膝骨关节炎患者下肢动静态位置觉的临床测试分析  

Analysis of Clinical Trials about Lower Extremities Static and Dynamic Proprioception in Patients with Knee Osteoarthritis

作　　者：陈蔚[1] 郭燕梅[1] 瓮长水[1] 王秋华[1] 彭楠[1] 

机构地区：[1]解放军总医院南楼临床部康复医学科,北京市100853

出　　处：《中国康复理论与实践》2011年第1期77-79,共3页Chinese Journal of Rehabilitation Theory and Practice

基　　金：解放军总医院科技创新基金(09KMM22)

摘　　要：目的了解Tetrax平衡测试训练系统中下肢关节静态位置觉测试和功能性蹲屈测试训练系统中下肢关节运动位置觉测试的重测信度,明确膝骨关节炎患者下肢关节静态位置觉和运动位置觉之间的关系。方法 利用Tetrax平衡测试训练系统和功能性蹲屈测试训练系统在1周内对30例膝骨关节炎患者进行2次下肢关节静态位置觉测试和运动位置觉测试。结果 双下肢中高频率段摆动系数和的组内相关系数(ICC)为0.95(P<0.001);健侧或症状相对较轻侧、患侧或症状相对较重侧的下肢复位误差平均值的ICC分别为0.59和0.60(P<0.001)。双下肢中高频率段摆动系数和分别与健侧或症状相对较轻侧的复位误差平均值、患侧或症状相对较重侧的复位误差平均值之间的Pearson相关系数为0.40和0.54(均P<0.05)。结论 Tetrax平衡测试训练系统中下肢关节静态位置觉测试重测信度极好,功能性蹲屈测试训练系统中下肢关节运动位置觉测试重测信度较好,两种本体感觉测试方法联合应用可以更为全面地反映膝骨关节炎患者的下肢本体感觉功能状况。Objective To investigate the test-retest reliability about the lower extremities static joint position sense which was tested with the Tetrax balance-test-training system,and the dynamic joint position sense which was tested with the Functional Squat System;and to investigate the relationship between the static and the dynamic joint position sense of lower extremities of the patients with knee osteoarthritis.Methods 30 patients with knee osteoarthritis were tested with the lower extremities static and dynamic joint position sense twice within 7 d with the Tetrax balance-test-training system and the Functional Squat System.Results The intraclass correlation coefficient（ICC） of the sum of the coefficient of medium-to-high-frequency in postural sway was 0.95（P0.001）.The ICC of the reposition accuracy error mean of the unaffected/mild or affected/severe extremity were respectively 0.59 and 0.60（P0.001）.The Pearson correlation coefficients of the sum of the coefficient of medium-to-high-frequency in postural sway and the reposition accuracy error mean of the unaffected/mild or affected/severe extremity were respectively 0.40 and 0.54（P0.05）.Conclusion The lower extremities static joint position sense test of the Tetrax balance-test-training system is well reliable,as well as the dynamic joint position sense of the Functional Squat System.They can be used together to evaluate the lower extremities proprioception in the patients with knee osteoarthritis.

关 键 词：膝 骨关节炎 本体感觉 重测信度 

分 类 号：R684.3[医药卫生—骨科学]