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不同体位下使用倾角仪测量膝关节本体感觉的有效性和可靠性

The Validity and Reliability of Knee Proprioception Measurement Performed With Inclinometer in Different Positions.

作者信息

Suner-Keklik Sinem, Cobanoglu-Seven Gamze, Kafa Nihan, Ugurlu Mustafa, Guzel Nevin Atalay

机构信息

1 Gazi University , Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Ankara, Turkey.

2 Ankara Atatürk Training and Research Hospital , Psychiatry Department, Ankara, Turkey.

出版信息

J Sport Rehabil. 2017 Nov 1;26(6). doi: 10.1123/jsr.2017-0010. Epub 2017 Jun 12.

Abstract

CONTEXT

Proprioception is the basic element of the spontaneous control of movement, balance and joint stability. Therefore, it is necessary for the execution of walking and daily and sport activities. Loss of proprioception of the knee, which may cause a new injury, is important to evaluate the position sense of the joint during the rehabilitation period. However, the evaluation methods that are used are very expensive, complicated and non-portable, or the measuring method is difficult to implement.

OBJECTIVE

We demonstrated the validity and reliability of knee proprioception measurements performed in the open kinetic chain position and closed kinetic chain position with a dual inclinometer.

DESIGN

We assessed the validity and intra-tester reliability of a digital inclinometer for measuring the knee joint position sense in different positions.

SETTING

Clinical laboratory.

PARTICIPANTS

We enrolled 22 participants (age = 21.8 ± 0.95 years, height = 172 ± 9.1 cm, weight = 64.9 ± 14 kg) into the study.

INTERVENTION

The same investigator used an inclinometer to take knee proprioception measurements in open and closed kinetic chain positions.

MAIN OUTCOME MEASURES

The relative angular error was calculated by taking the arithmetic average of the difference between the target angle and reproduced angle and was the main outcome measure.

RESULTS

We found that the dynamometer-inclinometer had a moderate ICC value (ICC = 0.594, SEM = 1.60, p = 0.005), whereas inclinometer t vs inclinometer t (ICC = 0.778, SEM = 0.62, p < 0.001) and closed kinetic chain position t and closed kinetic chain position t (ICC = 0.888, SEM = 0.63, p < 0.001) had high ICC values.

CONCLUSION

Knee proprioception measurements performed with a dual inclinometer were reliable in the closed kinetic chain position in healthy, sedentary individuals and were valid and reliable in the open kinetic chain position.

摘要

背景

本体感觉是运动、平衡和关节稳定性自发控制的基本要素。因此,它对于行走以及日常和体育活动的执行是必要的。膝关节本体感觉的丧失可能会导致新的损伤,在康复期间评估关节的位置感很重要。然而,所使用的评估方法非常昂贵、复杂且不可携带,或者测量方法难以实施。

目的

我们证明了使用双倾角仪在开放动力链位置和闭合动力链位置进行膝关节本体感觉测量的有效性和可靠性。

设计

我们评估了数字倾角仪在不同位置测量膝关节位置感的有效性和测试者内可靠性。

设置

临床实验室。

参与者

我们招募了22名参与者(年龄 = 21.8 ± 0.95岁,身高 = 172 ± 9.1厘米,体重 = 64.9 ± 14千克)参与研究。

干预

同一名研究人员使用倾角仪在开放和闭合动力链位置进行膝关节本体感觉测量。

主要观察指标

通过计算目标角度与再现角度之差的算术平均值来计算相对角度误差,这是主要观察指标。

结果

我们发现测力计 - 倾角仪的组内相关系数(ICC)值中等(ICC = 0.594,标准误 = 1.60,p = 0.005),而倾角仪t与倾角仪t(ICC = 0.778,标准误 = 0.62,p < 0.001)以及闭合动力链位置t与闭合动力链位置t(ICC = 0.888,标准误 = 0.63,p < 0.001)的ICC值较高。

结论

在健康的久坐个体中,使用双倾角仪进行的膝关节本体感觉测量在闭合动力链位置是可靠的,在开放动力链位置是有效且可靠的。

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