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检测施加于人体髋关节、膝关节、踝关节和脚趾关节的运动。

Detection of movements imposed on human hip, knee, ankle and toe joints.

作者信息

Refshauge K M, Chan R, Taylor J L, McCloskey D I

机构信息

Prince of Wales Medical Research Institute, Sydney, NSW, Australia.

出版信息

J Physiol. 1995 Oct 1;488 ( Pt 1)(Pt 1):231-41. doi: 10.1113/jphysiol.1995.sp020961.

Abstract
  1. The angular displacements necessary for 70% correct detection were determined in normal subjects at the hip, knee and ankle joints, and the interphalangeal joint of the big toe. Angular velocities between 0.1 and 50 deg s-1 were tested. The hip and knee joints were tested in slight flexion and the ankle and toe joints were tested in the mid-range of the normal excursion. The joints were carefully supported for testing and the muscles acting at the joints were relaxed. 2. When detection thresholds and velocities were assessed in terms of angular displacements and angular velocities, proprioceptive performances at the hip, knee and ankle joints were superior to that at the toe joint. 3. When detection levels and displacement velocities were expressed in terms of linear displacements and velocities at the tip of the extended toe for all four joints, instead of in angular terms, the ankle gave the best performance and the hip and knee the worst. 4. The detection level and velocity data were expressed also in terms of proportional changes in the fascicle lengths of muscles operating these joints. Analysis in these terms showed that performance was similar at the hip, knee and ankle joints, but that performance for the toe was much poorer than for the other joints. 5. These results for the hip, knee and ankle are similar to those previously measured for the elbow and distal interphlangeal joint of the finger, and are consistent with the theory that muscle fascicle length is the variable of significance to the central nervous system. However, the proprioceptive performance at the big toe is notably poorer than all other joints studied and analysed in terms of this variable.
摘要
  1. 在正常受试者的髋关节、膝关节、踝关节以及拇趾的指间关节处,测定了70%正确检测所需的角位移。测试了0.1至50度每秒的角速度。髋关节和膝关节在轻度屈曲状态下进行测试,踝关节和趾关节在正常活动范围的中间位置进行测试。测试时关节得到仔细支撑,作用于关节的肌肉处于放松状态。2. 当根据角位移和角速度评估检测阈值和速度时,髋关节、膝关节和踝关节的本体感觉表现优于趾关节。3. 当所有四个关节的检测水平和位移速度用伸直的趾尖处的线性位移和速度来表示,而非用角度表示时,踝关节表现最佳,髋关节和膝关节表现最差。4. 检测水平和速度数据也根据操作这些关节的肌肉肌束长度的比例变化来表示。从这些方面进行分析表明,髋关节、膝关节和踝关节的表现相似,但趾关节的表现比其他关节差得多。5. 髋关节、膝关节和踝关节的这些结果与先前测量的肘关节和手指远侧指间关节的结果相似,并且与肌肉肌束长度是对中枢神经系统具有重要意义的变量这一理论相一致。然而,就这个变量而言,拇趾的本体感觉表现明显比所有其他研究和分析过的关节差。

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