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[有无人工关节时膝关节的本体感受能力]

[Proprioceptive capacities of the knee joint with and without endoprosthesis].

作者信息

Fuchs S, Thorwesten L, Niewerth S, Jerosch J

机构信息

Klinik und Poliklinik für Allgemeine Orthopädie, Westfälische Wilhelms-Universität Münster.

出版信息

Z Orthop Ihre Grenzgeb. 1997 Jul-Aug;135(4):335-40. doi: 10.1055/s-2008-1039398.

Abstract

PURPOSE OF THE STUDY

To compare the proprioceptive abilities of total knee arthroplasty patients and a control group.

METHOD

In a knee arthroplasty patient group of 28 and in 25 healthy volunteers the proprioceptive function was examined. To measure the proprioceptive function the motion analysis system with reflecting markers was chosen. In each patient 16 measurements from different starting points in different joint positions with and without visual controlling were performed.

RESULTS

The results demonstrated significant differences between the patients and volunteers independent of the starting point, the joint position and the visual controlling. Also the comparison with the 30 and 60 degree position showed significant differences. In the patient group were not shown significant values comparing the starting position, the visual controlling and the comparison with the healthy leg.

CLINICAL RELEVANCE

Knee arthroplasty conducts to loss of proprioception in the operated and healthy leg. Visual controlling can not solve these problems. The worst results were achieved in 60 degrees position. The starting position can not influence the results.

摘要

研究目的

比较全膝关节置换术患者与对照组的本体感觉能力。

方法

对28例膝关节置换术患者和25名健康志愿者的本体感觉功能进行检查。选用带有反射标记的运动分析系统来测量本体感觉功能。对每位患者在不同关节位置的不同起始点进行16次测量,测量时有无视觉控制。

结果

结果表明,无论起始点、关节位置和视觉控制如何,患者与志愿者之间均存在显著差异。与30度和60度位置的比较也显示出显著差异。在患者组中,比较起始位置、视觉控制以及与健侧腿的比较时,未显示出显著值。

临床意义

膝关节置换术会导致患侧和健侧腿的本体感觉丧失。视觉控制无法解决这些问题。在60度位置时结果最差。起始位置不会影响结果。

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