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年龄、体重指数和腿部优势对功能性踝关节稳定性的影响。

Influence of age, body mass index and leg dominance on functional ankle stability.

机构信息

Department of Trauma and Reconstructive Surgery, Carl Gustav Carus University Hospital, 01307 Dresden, Germany.

出版信息

Foot Ankle Int. 2010 May;31(5):423-32. doi: 10.3113/FAI.2010.0423.

Abstract

BACKGROUND

The aim of this study was to examine the influence of age, body mass index (BMI) and leg dominance on the PRT, balance control and foot position sense.

MATERIALS AND METHODS

The proprioception of the ankle was investigated in 210 participants. All participants completed a questionnaire. The PRT was measured on a tilting platform. The position sense test was performed. Balance control was assessed with the Biodex Stability System (BSS), measuring the overall stability index (OSI) at the stable level 8 and the unstable level 2. Correlation analyses were performed between these data and age, BMI and leg dominance, using the Spearman-Rho coefficient with a two-sided significance level of p < 0.05.

RESULTS

Significant increases of the PRT and OSI in correlation to increased age and BMI were noted for both legs (p < 0.05). No positive correlation to age, BMI or leg dominance could be demonstrated for the foot position sense test. The PRT of the right leg was always significantly faster than that of the left leg, irrespective of leg dominance (p < 0.05). Surprisingly, individuals with a dominant right leg achieved better OSI scores in left single leg stance at the unstable level 2 (p < 0.05).

CONCLUSION

The PRT and the postural stability correlate with age and BMI, whereas the position sense test of the ankle does not. Furthermore, the PRT in right legs is always faster. This should be noted when functional ankle stability is evaluated in patients.

摘要

背景

本研究旨在探讨年龄、体重指数(BMI)和肢体优势对本体感觉、平衡控制和足位置感的影响。

材料与方法

对 210 名参与者的踝关节本体感觉进行了调查。所有参与者都完成了一份问卷。使用倾斜平台测量本体感觉试验(PRT)。位置感测试是通过 Biodex 稳定性系统(BSS)进行的,在稳定水平 8 和不稳定水平 2 测量整体稳定性指数(OSI)。使用 Spearman-Rho 系数进行数据与年龄、BMI 和肢体优势之间的相关性分析,双侧显著性水平 p<0.05。

结果

双腿的 PRT 和 OSI 均随年龄和 BMI 的增加而显著增加(p<0.05)。位置感测试与年龄、BMI 或肢体优势均无正相关。右腿的 PRT 始终明显快于左腿,无论肢体优势如何(p<0.05)。令人惊讶的是,在不稳定的 2 级单腿站立时,右侧肢体优势的个体在左腿的 OSI 得分更好(p<0.05)。

结论

PRT 和姿势稳定性与年龄和 BMI 相关,而踝关节位置感测试则不相关。此外,右腿的 PRT 总是更快。在评估患者的功能性踝关节稳定性时应注意这一点。

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