Loudon J K, Goist H L, Loudon K L
Department of Physical Therapy Education, University of Kansas Medical Center, Kansas City, USA.
J Orthop Sports Phys Ther. 1998 May;27(5):361-7. doi: 10.2519/jospt.1998.27.5.361.
Genu recurvatum is a common entity found in the clinic that my have negative consequence to knee structures. The purpose of this article is to review the anatomy, biomechanics, and clinical effects associated with genu recurvatum. Genu recurvatum is operationally defined as knee extension greater than 5 degrees. Individuals who exhibit genu recurvatum may experience knee pain, display an extension gait pattern, and have poor proprioceptive control of terminal knee extension. An evaluative process and treatment program are discussed that include muscle imbalance correction, proprioceptive practice, gait, and functional training. Taping or knee bracing may be used initially to facilitate knee control. This article is intended to draw attention to patients with genu recurvatum and presents a suggested treatment progression. Individuals who are involved in athletic endeavors should be aware of knee position during activities to help protect joint structures.
膝反屈是临床上常见的一种情况,可能会对膝关节结构产生不良后果。本文旨在综述与膝反屈相关的解剖学、生物力学及临床影响。膝反屈在操作上被定义为膝关节伸展超过5度。表现出膝反屈的个体可能会经历膝关节疼痛,呈现伸展步态模式,并且在膝关节终末伸展时本体感觉控制较差。文中讨论了一个评估过程和治疗方案,包括纠正肌肉失衡、本体感觉训练、步态训练和功能训练。最初可使用贴扎或膝关节支具来促进膝关节控制。本文旨在引起对膝反屈患者的关注,并提出建议的治疗进展。从事体育活动的个体在活动期间应注意膝关节位置,以帮助保护关节结构。