膝关节本体感觉和力量对健康成年人下肢功能对称性的影响。

The Influence of Knee Proprioception and Strength on Lower-Limb Functional Symmetry in Healthy Adults.

作者信息

Drigny Joffrey, Rolland Marine, Gauthier Antoine

机构信息

Department of Sports Medicine and Physical Medicine and Rehabilitation, CHU de Caen Normandie, Normandie Univ, 14000 Caen, France.

INSERM, COMETE, Université de Caen Normandie, 14000 Caen, France.

出版信息

Muscles. 2025 Jan 21;4(1):3. doi: 10.3390/muscles4010003.

Abstract

This study examined the association between knee proprioception, strength, and functional symmetry in healthy individuals using isokinetic strength tests, proprioception assessments, and hop tests. Twenty young, healthy adults (mean age 26.5 ± 4.1 years, 85% right-limb dominant) participated. Knee extensor and flexor strength were measured at 60°·s and 240°·s. Proprioception was assessed by measuring passive joint position sense (JPS1: position recognition; JPS2: repositioning) and kinesthesia (threshold to detection of passive motion, TTDPM). Functional performance was evaluated using the single-leg hop test (SLH), triple-hop test (TH), and crossover hop test (COH). Symmetry was calculated using the limb symmetry index (LSI) as the ratio of non-dominant to dominant limb values. The results showed that THT ( = 0.011) and COH ( = 0.032) performance was superior on the dominant limb. A correlation analysis revealed strong positive correlations between hop test distances and knee extensor strength (r = 0.56-0.70, < 0.001). JPS symmetry was negatively correlated with hop test symmetry (JPS1: SLH, r = -0.53; THT, r = -0.49; COH, r = -0.70). The participants with poorer position sense on the non-dominant leg were 2.7 times more likely to show LSI < 90% ( = 0.035). In conclusion, proprioception-particularly joint position sense-is associated with functional symmetry during dynamic tasks, highlighting the importance of proprioceptive assessments in rehabilitation and injury prevention.

摘要

本研究通过等速肌力测试、本体感觉评估和单腿跳测试,考察了健康个体膝关节本体感觉、力量和功能对称性之间的关联。20名年轻健康成年人(平均年龄26.5±4.1岁,85%为右下肢优势)参与了研究。在60°·s和240°·s时测量膝关节伸肌和屈肌力量。通过测量被动关节位置觉(JPS1:位置识别;JPS2:重新定位)和动觉(被动运动检测阈值,TTDPM)来评估本体感觉。使用单腿跳测试(SLH)、三级跳测试(TH)和交叉跳测试(COH)评估功能表现。使用肢体对称指数(LSI)作为非优势侧与优势侧肢体值的比值来计算对称性。结果显示,优势侧肢体的TH(P = 0.011)和COH(P = 0.032)表现更优。相关性分析显示,跳测试距离与膝关节伸肌力量之间存在强正相关(r = 0.56 - 0.70,P < 0.001)。JPS对称性与跳测试对称性呈负相关(JPS1:SLH,r = -0.53;TH,r = -0.49;COH,r = -0.70)。非优势腿位置觉较差的参与者表现出LSI < 90%的可能性高2.7倍(P = 0.035)。总之,本体感觉——尤其是关节位置觉——与动态任务期间的功能对称性相关,突出了本体感觉评估在康复和预防损伤中的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4b9/12121309/d0fc375b69fb/muscles-04-00003-g001.jpg

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