Hagen Marco, Lemke Martin, Lahner Matthias
University of Duisburg-Essen, Institute of Sport and Movement Sciences, Biomechanics Laboratory, Gladbecker Str. 182, 45141 Essen, Germany.
Ruhr-University Bochum, Department of Orthopaedic Surgery, St. Josef-Hospital, Gudrunstr. 56, 44791 Bochum, Germany; Leben in Bewegung, Department of Orthopaedic, Bahnhofsallee 7, Bahnhofsallee 20, 40721 Hilden, Germany.
Hum Mov Sci. 2018 Feb;57:324-331. doi: 10.1016/j.humov.2017.09.010. Epub 2017 Sep 20.
Deficits in joint position sense (JPS) and force sense (FS) are two functional insufficiencies contributing to chronic ankle instability (CAI). To date, JPS and FS have been only investigated in the sagittal and transverse movement planes but not in the functional movement plane of the pronators and supinators defined by the axis of the subtalar joint (STJ). The purpose of this study was to investigate subtalar JPS as well as pronator and supinator FS in supinated and pronated joint angle in subjects with CAI. Using a force transducer and a goniometer integrated in an apparatus with a movement axis corresponding to Inman's STJ axis, JPS and FS were examined in 20 sport students with CAI and 20 age- and sex-matched controls. Compared to uninjured subjects, CAI leads to reduced pronator (p<0.01) and supinator FS (p<0.01) as well as JPS (p<0.05). A significant main effect for 'angle' was found for JPS (P<0.0001). JPS is affected by a significant 'group'×'angle' interaction (p<0.05) indicating reduced JPS in the 24° supinated angle however not in the 8° pronated angle. The angle-specific JPS deficits indicate that the anatomical STJ axis has to be considered when assessing pronation and supination proprioception in subjects with CAI.
关节位置觉(JPS)和力觉(FS)缺陷是导致慢性踝关节不稳(CAI)的两种功能不足。迄今为止,JPS和FS仅在矢状面和横断面运动平面进行了研究,而未在由距下关节(STJ)轴定义的旋前肌和旋后肌功能运动平面进行研究。本研究的目的是调查CAI患者在旋后和旋前关节角度下的距下JPS以及旋前肌和旋后肌FS。使用集成在具有与英曼STJ轴相对应运动轴的仪器中的力传感器和角度计,对20名患有CAI的体育专业学生和20名年龄及性别匹配的对照组进行了JPS和FS检查。与未受伤的受试者相比,CAI导致旋前肌FS(p<0.01)、旋后肌FS(p<0.01)以及JPS(p<0.05)降低。发现JPS存在显著的“角度”主效应(P<0.0001)。JPS受到显著的“组”ד角度”交互作用影响(p<0.05),表明在24°旋后角度下JPS降低,而在8°旋前角度下未降低。特定角度的JPS缺陷表明,在评估CAI患者的旋前和旋后本体感觉时必须考虑解剖学STJ轴。
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