Löfvenberg R, Kärrholm J, Sundelin G
Department of Orthopaedics, Umea University Hospital.
Sportverletz Sportschaden. 1996 Dec;10(4):79-83. doi: 10.1055/s-2007-993406.
Chronic lateral instability of the ankle, a condition with frequent ankle sprain episodes, difficulties to walk and run on uneven ground and often pain, occurs in 20-30% after acute ankle sprains. The treatment of CLI as well as of acute ankle sprains have more and more in addition to operative reconstructions been focused on proprioceptive training which is in concordance with the results of recent research results. The present study shows that the reaction time after sudden angular displacement of the ankle on a trapdoor is increased by approximately 15 ms in patients with chronic lateral instability compared to control persons. We conclude that delayed proprioceptive response to sudden angular displacement of the ankle can be one of the causes to chronic lateral instability of the ankle and that proprioceptive training should be included in the treatment of acute and chronic ankle disabilities.
慢性踝关节外侧不稳定是一种常伴有频繁踝关节扭伤、在不平整地面行走和跑步困难且常伴有疼痛的病症，在急性踝关节扭伤后发生率为20%至30%。除了手术重建外，慢性踝关节外侧不稳定以及急性踝关节扭伤的治疗越来越多地侧重于本体感觉训练，这与最近的研究结果一致。本研究表明，与对照组相比，慢性外侧不稳定患者在活板门上踝关节突然角位移后的反应时间增加了约15毫秒。我们得出结论，踝关节对突然角位移的本体感觉反应延迟可能是慢性踝关节外侧不稳定的原因之一，本体感觉训练应纳入急性和慢性踝关节疾病的治疗中。
