The role of proprioception in the management and rehabilitation of athletic injuries
The role of proprioception in the management and rehabilitation of athletic injuries
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DOI：
10.1177/036354659702500126
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发表时间：
1997-01-01
影响因子：
4.8
通讯作者：
Fu, FH
中科院分区：
文献类型：
--
作者：
Lephart, SM;Pincivero, DM;Fu, FH
随着对患者管理和本体感觉训练的日益重视，康复不断发展。本体感觉可以定义为触觉感觉方式的特殊变化，包括关节运动（动觉）和关节位置（关节位置感）的感觉。许多研究人员观察到，大脑和脊髓通路的传入反馈是由皮肤、关节和肌肉机械感受器介导的。检查康复计划中韧带损伤、手术干预、土地本体感受介导的活动的影响，可以帮助我们了解负责运动控制的系统的复杂性。看来这种神经肌肉反馈机制会因损伤和异常而中断，并在手术干预和康复后接近恢复。康复计划的设计应包括本体感受部分，解决以下三个运动控制杠杆：脊髓反射、认知编程和脑干活动。强烈推荐这样的计划来促进动态关节和功能稳定性。迄今为止，关于本体感觉的基础科学和临床应用的现有知识已经使运动医学界离恢复功能的最终目标又近了一步。
Rehabilitation continues to evolve with the increased emphasis on patient management and proprioceptive training. Proprioception can be defined as a specialized variation of the sensory modality of touch that encompasses the sensation of joint movement (kinesthesia) and joint position (joint position sense). Numerous investigators have observed that afferent feedback to the brain and spinal pathways is mediated by skin, articular, and muscle mechanoreceptors. Examining the effects of ligamentous injury, surgical intervention, land proprioceptively mediated activities in the rehabilitation program provides an understanding of the complexity of this system responsible for motor control. it appears that this neuromuscular feedback mechanism becomes interrupted with injury and abnormalities, and approaches restoration after surgical intervention and rehabilitation. Rehabilitation programs should be designed to include a proprioceptive component that addresses the following three levers of motor control: spinal reflexes, cognitive programming, and brainstem activity. Such a program is highly recommended to promote dynamic joint and functional stability. Thus far, current knowledge regarding the basic science and clinical application of proprioception has led the profession of sports medicine one step closer to its ultimate goal of restoring function.