Hadamus Anna, Białoszewski Dariusz
Warszawski Uniwersytet Medyczny / Medical University of Warsaw Zakład Rehabilitacji Oddziału Fizjoterapii II Wydziału Lekarskiego / Division of Rehabilitation, Department of Physiotherapy, 2nd, Medical Faculty.
Ortop Traumatol Rehabil. 2017 Oct 31;19(5):403-414. doi: 10.5604/01.3001.0010.5820.
The sensorimotor system is a complicated tool allowing for maintaining body balance and responding to changing environmental conditions to prevent injury. It is difficult to objectively assess the function of balance control mechanisms due to the multidimensional nature of the sensorimotor system and multitude of variables that may interfere with the measurement. The function of the sensorimotor system is considerably compromised in osteoarthritis, including gona-rthro-sis. The knee is the second most common location of osteoarthritis, after the hip, and total or partial replacement surgery of the knee joint represents the therapy of choice in advanced stages of the condition. As average life expectancy increases and state-of-the art medical technology develops, the number of total knee replacement surgeries is increasing dramatically and the re-education of the sensorimotor system is of fundamental impo-rtance for restoring function in the patients. This paper describes the current methods for objective assessment of proprioception, sensorimotor function and balance in the knee. The current literature is also reviewed to discuss the use of such examinations in pa-tients with gonarthrosis before and after knee replacement surgery.
感觉运动系统是一个复杂的工具，可用于维持身体平衡并响应不断变化的环境条件以防止受伤。由于感觉运动系统的多维度性质以及可能干扰测量的众多变量，很难客观地评估平衡控制机制的功能。在骨关节炎（包括膝骨关节炎）中，感觉运动系统的功能会受到相当大的损害。膝关节是仅次于髋关节的第二常见骨关节炎发病部位，膝关节全置换或部分置换手术是该病晚期的首选治疗方法。随着平均预期寿命的增加和先进医疗技术的发展，全膝关节置换手术的数量急剧增加，感觉运动系统的再教育对于恢复患者功能至关重要。本文描述了目前客观评估膝关节本体感觉、感觉运动功能和平衡的方法。同时还回顾了当前文献，以讨论此类检查在膝骨关节炎患者膝关节置换手术前后的应用。
