Joint position sense and rehabilitation in the anterior cruciate ligament deficient knee
Joint position sense and rehabilitation in the anterior cruciate ligament deficient knee
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DOI：
10.1136/bjsm.31.3.209
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发表时间：
1997-09-01
影响因子：
18.4
通讯作者：
Torode, AS
中科院分区：
文献类型：
--
作者：
Carter, ND;Jenkinson, TR;Torode, AS
背景-前交叉韧带（ACL）缺陷和骨关节炎的膝关节显示出关节位置觉受损。JPS与功能之间的关系是不确定的。本研究的目的是进一步确定ACL缺陷的膝盖是否表现出异常JPS和运动疗法对JPS的影响，并评估JPS，功能稳定性和strength. Methods之间的关系50例（46名男性和4名女性，平均年龄26.3岁）与单侧ACL缺陷的膝盖入院后进行评估和康复（5小时，每天4周）。JPS通过使用包含测角仪的视觉模拟再现被动定位进行评估。通过自我报告问卷（评分0-280）和功能活动测试（单腿跳跃和8字跑）分析膝关节稳定性。等速测力法用于评估股四头肌和腘绳肌峰值扭矩强度。对照组为年龄和性别匹配的个体或对侧膝关节。统计学分析采用Wilcoxon符号秩和检验和斯皮尔曼等级相关系数。ACL缺损膝关节和对照膝关节再现角度的平均（SD）误差分别为9.4（3.1）度和7.1（2.3）度（P
Background-Impaired joint position sense UPS) has been shown in anterior cruciate ligament (ACL) deficient and osteoarthritic knees. The relation between JPS and function is uncertain. The aim of this study was to determine further if ACL deficient knees show abnormal JPS and the effect of exercise therapy on JPS, and also to assess the relation between JPS, functional stability, and strength.Methods-Fifty patients (46 men and four women, mean age 26.3 years) with unilateral ACL deficient knees were assessed on admission and after rehabilitation (5 hours a day for four weeks). JPS was assessed by reproduction of passive positioning using a visual analogue incorporating a goniometer. Knee stability was analysed by self report questionnaire (score 0-280) and functional activity test (single leg hop and figure of eight run). Isokinetic dynamometry was performed to evaluate quadriceps and hamstring peak torque strength. Controls were either age and sex matched individuals or the contralateral knee. Statistical analysis was by Wilcoxon signed rank test and Spearman rank order correlation coefficient.Results-JPS was impaired in ACL deficient knees. The mean (SD) errors in reproducing angles were 9.4 (3.1)degrees and 7.1 (2.3)degrees for the ACL deficient knee and control knee respectively (P