Bottoni G, Herten A, Kofler P, Hasler M, Nachbauer W
Centre of Technology of Ski and Alpine Sport, Innsbruck, Austria.
Knee. 2013 Dec;20(6):490-2. doi: 10.1016/j.knee.2013.05.001. Epub 2013 May 28.
Proprioception has been defined as the capacity to feel the position of a joint in space as sensed by the central nervous system. Prophylactic knee braces are supposed to help in knee injury prevention not just with a mechanical support of the joint but also improving proprioception. The main aim of this study was to determine the effects of a knee brace and a knee sleeve on knee proprioception. The secondary aim was to determine if different starting angles of the knee and different movement directions influence knee proprioception.
We tested a group of twenty healthy male sport students without knee injuries. They were tested with the brace, with the sleeve and without support. The threshold of detection of passive knee movement with a starting knee angle of 30° and 60°, both in flexion and extension was determined.
We did not find any statistically significant change in the threshold of detection of passive knee movement wearing the brace or the sleeve compared to the unsupported condition (p=0.462, α=0.05). We found a significantly lower proprioceptive sensitivity starting at the more flexed knee angle (p=0.005, α=0.05) and moving in extension than in the other test situations (p=0.001, α=0.05).
Movement direction and starting position appear to influence the threshold of detection of passive knee movement. The results of this study also suggest that knee supports do not influence either positively or negatively knee proprioception of uninjured active subjects.
本体感觉被定义为中枢神经系统所感知的在空间中感受关节位置的能力。预防性膝关节支具不仅通过对关节的机械支撑,还通过改善本体感觉来帮助预防膝关节损伤。本研究的主要目的是确定膝关节支具和护膝对膝关节本体感觉的影响。次要目的是确定膝关节的不同起始角度和不同运动方向是否会影响膝关节本体感觉。
我们测试了一组20名无膝关节损伤的健康男性体育专业学生。他们分别在佩戴支具、护膝和无支撑的情况下接受测试。测定了膝关节起始角度为30°和60°时,屈伸过程中被动膝关节运动的检测阈值。
与无支撑状态相比,我们发现佩戴支具或护膝时被动膝关节运动的检测阈值没有任何统计学上的显著变化(p = 0.462,α = 0.05)。我们发现,从更屈曲的膝关节角度开始伸展时,本体感觉敏感性显著低于其他测试情况(p = 0.005,α = 0.05),且伸展运动时的本体感觉敏感性低于其他测试情况(p = 0.001,α = 0.05)。
运动方向和起始位置似乎会影响被动膝关节运动的检测阈值。本研究结果还表明,膝关节支撑对未受伤的活跃受试者的膝关节本体感觉没有积极或消极的影响。