功能性踝关节不稳患者单脚静立平衡能力与踝关节肌力和位置觉的关系

doi:10.3969/j.issn.1006-9771.2024.02.016

摘要/Abstract

摘要：

目的明确功能性踝关节不稳(FAI)患者单脚静立平衡能力与踝关节肌力和本体位置觉的关系。
方法 2023年3月至5月，在河北师范大学招募FAI患者44例，采用等速测力仪测量踝跖屈、背屈、内翻和外翻的等速向心肌力(60°/s和180°/s)，以及位置觉，采用三维测力台测量睁眼和闭眼状态下单脚静立平衡时压力中心(COP)的晃动距离和包络面积。
结果 180°/s下踝外翻最大等速力矩与闭眼单脚静立时COP前后方向晃动距离相关(r = -0.378, P < 0.05)。
结论踝关节快速外翻肌力与单脚静立平衡能力有关，可能有助于评价或干预FAI患者踝关节功能。

关键词: 功能性踝关节不稳, 平衡, 肌力, 位置觉

Abstract:

Objective To analyze the relationship of the static single-leg stance balance with ankle muscles strength and position sense in individuals with functional ankle instability (FAI).
Methods From March to May, 2023, 44 FAI individuals were recruited in Hebei Normal University, and the maximum isokinetic muscle strength (60°/s and 180°/s) and position sense as ankle flexion, extension, inversion and eversion were measured using isokinetic dynamometer; while the center of pressure (COP) sway distance and envelope area were measured as static single-leg stance with eyes open or closed using three-dimensional force plate.
Results The maximum isokinetic torque as ankle eversion at 180°/s correlated with the COP anterior-posterior sway distance with eyes closed (r = -0.378, P < 0.05).
Conclusion Explosive ankle eversion strength is related with the balance in static single-leg stance, which may help to evaluate and intervent the ankle function of FAI individuals.

Key words: functional ankle instability, balance, muscle strength, position sense

中图分类号:

R684.7

刘灏, 李宗涛, 蔡言伟. 功能性踝关节不稳患者单脚静立平衡能力与踝关节肌力和位置觉的关系[J]. 《中国康复理论与实践》, 2024, 30(2): 243-248.

LIU Hao, LI Zongtao, CAI Yanwei. Relationship of balance in static single-leg stance to muscle strength and position sense of ankle in individuals with functional ankle instability[J]. Chinese Journal of Rehabilitation Theory and Practice, 2024, 30(2): 243-248.

图/表 3

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动作		闭眼			睁眼
动作		COPx	COPy	包络面积	COPx	COPy	包络面积
跖屈	r值	0.198	-0.019	0.151	-0.025	0.119	-0.056
跖屈	P值	0.227	0.907	0.359	0.880	0.470	0.733
背屈	r值	0.184	0.046	0.130	0.157	0.055	0.114
背屈	P值	0.262	0.782	0.430	0.341	0.740	0.490
内翻	r值	0.083	-0.134	0.032	0.073	0.042	0.056
内翻	P值	0.616	0.418	0.848	0.657	0.801	0.733
外翻	r值	0.188	-0.263	0.068	-0.215	-0.176	-0.181
外翻	P值	0.251	0.105	0.681	0.190	0.285	0.269

动作		闭眼			睁眼
动作		COPx	COPy	包络面积	COPx	COPy	包络面积
跖屈	r值	0.210	0.133	0.165	0.163	0.030	0.129
跖屈	P值	0.199	0.420	0.314	0.321	0.856	0.434
背屈	r值	0.094	0.175	0.048	0.134	0.418	0.096
背屈	P值	0.571	0.287	0.771	0.418	0.377	0.561
内翻	r值	0.107	-0.119	0.054	0.125	0.029	0.079
内翻	P值	0.517	0.470	0.744	0.447	0.861	0.633
外翻	r值	-0.084	-0.378	-0.173	-0.295	-0.270	-0.237
外翻	P值	0.611	0.018	0.293	0.068	0.096	0.146

动作		闭眼			睁眼
动作		COPx	COPy	包络面积	COPx	COPy	包络面积
跖屈	r值	-0.123	-0.284	-0.140	-0.234	-0.184	-0.042
跖屈	P值	0.455	0.079	0.397	0.151	0.261	0.802
背屈	r值	0.138	0.091	0.132	-0.060	-0.013	-0.004
背屈	P值	0.401	0.582	0.423	0.716	0.938	0.980
内翻	r值	-0.062	-0.224	-0.122	-0.123	0.088	-0.120
内翻	P值	0.707	0.170	0.459	0.454	0.593	0.468
外翻	r值	0.081	0.177	0.084	0.025	0.128	-0.024
外翻	P值	0.624	0.281	0.609	0.880	0.437	0.884