Jerosch J, Thorwesten L, Steinbeck J, Schröder M
Westfälische Wilhelms-Universität Münster.
Z Orthop Ihre Grenzgeb. 1996 Jul-Aug;134(4):360-5. doi: 10.1055/s-2008-1039775.
In 30 healthy volunteers (12 female, 18 male; age: 22-36 years) we evaluated the proprioceptive function of the glenohumeral joint. The volunteers were asked to place the arm in different positions with and without visual control. The test was performed for the dominant as well as for the non dominant extremity. The following joint positions were measured: 50 degrees, 100 degrees, 150 degrees abduction, 50 degrees, 100 degrees, 150 degrees flexion, +45 degrees, 0 degree, -45 degrees rotation in 90 degrees of abduction. The documentation of the joint position was performed with a motion analysing system with passive reflecting markers. The results showed significant differences between the measurements with and without visual control. Without visual control we found the worst results for flexion and extension below shoulder level. We documented significant differences of the results with and without visual control for this range of motion. However, for external rotation above the shoulder level we could not demonstrate significant differences. In neutral rotation as well as internal rotation we found again significant differences. Therefore, proprioception seems to be worse below the shoulder level (50 degrees abduction, flexion). Better results in comparison with the entire group had two volunteers with general good coordinative capabilities. We could not demonstrate differences between the dominant and non dominant extremity nor between male and female.
Our results demonstrated low variance of the proprioceptive function of the glenohumeral joint in healthy volunteers. This may serve as a base for further evaluations in different patient populations.
在30名健康志愿者(12名女性,18名男性;年龄:22 - 36岁)中,我们评估了盂肱关节的本体感觉功能。要求志愿者在有视觉控制和无视觉控制的情况下将手臂置于不同位置。对优势肢体和非优势肢体均进行了测试。测量了以下关节位置:外展50度、100度、150度,屈曲50度、100度、150度,在90度外展位时旋转+45度、0度、 - 45度。使用带有被动反射标记的运动分析系统记录关节位置。结果显示,有视觉控制和无视觉控制的测量结果之间存在显著差异。在无视觉控制的情况下,我们发现低于肩部水平的屈曲和伸展结果最差。我们记录了该运动范围内有视觉控制和无视觉控制的结果存在显著差异。然而,对于肩部水平以上的外旋,我们未能证明存在显著差异。在中立旋转和内旋中,我们再次发现了显著差异。因此,本体感觉在肩部水平以下(外展50度、屈曲)似乎较差。两名协调性总体良好的志愿者与整个组相比有更好的结果。我们未能证明优势肢体和非优势肢体之间以及男性和女性之间存在差异。
我们的结果表明,健康志愿者盂肱关节本体感觉功能的差异较小。这可为在不同患者群体中进行进一步评估提供基础。