肌肉功能与踝关节稳定性的关系。
The Relationship between Muscle Function and Ankle Stability.
出版信息
J Orthop Sports Phys Ther. 1990;11(12):605-11. doi: 10.2519/jospt.1990.11.12.605.
The purpose of this investigation was to document the degree of weakness present in the medial and lateral muscle groups of individuals with chronically unstable ankles. Peak isometric and isokinetic torque measurements were collected bilaterally during the motion of inversion-eversion from 33 subjects, ages 17 to 54, reporting unilateral chronic lateral instability. Values were then compared between the involved and uninvolved sides. A modified Romberg test was also performed bilaterally to determine gross balance differences between the involved and uninvolved lower extremities. No significant difference in muscle strength was documented either isometrically or isokinetically, but balance differences were found between the two extremities in a majority of subjects. The findings suggest that muscular weakness is not a major contributing factor to the chronically unstable ankle. The findings do support the presence of proprioceptive deficits associated with this condition. Based on the results, proprioceptive activities should be a primary consideration in management of the chronically unstable ankle. J Orthop Sports Phys Ther 1990;11(12):605-611.
本研究旨在记录慢性踝关节不稳定患者内侧和外侧肌群的虚弱程度。从 33 名年龄在 17 至 54 岁之间、报告有单侧慢性外侧不稳定的个体中双侧收集了在内外翻运动过程中的等长和等速峰值扭矩测量值。然后将这些值与受累侧和未受累侧进行比较。还对双侧进行了改良 Romberg 测试,以确定受累和未受累下肢之间的大体平衡差异。无论是等长还是等速,都没有记录到肌肉力量的显著差异,但在大多数受试者中,两个肢体之间存在平衡差异。这些发现表明肌肉无力不是慢性不稳定踝关节的主要致病因素。这些发现确实支持与该病症相关的本体感觉缺陷的存在。基于这些结果,本体感觉活动应该是慢性不稳定踝关节管理的主要考虑因素。J Orthop Sports Phys Ther 1990;11(12):605-611.