Wilkerson G B, Pinerola J J, Caturano R W
BioKinetics Inc., Paducah, KY 42001, USA.
J Orthop Sports Phys Ther. 1997 Aug;26(2):78-86. doi: 10.2519/jospt.1997.26.2.78.
Strengthening of the evertor muscles is widely advocated as a key component of lateral ankle sprain rehabilitation, but our clinical observation of impaired invertor muscle performance among many patients suggested the need for this study of isokinetic performance deficiencies. Subjects were 30 physically active adolescents, ages 14-19 years, who had recently sustained a lateral ankle sprain or who had symptoms of chronic lateral ankle instability. Eversion/inversion testing was performed on a Biodex isokinetic dynamometer at speeds of 30 and 120 degrees/sec. Analysis of variance results demonstrated significantly greater (p < .05) invertor deficits than evertor deficits for both peak torque and average power at both tests speeds. The findings of this study suggest that a lateral ankle ligament injury may be associated with an invertor muscle performance deficiency, and that restoration of a normal evertor/invertor strength relationship may be accomplished through performance of an isotonic ankle strengthening program.
增强外翻肌被广泛认为是外侧踝关节扭伤康复的关键组成部分,但我们对许多患者内翻肌功能受损的临床观察表明有必要对等速运动表现缺陷进行这项研究。研究对象为30名身体活跃的青少年,年龄在14至19岁之间,他们近期发生过外侧踝关节扭伤或有慢性外侧踝关节不稳定症状。在Biodex等速测力计上以30度/秒和120度/秒的速度进行外翻/内翻测试。方差分析结果表明,在两个测试速度下,无论是峰值扭矩还是平均功率,内翻肌缺陷均显著大于(p < .05)外翻肌缺陷。本研究结果表明,外侧踝关节韧带损伤可能与内翻肌表现缺陷有关,并且通过等张踝关节强化训练可能实现正常的外翻肌/内翻肌力量关系的恢复。
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