Goldie P A, Evans O M, Bach T M
School of Physiotherapy, Faculty of Health Sciences, La Trobe University, Victoria, Australia.
Arch Phys Med Rehabil. 1994 Sep;75(9):969-75.
Postural control was investigated following unilateral inversion injury of the ankle in 24 trained and 24 untrained subjects at least 8 weeks following injury and following resumption of high-speed activities. The two groups differed in the practice of balance exercises in one-legged stance during rehabilitation. Using a force platform the variability of the mediolateral force signal was used to quantify steadiness as each subject stood in one-legged stance with the eyes open and closed on the injured and noninjured legs. A three way analysis of variance showed that for the untrained subjects postural steadiness was significantly worse on the injured leg than the noninjured leg both with eyes open (p < .05) and closed (p < .05). No postural deficit was found on the injured leg of the trained subjects with eyes open or closed (p > .05). It is strongly recommended that rehabilitation following inversion injury of the ankle include balance retraining to minimize the risk of further injury.
在24名受过训练和24名未受过训练的受试者中，在踝关节单侧内翻损伤至少8周后以及恢复高速活动后，对姿势控制进行了研究。两组在康复期间单腿站立平衡练习的做法上存在差异。使用测力平台，当每个受试者分别以受伤腿和未受伤腿单腿站立且眼睛睁开和闭上时，通过测量内外侧力信号的变异性来量化稳定性。三因素方差分析表明，对于未受过训练的受试者，受伤腿在眼睛睁开（p < 0.05）和闭上（p < 0.05）时的姿势稳定性明显比未受伤腿差。对于受过训练的受试者，无论眼睛睁开还是闭上，受伤腿均未发现姿势缺陷（p > 0.05）。强烈建议踝关节内翻损伤后的康复训练应包括平衡再训练，以尽量降低再次受伤的风险。
