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关节过度松弛与肌肉韧带损伤:对年龄、性别和体力活动均一的人群的研究。

Joint hyperlaxity and musculoligamentous lesions: study of a population of homogeneous age, sex and physical exertion.

作者信息

Acasuso Díaz M, Collantes Estévez E, Sánchez Guijo P

机构信息

Reus Air Bas, Tarragona, Spain.

出版信息

Br J Rheumatol. 1993 Feb;32(2):120-2. doi: 10.1093/rheumatology/32.2.120.

Abstract

A total of 675 male soldiers of the same age (17 years) and on the same physical exertion regimen were studied in order to determine the incidence of joint laxity and its potential relationship to the appearance of musculoligamentous lesions. They were investigated during their 2-month military training period, which involved the same heavy physical exertion for all the individuals. The degree of joint laxity was determined on the basis of five criteria involving the hand, elbow, knee and spine. The overall population was divided into three groups according to the number of criteria met, namely: (1) normal or non-lax individuals, with none or only one criterion (67% of the studied population); (2) lax individuals, with two or three criteria (25.5%); and (3) hyperlax individuals, with four or five criteria (7.5%). The occurrence of musculoligamentous lesions during the 2-month study, particularly those involving the ankle and knee, was significantly more frequent in hyperlax and lax individuals than it was in their counterparts with normal joint mobility. These results confirm that joint hyperlaxity predisposes individuals to musculoligamentous lesions.

摘要

为了确定关节松弛的发生率及其与肌肉韧带损伤出现的潜在关系,对675名年龄相同(17岁)且体力消耗方案相同的男性士兵进行了研究。在他们为期2个月的军事训练期间对他们进行了调查,所有个体的训练都涉及相同强度的体力消耗。根据涉及手部、肘部、膝盖和脊柱的五项标准来确定关节松弛的程度。根据符合标准的数量,将总体人群分为三组,即:(1)正常或非松弛个体,无标准或仅符合一项标准(占研究人群的67%);(2)松弛个体,符合两项或三项标准(25.5%);(3)过度松弛个体,符合四项或五项标准(7.5%)。在为期2个月的研究中,过度松弛和松弛个体出现肌肉韧带损伤的情况,尤其是涉及脚踝和膝盖的损伤,明显比关节活动正常的个体更频繁。这些结果证实关节过度松弛会使个体易患肌肉韧带损伤。

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