Bruns J, Staerk H
Dept. of Orthop. Surgery, University of Hamburg, Germany.
Int J Sports Med. 1992 Nov;13(8):611-5. doi: 10.1055/s-2007-1024575.
The mechanical stabilising effect of different orthotic devices and artificially applied muscular strength to the peroneal muscles is tested in cadaveric ankle joints and in vivo. Both orthotic devices as well as muscular strengths of 150 N applied to the peroneal muscles can produce a significant reduction in mechanical ankle instability. However, none of these methods alone can stabilise the ankle joint in such way to completely normalise the talar tilt and anterior drawer sign that is found in stable ankle joints. In contrast to that, clinical results in the treatment of sprained ankles with the application of an orthosis, additional muscular strengthening is the best treatment to achieve a sufficient mechanical ankle stability during the period of ligament healing. Additional factors influencing the mechanical ankle stability are supposed.
在尸体踝关节和活体中测试了不同矫形装置对腓骨肌的机械稳定作用以及人为施加于腓骨肌的肌力。矫形装置和向腓骨肌施加150牛的肌力均能显著降低踝关节的机械不稳定。然而，这些方法单独使用时，均无法以完全恢复稳定踝关节中距骨倾斜和前抽屉试验结果至正常的方式来稳定踝关节。与此相反，在应用矫形器治疗踝关节扭伤的临床结果中，额外的肌肉强化训练是在韧带愈合期间实现足够踝关节机械稳定性的最佳治疗方法。还推测了影响踝关节机械稳定性的其他因素。
