and backward uniaxial track tracking error rate (APALE), left and right uniaxial trajectory tracking error rate (MLALE), multi-axis proprioceptive tracking average error rate (MATE), multi-axis basic quadrant tracking error rate (SATE1-8). Results (1) there was no significant difference in the proprioceptive index between the left and right legs of the control group. (2) there was no significant difference in APALE and MLALE between the affected side of the unstable group and the right side of the control group. (3) the affected side of the unstable group and the right side of the control group had no significant difference. There was a significant difference in MATE between the two groups. In addition, there were significant differences in every basic quadrant except the first quadrant (S1) and the fourth quadrant (S4), and (4) there was no significant difference between the contralateral and the affected side in the unstable group. Conclusion (1) the proprioceptive characteristics of bilateral ankle joints in the patients without lower limb injury are basically the same, and there is no unilateral advantage. (2) the proprioceptive features of the affected side ankle joints with varus or metatarsal dorsiflexion are normal in the patients with unstable ankle joint. However, in complex movements such as dorsiflexion and metatarsal varus, the proprioceptive performance was poor. (3) the ipsilateral proprioception may affect the contralateral side in the patients with unilateral ankle instability, and weaken the proprioceptive sensation of the contralateral ankle at the same time. Early prevention and late rehabilitation should be focused on both sides of the training, and the ankle joint combined exercise.
【作者单位】：北京体育大学运动康复系;
【分类号】：R87

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