Witchalls Jeremy B, Waddington Gordon, Adams Roger, Blanch Peter
Faculty of Health, University of Canberra, University Drive, Bruce, ACT 2609, Australia; Dept of Physical Therapies, Australian Institute of Sport, Leverier Crescent, Bruce, ACT 2617, Australia.
Faculty of Health, University of Canberra, University Drive, Bruce, ACT 2609, Australia.
Phys Ther Sport. 2014 May;15(2):106-11. doi: 10.1016/j.ptsp.2013.04.002. Epub 2013 Aug 15.
OBJECTIVES: 1. To determine whether individuals with chronic ankle instability (CAI) have lower proprioception sensitivity scores from a test on the Active Movement Extent Discrimination Apparatus (AMEDA). 2. To determine whether individuals with CAI can improve proprioception sensitivity scores with repeated active movement testing using the AMEDA. 3. To assess the test-retest reliability of the AMEDA. DESIGN: A cohort study comparing those with CAI or healthy ankles. SETTING: University clinical laboratory. PARTICIPANTS: 61 healthy university students, 36 with CAI, 25 with stable ankles. MAIN OUTCOME MEASURES: A 2-way ANOVA was conducted to compare performance of CAI and stable ankle groups, over 3 test repetitions on the AMEDA. The reliability intra-class correlation coefficient (ICC) was obtained for test repetitions. RESULTS: The scores improved in both groups when the AMEDA test was repeated (p = <0.001). The rates of improvement in proprioception test scores differed, with the CAI group showing a slower learning rate than the stable ankle group (p = 0.047). The ICC for the whole group across the three trials was 0.80 (95% CI = 0.69 to 0.87, p = <0.001). CONCLUSIONS: CAI participants improve their proprioception scores more slowly upon repeated AMEDA testing, suggesting differences in learning strategies.
目的:1. 确定慢性踝关节不稳(CAI)患者在主动运动范围辨别仪(AMEDA)测试中的本体感觉敏感度得分是否较低。2. 确定CAI患者通过使用AMEDA进行重复主动运动测试能否提高本体感觉敏感度得分。3. 评估AMEDA的重测信度。 设计:一项比较CAI患者与踝关节健康者的队列研究。 地点:大学临床实验室。 参与者:61名健康大学生,36名CAI患者,25名踝关节稳定者。 主要观察指标:进行双向方差分析以比较CAI组和踝关节稳定组在AMEDA上3次测试重复中的表现。获取测试重复的可靠性组内相关系数(ICC)。 结果:重复AMEDA测试时两组得分均有所提高(p = <0.001)。本体感觉测试得分的提高率有所不同,CAI组的学习速度比踝关节稳定组慢(p = 0.047)。整个组在三次试验中的ICC为0.80(95%CI = 0.69至0.87,p = <0.001)。 结论:CAI参与者在重复AMEDA测试时本体感觉得分提高较慢,提示学习策略存在差异。
Phys Ther Sport. 2014-5
Percept Mot Skills. 2022-12
J Orthop Sports Phys Ther. 2010-11-10
Musculoskelet Sci Pract. 2024-8
Appl Bionics Biomech. 2025-7-3
Sports (Basel). 2024-10-17
Medicine (Baltimore). 2024-8-9
Front Sports Act Living. 2023-10-17