Scheuffelen C, Gollhofer A, Lohrer H
Institut für Sport und Sportwissenschaft, Universität Freiburg.
Sportverletz Sportschaden. 1993 Mar;7(1):30-6. doi: 10.1055/s-2007-993480.
For functional treatment of acute ankle sprain after surgical or nonsurgical management various special shoes and braces are in use. For a comparison under functional conditions we applied controlled inversion movements of 20 and 30 degrees to 13 subjects. The reduction of angular displacement was measured for the following orthosis: Aircast, Adimed Stabil 2, Adipromed Stabil Super, Mikros Ankle Brace, MHH-Splint Caligamed, Puschbrace and Tape. For evaluation of the neuromuscular activation surface EMGs of selected leg muscles were analyzed. A significant reduction of the induced inversion displacement was observed in all devices, although a complete inhibition of this movement was not possible. EMG activation was comparable to physiological conditions and is not correlated to the displacement characteristics. It is concluded that functional evaluation must take into consideration both the optimal reduction of the inversion and the high functional innervation.
对于手术或非手术治疗后的急性踝关节扭伤的功能治疗，目前使用各种特殊的鞋子和支具。为了在功能条件下进行比较，我们对13名受试者施加了20度和30度的控制性内翻运动。测量了以下矫形器的角位移减少情况：Aircast、Adimed Stabil 2、Adipromed Stabil Super、Mikros踝关节支具、MHH-Splint Caligamed、Puschbrace和绷带。为了评估神经肌肉激活情况，分析了所选腿部肌肉的表面肌电图。在所有装置中均观察到诱导内翻位移的显著减少，尽管不可能完全抑制这种运动。肌电图激活与生理条件相当，且与位移特征无关。得出的结论是，功能评估必须同时考虑内翻的最佳减少和高度的功能神经支配。
