Quantitative evaluation method for clarifying ankle plantar flexion angles using anterior drawer and inversion stress tests: a cross-sectional study
Quantitative evaluation method for clarifying ankle plantar flexion angles using anterior drawer and inversion stress tests: a cross-sectional study
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DOI：
10.1186/s13047-019-0337-y
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发表时间：
2019-05-03
影响因子：
2.9
通讯作者：
Edama, Mutsuaki
中科院分区：
文献类型：
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作者：
Kikumoto, Takanori;Akatsuka, Kazuma;Edama, Mutsuaki
慢性踝关节不稳定(CAI)可能是由于体育活动中反复、频繁的踝关节扭伤引起的。对计算机辅助教学进行了手工考核，但尚未建立计算机辅助教学的定量评价方法，且应激量的重复性较低。本研究旨在使用应力仪和超声对模拟前抽屉和踝关节内翻应激试验中距腓前韧带(ATFL)长度的变化进行定量评价。我们从中提取了两组：无踝关节损伤病史的对照组(n=)和有踝关节损伤史的患者(n=54)。结果在踝关节足底屈曲0°、20°、45°时，颈椎前伸肌腱长度的变化率，在前抽屉和踝关节足底屈曲0度、20°、45°时，差异均有统计学意义(P
BackgroundChronic ankle instability (CAI) may result from repeated, frequent ankle sprains during sports activities. Manual examination for CAI is conducted; however, quantitative methods for the evaluation of CAI have not been established, and the reproducibility of the amount of stress is low. This cross-sectional study aimed to use a stress device and ultrasound for the quantitative evaluation of the change in the length of the anterior talofibular ligament (ATFL) during simulated anterior drawer and ankle inversion stress tests.MethodsQuestionnaires were provided to 160 healthy college students (86 men, 74 women; 320 ankles). We extracted two groups from them: control subjects without a history of ankle injury (n=64 ankles) and subjects with CAI (n=54 ankles). We calculated the change in the length of the ATFL with anterior drawer and inversion stress tests at ankle joint plantar flexions of 0 degrees, 20 degrees, and 45 degrees using ultrasound images.ResultsThe anterior length change rates were significantly higher in the CAI group than in the control group at ankle joint plantar flexions of 20 degrees and 45 degrees in men (P