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外侧踝关节支撑对慢性外侧踝关节不稳的影响:一项肌电图研究

The effect of external ankle support in chronic lateral ankle joint instability. An electromyographic study.

作者信息

Karlsson J, Andreasson G O

机构信息

Department of Orthopaedics, East Hospital, Göteborg University, Sweden.

出版信息

Am J Sports Med. 1992 May-Jun;20(3):257-61. doi: 10.1177/036354659202000304.

DOI:10.1177/036354659202000304
PMID:1636854
Abstract

We examined the effect of ankle taping on ankle joint stability by measuring mechanical stability using standardized stress radiographs. Anterior talar translation and talar tilt, both with and without ankle tape, were examined. The reduction of anterior talar translation and talar tilt with tape as compared to without tape was insignificant. The reaction time of the peroneus muscles was measured by electromyographic signal after a simulated ankle sprain on a tilting trapdoor. The reaction time was significantly slower in the unstable ankles of 20 athletes with unilateral ankle instability than in the stable contralateral ankles. With tape, the reaction time was significantly shortened, although not back to normal. The greatest improvement in reaction time was achieved in ankles with the highest degree of mechanical instability. Thus, the mechanism behind the function of ankle tape may be to restrict the extremes of ankle motion and to help shorten the reaction time of the peroneus muscles by affecting the proprioceptive function of the ankle.

摘要

我们通过使用标准化应力X线片测量机械稳定性,研究了踝关节贴扎对踝关节稳定性的影响。检查了有和没有踝关节贴扎时距骨向前移位和距骨倾斜情况。与不使用贴扎相比,使用贴扎时距骨向前移位和距骨倾斜的减少不显著。在倾斜活板门上模拟踝关节扭伤后,通过肌电信号测量腓骨肌的反应时间。在20名单侧踝关节不稳定的运动员中,不稳定踝关节的反应时间明显比稳定的对侧踝关节慢。使用贴扎时,反应时间显著缩短,尽管未恢复到正常水平。在机械不稳定程度最高的踝关节中,反应时间改善最大。因此,踝关节贴扎功能背后的机制可能是限制踝关节运动的极端情况,并通过影响踝关节的本体感觉功能来帮助缩短腓骨肌的反应时间。

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