Bertrand-Charette Michaël, Dambreville Charline, Bouyer Laurent J, Roy Jean-Sébastien
Department of Rehabilitation, Faculty of Medicine, Laval University, Quebec City, Quebec, Canada.
Center for Interdisciplinary Research in Rehabilitation and Social Integration, Quebec City, Quebec, Canada.
BMJ Open Sport Exerc Med. 2020 Jul 6;6(1):e000685. doi: 10.1136/bmjsem-2019-000685. eCollection 2020.
BACKGROUND/AIM: Ankle sprains are frequent musculoskeletal injuries that can lead to sensorimotor deficits provoking long-term instability at the ankle joint. A broad variety of clinical tests currently exist to assess sensorimotor processing, and are commonly clinically referred to as proprioceptive tests. However, there is a discrepancy in the use of the term proprioception when looking at the main outcome of these tests. As identifying specific deficits is important for motor recovery, it is critical for clinicians to select the most appropriate tests.
A systematic review of four databases was performed to provide an up-to-date review of the psychometric properties of available tests referred to as proprioceptive tests. Seventy-nine articles on eight ankle proprioceptive tests were included and critically appraised. Data on validity, reliability and responsiveness were extracted from the included articles and synthesised. The tests reviewed were then divided into two categories based on their main outcome: motor control or somatosensation.
Strong evidence showed that the , a motor control test, is capable of differentiating between stable and unstable ankles. Moderate evidence suggests that somatosensation tests, such as , are also valid and reliable, but their responsiveness has yet to be evaluated.
Together, these findings indicate that the can be used in the clinic to assess motor control based on its excellent psychometric properties. However, as ankle stability control involves complex sensorimotor interactions, care has to be taken regarding the use of this test as a specific tool for proprioception assessment.
背景/目的：踝关节扭伤是常见的肌肉骨骼损伤，可导致感觉运动功能障碍，引发踝关节长期不稳定。目前存在多种临床测试来评估感觉运动处理能力，临床上通常将其称为本体感觉测试。然而，在观察这些测试的主要结果时，本体感觉这一术语的使用存在差异。由于识别特定缺陷对运动恢复很重要，因此临床医生选择最合适的测试至关重要。
对四个数据库进行系统综述，以提供对现有被称为本体感觉测试的心理测量特性的最新综述。纳入并严格评估了79篇关于八项踝关节本体感觉测试的文章。从纳入的文章中提取并综合了关于有效性、可靠性和反应性的数据。然后根据其主要结果将所审查的测试分为两类：运动控制或躯体感觉。
有力证据表明，作为一种运动控制测试，能够区分稳定和不稳定的踝关节。中等证据表明，躯体感觉测试，如，也是有效和可靠的，但其反应性尚未评估。
这些发现共同表明，鉴于其出色的心理测量特性，可用于临床评估运动控制。然而，由于踝关节稳定性控制涉及复杂的感觉运动相互作用，在将该测试用作本体感觉评估的特定工具时必须谨慎。
