Jerosch J, Prymka M
Institut für Sportmedizin, Klinik und Poliklinik für Allgemeine Orthopädie, Westfälische Wilhelms-Universität, Münster, Germany.
Knee Surg Sports Traumatol Arthrosc. 1996;4(3):171-9. doi: 10.1007/BF01577413.
In the present paper the current clinical knowledge about proprioception is given for the shoulder, knee, ankle, elbow and the radiocarpal joint. Proprioceptive capabilities are decreased after joint injuries such as ACL or meniscus tears, shoulder dislocation, ankle sprain and in joints with degenerative joint disease. Some surgical procedures seem to restore the proprioceptive abilities; others do not. Elastic knee bandages or ankle braces increase different proprioceptive factors like ankle reproduction capability or sports-specific abilities. The present information on proprioception will influence our clinical practice in the future. We should choose surgical procedures that not only reconstruct the anatomy, but also the neurophysiologic feed-back mechanism.
在本文中,介绍了目前关于肩部、膝部、踝部、肘部和桡腕关节本体感觉的临床知识。在诸如前交叉韧带或半月板撕裂、肩关节脱位、踝关节扭伤等关节损伤后以及患有退行性关节疾病的关节中,本体感觉能力会下降。一些外科手术似乎能恢复本体感觉能力;而另一些则不能。弹性膝关节绷带或踝关节支具可增加不同的本体感觉因素,如踝关节再现能力或特定运动能力。目前有关本体感觉的信息将在未来影响我们的临床实践。我们应选择不仅能重建解剖结构,还能重建神经生理反馈机制的外科手术。