Proprioception of the ankle and knee
Proprioception of the ankle and knee
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DOI：
10.2165/00007256-199825030-00002
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发表时间：
1998-03-01
期刊：
影响因子：
9.8
通讯作者：
Rozzi, SL
中科院分区：
文献类型：
--
作者：
Lephart, SM;Pincivero, DM;Rozzi, SL
本体感觉及其伴随的神经肌肉反馈机制是建立和维持功能性关节稳定性的重要组成部分。神经肌肉控制和关节稳定主要由中枢神经系统介导。来自体感、视觉和前庭系统的多部位感觉输入由大脑和脊髓接收和处理。收集和处理信息的最终结果是对关节位置和运动的有意识意识，通过保护性的脊柱介导反射和姿势和平衡的维持来无意识地稳定关节。临床研究旨在确定关节肌肉骨骼损伤、手术和康复对关节本体感觉、神经肌肉控制和平衡的影响，主要集中在膝关节和踝关节。这些研究已经证明了囊膜脱落损伤后本体感觉的改变，韧带重建后本体感觉灵敏度的部分恢复，并表明综合康复方案导致有益的本体感觉改变。
Proprioception and accompanying neuromuscular feedback mechanisms provide an important component for the establishment and maintenance of functional joint stability. Neuromuscular control and joint stabilisation is mediated primarily by the central nervous system. Multisite sensory input, originating from the somatosensory, visual and vestibular systems, is received and processed by the brain and spinal cord. The culmination of gathered and processed information results in conscious awareness of joint position and motion, unconscious joint stabilisation through protective spinal-mediated reflexes and the maintenance of posture and balance. Clinical research aimed at determining the effects of articular musculoskeletal injury, surgery and rehabilitation, on joint proprioception, neuromuscular control and balance has focused on the knee and ankle joints. Such studies have demonstrated alterations in proprioception subsequent to capsuloligamentous injury, partial restoration of proprioceptive acuity following ligamentous reconstruction, and have suggested beneficial proprioceptive changes resulting from comprehensive rehabilitation programmes.