【摘要】：目的通過利用單軸和多軸軌跡追蹤測試獲取踝關(guān)節(jié)不穩(wěn)者的踝關(guān)節(jié)本體感覺特征,指導(dǎo)踝關(guān)節(jié)本體感覺訓(xùn)練。方法選取25名單側(cè)踝關(guān)節(jié)不穩(wěn)青年男性受試者作為不穩(wěn)組,選取25名無下肢傷病青年男性受試者作為對照組。采用Pro-Kin本體感覺測試及康復(fù)系統(tǒng),測試分析兩組受試者負(fù)重主動閉鏈運(yùn)動下的踝關(guān)節(jié)本體感覺差異。選取的測試分析指標(biāo)包括前后單軸軌跡追蹤誤差率(APALE)、左右單軸軌跡追蹤誤差率(MLALE)、多軸本體感覺追蹤平均誤差率(MATE)、多軸各基本象限追蹤誤差率(SATE1-8)。結(jié)果 (1)對照組左右腿之間各項(xiàng)本體感覺指標(biāo)皆無顯著性差異。(2)不穩(wěn)組患側(cè)與對照組右側(cè)的APALE和MLALE均無顯著性差異。(3)不穩(wěn)組患側(cè)與對照組右側(cè)的MATE有顯著性差異,另外多軸各基本象限中除第一象限(S1)和第四象限(S4)外皆有顯著性差異。(4)不穩(wěn)組健側(cè)與患側(cè)各項(xiàng)本體感覺指標(biāo)皆無顯著性差異。結(jié)論 (1)無下肢傷病者的雙側(cè)踝關(guān)節(jié)本體感覺特征基本相同,不存在單側(cè)優(yōu)勢。(2)踝關(guān)節(jié)不穩(wěn)者患側(cè)踝關(guān)節(jié)單獨(dú)進(jìn)行內(nèi)外翻或跖背屈時本體感覺特征較為正常,但在復(fù)合運(yùn)動如背屈內(nèi)翻、跖屈內(nèi)翻等動作中本體感覺表現(xiàn)較差。(3)單側(cè)踝關(guān)節(jié)不穩(wěn)者患側(cè)本體感覺可能對健側(cè)產(chǎn)生影響,使健側(cè)踝關(guān)節(jié)本體感覺同時減弱。在早期預(yù)防和后期康復(fù)中需要關(guān)注兩側(cè)同時訓(xùn)練,并且以踝關(guān)節(jié)復(fù)合運(yùn)動練習(xí)為主。
[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.
【作者單位】： 北京體育大學(xué)運(yùn)動康復(fù)系;
【分類號】：R87

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