外踝扭伤后本体感觉的恢复  

Recovery of proprioception after lateral ankle sprain

作　　者：徐仁杰 李周 郭雨亭 于喜勤 马景明 葛向阳 朱子昀 张玉鑫 周峰 XU Renjie;LI Zhou;GUO Yuting;YU Xiqin;MA Jingming;GE Xiangyang;ZHU Ziyun;ZHANG Yuxin;ZHOU Feng(Kunshan Rehabilitation Hospital,Kunshan,Jiangsu 215300,China;Nanjing Medical University,Nanjing,Jiangsu 210000,China;The First People's Hospital of Kunshan,Kunshan,Jiangsu 215300,China;Maternal and Child Health Care Hospital Affiliated to Nantong University,Nantong,Jiangsu 226000,China;The Ninth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine,Shanghai 200011,China)

机构地区：[1]昆山市康复医院,江苏昆山市215300 [2]南京医科大学,江苏南京市210000 [3]昆山市第一人民医院,江苏昆山市215300 [4]南通大学附属妇幼保健院,江苏南通市226000 [5]上海交通大学医学院附属第九人民医院,上海市200011

出　　处：《中国康复理论与实践》2023年第7期844-848,共5页Chinese Journal of Rehabilitation Theory and Practice

基　　金：昆山市重点研发计划(社会发展)(No.KSF202121)。

摘　　要：目的观察外踝扭伤常规康复后,患侧踝关节本体感觉随时间的恢复情况。方法2020年6月至2022年6月,昆山市康复医院外踝扭伤患者18例,均行常规康复训练12周。分别于治疗前、治疗4周、治疗8周和治疗12周时,采用等速肌力测试系统评估双侧踝关节主动位置觉和被动位置觉。结果治疗后,患侧踝关节主动位置呈现差逐渐降低(F=22.533,P<0.001),但均显著高于健侧同时间点(t>4.419,P<0.001);患侧踝关节被动位置呈现差无显著变化(F=1.175,P>0.05),与健侧同时间点无显著性差异(|t|<0.646,P>0.05)。结论外踝扭伤后患侧踝关节本体感觉受损,康复训练后逐渐恢复,但训练3个月后仍未恢复到健侧水平。被动位置觉作为评价本体感觉的指标有待进一步研究。Objective To observe the recovery of proprioception of the affected ankle over time after lateral ankle sprain accepting routine rehabilitation.Methods From June,2020 to June,2022,18 patients with lateral ankle sprain in Kunshan Rehabilitation Hospital underwent routine rehabilitation for twelve weeks.They were measured active and passive position sense of bilateral ankles using an isokinetic dynamometer before treatment,and four,eight and twelve weeks after treatment,respectively.Results The active presentation difference of affected ankle reduced after treatment(F=22.533,P<0.001),but it was more than that of the healthy ankle at the same time(t>4.419,P<0.001).No significant improvement was found in passive presentation difference of affected ankle after treatment(F=1.175,P>0.05),and it was not significantly different from those of the healthy ankle at the same time(|t|<0.646,P>0.05).Conclusion Proprioception of affected ankle has been impaired after lateral ankle sprain,and it can be recovered after rehabilitation,but cannot achieve the healthy level even after three months of training.Passive position sense as an index of proprioception needs more researches.

关 键 词：外踝 扭伤 位置觉 本体感觉 

分 类 号：R686[医药卫生—骨科学]