Impaired proprioception and osteoarthritis
Impaired proprioception and osteoarthritis
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DOI：
10.1097/00002281-199705000-00013
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发表时间：
1997-01-01
影响因子：
5.1
通讯作者：
Pai, Yi-Chung
中科院分区：
文献类型：
--
作者：
Sharma, Leena;Pai, Yi-Chung
骨关节炎（OA）患病率随年龄增长而增加，部分原因可能是神经力学因素（包括关节位置感或本体感觉）随年龄增长而下降导致关节负荷增加。几项研究表明，膝关节OA患者的膝关节本体感觉比年龄匹配的对照受试者差。受损的本体感觉的功能后果可能包括较低的步态速度，较短的步长，和较慢的楼梯行走时间。一些研究表明，本体感觉可以通过佩戴弹性绷带或类似的矫形器以及肌肉训练来增强。还提出了各种其他干预措施。迄今为止，OA患者本体感觉的研究是横断面的。从理论上讲，受损的本体感觉可能有助于或导致OA。本体感觉障碍和OA之间的关系描绘的方向提供了一个范例。纵向数据是非常需要的，以阐明因果关系，并确定受损的本体感觉在疾病进展的相对重要性。在OA的情况下，感觉输入与保护性或损伤性肌肉活动之间的关系已被最低限度地评估。在与OA相关的临床条件的研究中，实验性渗出液对本体感觉没有影响。与年龄匹配的对照组相比，高动综合征患者的本体感觉更差。前交叉韧带功能不全与本体感觉下降有关。
The increase in the prevalence of osteoarthritis (OA) with age may be due in part to increased joint load resulting from agerelated declines in neuromechanical factors, including joint position sense or proprioception. Several studies have demonstrated that knee proprioception is worse in knee OA patients versus age-matched control subjects. Functional consequences of impaired proprioception may include lower gait velocity, shorter stride length, and slower stair walking time. Some studies have shown that proprioception can be enhanced by wearing an elastic bandage or similar orthoses and by muscle training. A variety of other interventions have been proposed as well. To date studies of proprioception in OA patients have been crosssectional. Theoretically, impaired proprioception might contribute toward or result from OA. A paradigm depicting directions in the relationship between proprioception impairment and OA is offered. Longitudinal data are badly needed to elucidate cause and effect and to determine the relative importance of impaired proprioception in disease progression. The relationship between sensory input and protective or damaging muscle activity has been minimally evaluated in the setting of OA. In studies of clinical conditions related to OA, experimental effusions had no effect on proprioception. Proprioception was worse in hypermobility syndrome patients versus age-matched controls. Anterior cruciate ligament insufficiency is associated with a decline in proprioception.