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在对关节位置感觉进行主动评估后,单侧前交叉韧带撕裂个体的本体感觉缺陷。

Proprioceptive deficit in individuals with unilateral tearing of the anterior cruciate ligament after active evaluation of the sense of joint position.

作者信息

Cossich Victor, Mallrich Frédéric, Titonelli Victor, de Sousa Eduardo Branco, Velasques Bruna, Salles José Inácio

机构信息

Neuromuscular Research Laboratory, National Institute of Traumatology and Orthopedics (INTO), Rio de Janeiro, RJ, Brazil.

Neuromuscular Research Laboratory, National Institute of Traumatology and Orthopedics (INTO), Rio de Janeiro, RJ, Brazil ; Department of Biosciences, School of Physical Education and Sports (EEFD), Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro, RJ, Brazil.

出版信息

Rev Bras Ortop. 2014 Oct 27;49(6):607-12. doi: 10.1016/j.rboe.2013.07.003. eCollection 2014 Nov-Dec.

Abstract

OBJECTIVE

To ascertain whether the proprioceptive deficit in the sense of joint position continues to be present when patients with a limb presenting a deficient anterior cruciate ligament (ACL) are assessed by testing their active reproduction of joint position, in comparison with the contralateral limb.

METHODS

Twenty patients with unilateral ACL tearing participated in the study. Their active reproduction of joint position in the limb with the deficient ACL and in the healthy contralateral limb was tested. Meta-positions of 20% and 50% of the maximum joint range of motion were used. Proprioceptive performance was determined through the values of the absolute error, variable error and constant error.

RESULTS

Significant differences in absolute error were found at both of the positions evaluated, and in constant error at 50% of the maximum joint range of motion.

CONCLUSION

When evaluated in terms of absolute error, the proprioceptive deficit continues to be present even when an active evaluation of the sense of joint position is made. Consequently, this sense involves activity of both intramuscular and tendon receptors.

摘要

目的

通过测试前交叉韧带(ACL)损伤患者与对侧肢体相比,主动重现关节位置的能力,来确定关节位置觉的本体感觉缺陷在评估时是否仍然存在。

方法

20名单侧ACL撕裂患者参与了本研究。测试了他们ACL损伤肢体和对侧健康肢体的关节位置主动重现能力。使用了最大关节活动范围20%和50%的元位置。通过绝对误差、可变误差和恒定误差值来确定本体感觉表现。

结果

在评估的两个位置均发现绝对误差存在显著差异,在最大关节活动范围50%时恒定误差也存在显著差异。

结论

从绝对误差角度评估时,即使进行关节位置觉的主动评估,本体感觉缺陷仍然存在。因此这种感觉涉及肌内和肌腱感受器的活动。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c59/4487438/357e84ba0be6/gr1.jpg

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