【摘要】：目的通過(guò)利用單軸和多軸軌跡追蹤測(cè)試獲取踝關(guān)節(jié)不穩(wěn)者的踝關(guān)節(jié)本體感覺(jué)特征,指導(dǎo)踝關(guān)節(jié)本體感覺(jué)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(wú)下肢傷病青年男性受試者作為對(duì)照組。采用Pro-Kin本體感覺(jué)測(cè)試及康復(fù)系統(tǒng),測(cè)試分析兩組受試者負(fù)重主動(dòng)閉鏈運(yùn)動(dòng)下的踝關(guān)節(jié)本體感覺(jué)差異。選取的測(cè)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(jué)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(duì)照組左右腿之間各項(xiàng)本體感覺(jué)指標(biāo)皆無(wú)顯著性差異。(2)不穩(wěn)組患側(cè)與對(duì)照組右側(cè)的APALE和MLALE均無(wú)顯著性差異。(3)不穩(wěn)組患側(cè)與對(duì)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(jué)指標(biāo)皆無(wú)顯著性差異。結(jié)論 (1)無(wú)下肢傷病者的雙側(cè)踝關(guān)節(jié)本體感覺(jué)特征基本相同,不存在單側(cè)優(yōu)勢(shì)。(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(shí)本體感覺(jué)特征較為正常,但在復(fù)合運(yùn)動(dòng)如背屈內(nèi)翻、跖屈內(nèi)翻等動(dòng)作中本體感覺(jué)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(jué)可能對(duì)健側(cè)產(chǎn)生影響,使健側(cè)踝關(guān)節(jié)本體感覺(jué)同時(shí)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(shí)訓(xùn)練,并且以踝關(guān)節(jié)復(fù)合運(yùn)動(dòng)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(dòng)康復(fù)系;
【分類號(hào)】：R87

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本文編號(hào)：2451898