单侧慢性踝关节不稳对双侧姿势稳定性、本体感觉、足底触觉和肌肉力量的影响  

Unilateral chronic ankle instability affects bilateral postural stability,proprioception,plantar tactile sensation and muscle strength

作　　者：刘延浩 董世玉 刘子寅 宋祺鹏[2] 沈培鑫 Liu Yanhao;Dong Shiyu;Liu Ziyin;Song Qipeng;Shen Peixin(School of Graduate Education,Shandong Sport University,Jinan 250102,Shandong Province,China;School of Sports and Health,Shandong Sport University,Jinan 250102,Shandong Province,China)

机构地区：[1]山东体育学院研究生教育学院,山东省济南市250102 [2]山东体育学院运动与健康学院,山东省济南市250102

出　　处：《中国组织工程研究》2025年第17期3572-3578,共7页Chinese Journal of Tissue Engineering Research

摘　　要：背景:单侧慢性踝关节不稳会对患侧肢体产生不良影响,有线索表明非患侧可能同样受到累及,但目前尚缺乏直接证据。目的:探讨单侧慢性踝关节不稳对于双侧姿势稳定性、本体感觉、足底触觉和肌肉力量的影响。方法:招募122例受试者,其中单侧慢性踝关节不稳者67例,非慢性踝关节不稳者55例。测试了单侧慢性踝关节不稳者双侧以及非慢性踝关节不稳者的姿势稳定性、本体感觉、足底触觉和肌肉力量。使用单因素方差分析或克鲁斯卡尔-沃利斯检验对比组间差异。结果与结论:①相较于非慢性踝关节不稳者,单侧慢性踝关节不稳者双侧前后方向的稳定时间均更长(P=0.001-0.012),患侧内外方向的稳定时间更长(P=0.012-0.025);双侧踝关节跖屈、背伸、内翻和外翻的本体感觉阈值均更高(P=0.000-0.035);双侧足底大脚趾、第1跖骨头、第5跖骨头、外侧足弓、足跟的足底触觉灵敏度均更低(P=0.000-0.008);双侧踝关节内翻和外翻的肌肉力量均更弱(P=0.000-0.019)。②单侧慢性踝关节不稳者存在双侧姿势稳定性、本体感觉、足底触觉和肌肉力量缺陷。因此,在治疗慢性踝关节不稳时应全面考虑双侧肢体的康复需求。BACKGROUND:Unilateral chronic ankle instability has adverse effects on the affected limb,and evidence has shown that the nonaffected side may be similarly involved,but direct evidence is currently lacking.OBJECTIVE:To investigate the effects of unilateral chronic ankle instability on bilateral postural stability,proprioception,plantar tactile sensation,and muscle strength.METHODS:A total of 122 participants were recruited in this study,including 67 individuals with unilateral chronic ankle instability and 55 individuals without chronic ankle instability.Postural stability,proprioception,plantar tactile sensation and muscle strength were tested bilaterally in individuals with unilateral chronic ankle instability,as well as in those without chronic ankle instability.One-way analysis of variance or Kruskal-Wallis test was used for intergroup comparisons.RESULTS AND CONCLUSION:(1)Compared with individuals without chronic ankle instability,individuals with chronic ankle instability had longer time to stability in the anterior-posterior direction bilaterally(P=0.001-0.012),and longer time to stability in the medial-lateral direction on the affected side(P=0.012-0.025);had higher proprioception thresholds of plantarflexion,dorsiflexion,inversion,and eversion of the bilateral ankles(P=0.000-0.035);showed lower tactile sensation sensitivities of the bilateral great toe,first metatarsal head,fifth metatarsal head,arch,and heel(P=0.000-0.008);and had weaker muscle strength for inversion and eversion of the bilateral ankles(P=0.000-0.019).(2)Individuals with unilateral chronic ankle instability have bilateral deficits in postural stability,proprioception,plantar tactile sensation,and muscle strength.Therefore,the rehabilitation needs of both limbs should be fully considered when treating chronic ankle instability.

关 键 词：双侧缺陷 慢性踝关节不稳 踝关节扭伤 感觉运动 平衡控制 本体感觉 足底皮肤触觉 工程化组织构建 

分 类 号：R496[医药卫生—康复医学] R318[医药卫生—临床医学] R875