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踝关节扭伤作为工伤事故:两周后本体感觉状况

Ankle sprain as a work-related accident: status of proprioception after 2 weeks.

作者信息

González-Iñigo Salvador, Munuera-Martínez Pedro V, Lafuente-Sotillos Guillermo, Castillo-López José M, Ramos-Ortega Javier, Domínguez-Maldonado Gabriel

机构信息

ASEPEYO, Seville, España.

Department of Podiatry, University of Seville, Seville, Spain.

出版信息

PeerJ. 2017 Dec 15;5:e4163. doi: 10.7717/peerj.4163. eCollection 2017.

DOI:10.7717/peerj.4163
PMID:29259844
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5733905/
Abstract

PURPOSE

This study aims at verifying whether proprioception is abnormal or not, two weeks after a grade 1 and 2 ankle sprain in the scope of work-related accident.

METHODS

A descriptive, observation and transversal study was designed to compare speed, movement and oscilation of centre of pressure in employees of companies signed up to a mutual company. Participants' healthy feet comprised the control group, and feet that had undergone an ankle sprain due to a work-related accident comprised the cases group. The following stability tests were undertaken to both the healthy and injuried feet using a force plate: Monopodal Romberg test with eyes open, Monopodal Romberg test with eyes open on a 30 mm thick foam rubber, Monopodal Romberg test with eyes closed, and Romberg test as monopodal support with eyes closed on a 30 mm thick foam rubber. A multiple logistic regression analysis was performed. From the results of this regression model the COR curve test was performed.

RESULTS

71.7% accuracy in the predictions was attained. The equation was as follows: = ⋅% ⋅. The variable MREO antero-posterior movement was used in the COR curve methodology. The area under the curve was greater than 0.65 and at a 95% confidence interval the 0.75 value was included, which in our case was the injured subject condition. Values for sensitivity, specificity, positive predictive value and negative predictive value were 0.667, 0.633, 64.5%, and 65.5%, respectively.

CONCLUSION

The participants in this study showed a diminished capacity for postural control in an ankle two weeks after an ankle sprain.

摘要

目的

本研究旨在验证在与工作相关的事故范围内,1级和2级踝关节扭伤两周后本体感觉是否异常。

方法

设计了一项描述性、观察性和横断面研究,以比较加入互助公司的企业员工的压力中心速度、运动和摆动情况。参与者的健康脚组成对照组,因工作相关事故发生踝关节扭伤的脚组成病例组。使用测力板对健康脚和受伤脚进行以下稳定性测试:睁眼单足罗姆伯格试验、在30毫米厚泡沫橡胶上睁眼单足罗姆伯格试验、闭眼单足罗姆伯格试验以及在30毫米厚泡沫橡胶上闭眼单足支撑的罗姆伯格试验。进行了多元逻辑回归分析。根据该回归模型的结果进行了COR曲线测试。

结果

预测准确率达到71.7%。方程如下: = ⋅% ⋅。COR曲线方法中使用了变量MREO前后运动。曲线下面积大于0.65,在95%置信区间内包含0.75值,在我们的案例中这是受伤受试者的情况。敏感性、特异性、阳性预测值和阴性预测值分别为0.667、0.633、64.5%和65.5%。

结论

本研究中的参与者在踝关节扭伤两周后,踝关节的姿势控制能力下降。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b86/5733905/7a8d77e6025c/peerj-05-4163-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b86/5733905/83bb48f96bea/peerj-05-4163-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b86/5733905/7a8d77e6025c/peerj-05-4163-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b86/5733905/83bb48f96bea/peerj-05-4163-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b86/5733905/7a8d77e6025c/peerj-05-4163-g002.jpg

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