Juul-Kristensen Birgit, Lund Hans, Hansen Klaus, Christensen Hanne, Danneskiold-Samsøe Bente, Bliddal Henning
Department of Orthopaedic Medicine and Rehabilitation, University Hospital of Copenhagen, Copenhagen, Denmark.
J Shoulder Elbow Surg. 2008 Jan-Feb;17(1 Suppl):72S-81S. doi: 10.1016/j.jse.2007.07.003. Epub 2007 Nov 26.
Two groups of women, 15 patients with lateral epicondylitis and 21 healthy controls, were studied to compare proprioception in the elbows and knees between the groups. Outcome measures were absolute error and variable error for joint position sense and for threshold to detection of a passive movement. Both absolute error and variable error of threshold to detection of a passive movement were greater in the lateral epicondylitis-diagnosed elbows than in the controls' elbows (lateral epicondylitis, 1.8 degrees vs controls 1.1 degrees, P = .026; lateral epicondylitis, 0.8 degrees vs controls 0.3 degrees, P = .015), and there was a tendency toward a greater absolute error of joint position sense compared with the control elbows (lateral epicondylitis, 8.2 degrees vs controls, 5.6 degrees; P = .078). Absolute error of joint position sense was greater in the elbows than in the knees of the lateral epicondylitis patients, but no group differences were found for knees. Proprioception seems, therefore, to be poorer in elbows with lateral epicondylitis elbows than in the controls' elbows. This needs to be taken into consideration in the management of lateral epicondylitis.
对两组女性进行了研究，其中15名患有外侧上髁炎的患者和21名健康对照者，以比较两组之间肘部和膝部的本体感觉。结果测量指标为关节位置觉的绝对误差和可变误差以及被动运动检测阈值。外侧上髁炎诊断肘部的被动运动检测阈值的绝对误差和可变误差均大于对照组肘部（外侧上髁炎组为1.8度，对照组为1.1度，P = 0.026；外侧上髁炎组为0.8度，对照组为0.3度，P = 0.015），并且与对照肘部相比，关节位置觉的绝对误差有增大的趋势（外侧上髁炎组为8.2度，对照组为5.6度；P = 0.078）。外侧上髁炎患者肘部的关节位置觉绝对误差大于膝部，但膝部未发现组间差异。因此，外侧上髁炎肘部的本体感觉似乎比对照肘部差。在外侧上髁炎的治疗中需要考虑到这一点。
