Akbari Mohammad, Karimi Hossein, Farahini Hossein, Faghihzadeh Soghrat
Department of Physical Therapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, PO Box 15875-4391, Tehran, Iran.
J Rehabil Res Dev. 2006 Nov-Dec;43(7):819-24. doi: 10.1682/jrrd.2006.01.0001.
Abstract-Ankle ligament injury is the most common injury in athletic activities. This study examined balance problems in athletes with acute lateral ankle sprains. Thirty male athletes aged 20 to 35 years with right dominant side and traumatic ankle sprain were recruited through simple nonprobability sampling. We measured the sway index and limits of stability with the Biodex Balance System under different conditions. Functional balance was evaluated with two clinical tests: the Functional Reach Test and the Star-Excursion Balance Test. The results showed that balance ability in patients with acute lateral ankle sprain was significantly weaker under closed- versus open-eye conditions. Symmetry of weight-bearing on involved and sound limb in bilateral standing was not significantly different, but weight-bearing on the nondominant limb was significantly higher than on the dominant limb. We can conclude that balance problems occur after acute ankle sprains because of proprioception deficits and that the unconscious (reflexive) aspect of proprioception is more severely affected than the conscious (voluntary) aspect.
摘要——踝关节韧带损伤是体育活动中最常见的损伤。本研究调查了急性外侧踝关节扭伤运动员的平衡问题。通过简单的非概率抽样招募了30名年龄在20至35岁之间、右侧优势且有创伤性踝关节扭伤的男性运动员。我们在不同条件下使用Biodex平衡系统测量了摆动指数和稳定性极限。通过两项临床测试评估功能平衡:功能性伸展测试和星形偏移平衡测试。结果表明,急性外侧踝关节扭伤患者在闭眼与睁眼条件下的平衡能力明显较弱。双侧站立时患侧与健侧肢体负重的对称性无显著差异,但非优势肢体的负重明显高于优势肢体。我们可以得出结论,急性踝关节扭伤后会出现平衡问题是由于本体感觉缺陷,并且本体感觉的无意识(反射性)方面比有意识(自主性)方面受到的影响更严重。
J Rehabil Res Dev. 2006
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