[1]王斌,张明,朱飞龙,等.等速技术在功能性踝关节不稳患者肌力评估和肌力训练中的应用进展[J].中医正骨,2023,35(01):53-56.
点击复制

等速技术在功能性踝关节不稳患者肌力评估和肌力训练中的应用进展()
分享到:

《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第35卷
期数:
2023年01期
页码:
53-56
栏目:
综述
出版日期:
2023-01-20

文章信息/Info

作者:
王斌张明朱飞龙陈伟
(徐州医科大学附属徐州康复医院,江苏 徐州 221004)
关键词:
踝关节 关节不稳定性 等速技术 等速肌力测试 等速肌力训练 综述
摘要:
急性踝关节扭伤患者若未经过专业的康复治疗,20%~40%的患者会进展为功能性踝关节不稳。研究显示,功能性踝关节不稳患者的踝关节周围肌力较正常人存在不足。等速技术是等速肌力测试和等速肌力训练技术的简称,是一项可用来评估和训练肌肉力量的实用技术。本文概述了功能性踝关节不稳,介绍了等速技术在功能性踝关节不稳患者肌力评估和肌力训练中的应用进展,以期为功能性踝关节不稳的预防及康复治疗提供参考。

参考文献/References:

[1] INCHAI C,VASEENON T,MAHAKKANUKRAUH P.The comprehensive review of the neurovascular supply of the ankle joint:clinical implications[J].Anat Cell Biol,2020,53(2):126-131.
[2] PRAKASH A A.Epidemiology of high ankle sprains:a systematic review[J].Foot Ankle Spec,2020,13(5):420-430.
[3] SHAH S,THOMAS A C,NOONE J M,et al.Incidence and cost of ankle sprains in united states emergency depart-ments[J].Sports Health,2016,8(6):547-552.
[4] HERZOG M M,KERR Z Y,MARSHALL S W,et al.Epidemiology of ankle sprains and chronic ankle instability[J].J Athl Train,2019,54(6):603-610.
中医正骨2023年1月第35卷第1期 J Trad Chin Orthop Trauma,2023,Vol.35,No.1(总055)
(总056)中医正骨2023年1月第35卷第1期 J Trad Chin Orthop Trauma,2023,Vol.35,No.1
[5] VAN RIJN R M,VAN OS A G,BERNSEN R M,et al.What is the clinical course of acute ankle sprains?A systematic literature review[J].Am J Med,2008,121(4):324-331.
[6] DOHERTY C,BLEAKLEY C,HERTEL J,et al.Recovery from a first-time lateral ankle sprain and the predictors of chronic ankle instability:a prospective cohort analysis[J].Am J Sports Med,2016,44(4):995-1003.
[7] 黄婷婷,范利华,高东,等.等速肌力测试与训练技术在肌肉功能评定中的研究进展[J].法医学杂志,2013,29(1):49-52.
[8] PARK Y H,PARK S H,KIM S H,et al.Relationship between isokinetic muscle strength and functional tests in chronic ankle instability[J].J Foot Ankle Surg,2019,58(6):1187-1191.
[9] 曹家兴.单侧功能性踝关节不稳者内外翻表面肌电与等速肌力特征研究[D].天津:天津体育学院,2020.
[10] HALL E A,CHOMISTEK A K,KINGMA J J,et al.Balance- and strength-training protocols to improve chronic ankle instability deficits,part I:assessing clinical outcome measures[J].J Athl Training,2018,53(6):568-577.
[11] HANCI E,SEKIR U,GUR H,et al.Eccentric training improves ankle evertor and dorsiflexor strength and proprioception in functionally unstable ankles[J].Am J Phys Med Rehabil,2016,95(6):448-458.
[12] CRUZ A L,OLIVEIRA R,SILVA A G.Exercise-based interventions for physically active individuals with functional ankle instability:a systematic review of the literature[J].J Sports Med Phys Fitness,2019,59(4):666-675.
[13] 尹彦.功能性踝关节不稳者动态姿势稳定性评价方法及其影响因素的研究[D].北京:北京体育大学,2016.
[14] FREEMAN M A,DEAN M R,HANHAM I W.The etiology and prevention of functional instability of the foot[J].J Bone Joint Surg Br,1965,47(4):678-685.
[15] MU?Z-BARRENECHEA I A,GARRIDO-BEROíZA M A,ACHIARDI O,et al.A systematic review of the functional effectiveness of kinesiotaping in individuals with ankle instability[J].Medwave,2019,19(4):e7635.
[16] YEN S C,CHUI K K,WANG Y C,et al.An examination of muscle force control in individuals with a functionally unstable ankle[J].Hum Mov Sci,2019,64:221-229.
[17] LAESSOE U,SVENDSEN A W,CHRISTENSEN M N,et al.Evaluation of functional ankle instability assessed by an instrumented wobble board[J].Phys Ther Sport,2019,35:133-138.
[18] KIM K,HYUN S,JEON K.Dynamic postural stability characteristic in functional ankle instability[J].Iran J Public Health,2021,50(1):205-206.
[19] CRUZ A L,OLIVEIRA R,SILVA A G.Exercise-based interventions for physically active individuals with functional ankle instability:a systematic review of the literature[J].J sport med phys fit,2019,59(4):666-675.
[20] HALL E A,DOCHERTY C L,SIMON J,et al.Strength-training protocols to improve deficits in participants with chronic ankle instability:a ran domized controlled trial[J].J Athl Train,2015,50(1):36-44.
[21] HUANG P Y,JANKAEW A,LIN C F.Effects of plyometric and balance training on neuromuscular control of recreational athletes with fun ctional ankle instability:a randomized controlled laboratory study[J].Int J Environ Res Public Health,2021,18(10):5269.
[22] HA S Y,HAN J H,SUNG Y H.Effects of ankle strength-ening exercise program on an unstable supporting surface on proprioception a nd balance in adults with functional ankle instability[J].J ExercRehabil,2018,14(2):301-305.
[23] GOTTLIEB U,HOFFMAN J R,SPRINGER S.The immediate carryover effects of peroneal functional electrical stimulation differ between people with and without chronic ankle instability[J].Sensors(Basel),2022,22(4):1622.
[24] 裴子文,耿治中,言功立,等.神经肌肉电刺激同步功能训练治疗功能性踝关节不稳疗效观察[J].康复学报,2019,29(6):49-54.
[25] 王强,李洋.神经肌肉控制训练对功能性踝关节不稳的本体感觉疗效[J].四川医学,2019,40(12):1250-1253.
[26] 孙孟凡,扈盛.本体感觉神经促进技术联合核心稳定性训练对功能性踝关节不稳患者下肢功能康复的影响[J].中华物理医学与康复杂志,2017,39(11):834-838.
[27] ALAHMARI K A,KAKARAPARTHI V N,REDDY R S,et al.Combined effects of strengthening and proprioceptive training on stability,balance,and propriocepti on among subjects with chronic ankle instability in different age groups:evaluation of clinical outcome measures[J].Indian J Orthop,2021,55(Suppl 1):199-208.
[28] CHO B K,PARK J K,CHOI S M,et al.The peroneal strength deficits in patients with chronic ankle instability compared to ankle sprain copers and normal individuals[J].Foot Ankle Surg,2019,25(2):231-236.
[29] YEN S C,CHUI K K,WANG Y C,et al.An examination of muscle force control in individuals with a functionally unstable ankle[J].Hum Mov Sci,2019,64:221-229.
[30] 郑绍敏,黄墩兵,姜财,等.功能性踝关节不稳患者踝关节背伸/跖屈和外翻/内翻峰值力矩比值与姿势控制能力的相关性研究[J].中国康复,2021,36(7):392-395.
[31] 张阳,张秋霞.单侧功能性踝关节不稳者两侧踝内外翻等速肌力差异性的研究[J].北京体育大学学报,2013,36(12):88-92.
[32] GAUTREY C N,WATSON T,MITCHELL A.The effect of isokinetic testing speed on the reliability of muscle fatigue indicators during a hip a bductor-adductor fatigue protocol[J].Int J Sports Med,2013,34(7):646-653.
[33] NEGAHBAN H,MORADI-BOUSARI A,NAGHIBI S,et al.The eccentric torque production capacity of the ankle,knee,and hip muscle groups in patients with u nilateral chronic ankle instability[J].Asian J Sports Med,2013,4(2):144-152.
[34] NAM S M,KIM W B,YUN C K.Effects of balance training by knee joint motions on muscle activity in adult men with functional ankle instability[J].J Phys Ther Sci,2016,28(5):1629-1632.
[35] KAZEMI K,ARAB A M,ABDOLLAHI I,et al.Electromiography comparison of distal and proximal lower limb muscle activity patterns during external perturbation in subjects with and without functional ankle instability[J].Hum Mov Sci,2017,55:211-220.
[36] DEJONG A F,MANGUM L C,HERTEL J.Gluteus medius activity during gait is altered in individuals with chronic ankle instability:an ultrasound imaging study[J].Gait Posture,2019,71:7-13.
[37] 朱燕,陈永强,丁莹,等.功能性踝关节不稳的运动员与非运动员踝内外翻肌等速向心及等速离心测试的比较分析[J].中国康复医学杂志,2012,27(5):437-441.
[38] TROPP H.Pronator muscle weakness in functional instabil-ity of the ankle joint[J].Int J Sports Med,1986,7(5):291-294.
[39] SANTOS M J,LIU W.Possible factors related to functional ankle instability[J].J Orthop Sports Phys Ther,2008,38(3):150-157.
[40] CHO B K,PARK J K,CHOI S M,et al.The peroneal strength deficits in patients with chronic ankle instability compared to ankle sprain co pers and normal individuals[J].Foot Ankle Surg,2019,25(2):231-236.
[41] 杜明泽,焦晨,郭秦炜,等.急性踝关节外侧副韧带撕裂后锚钉固定与单纯缝合的中长期疗效比较[J].中华创伤骨科杂志,2022,24(4):305-309.
[42] FOX J,DOCHERTY C L,SCHRADER J,et al.Eccentric plantar-flexor torque deficits in participants with functional ankle instability[J].J Athl Train,2008,43(1):51-54.
[43] 张秋霞.功能性不稳踝关节神经肌肉控制研究[D].苏州:苏州大学,2010.
[44] TERADA M,PIETROSIMONE B G,GRIBBLE P A.Alterations in neuromuscular control at the knee in individuals with chronic ankle instability[J].J Athl Train,2014,49(5):599-607.
[45] SMITH B I,CURTIS D,DOCHERTY C L.Effects of hip strengthening on neuromuscular control,hip strength,and self-reported functional def icits in individuals withchronic ankle instability[J].J Sport Rehabil,2018,27(4):364-370.
[46] MCCANN R S,CROSSETT I D,TERADA M,et al.Hip strength and star excursion balance test deficits of patients with chronic ankle instability[J].J Sci Med Sport,2017,20(11):992-996.
[47] DEJONG A F,KOLDENHOVEN R M,HERTEL J.Proximal adaptations in chronic ankle instability:systematic review and meta-analysis[J].Med Sci Sports Exerc,2020,52(7):1563-1575.
[48] WILK K E,MEISTER K,ANDREWS J R.Current concepts in the rehabilitation of the overhead throwing athlete[J].Am J Sports Med,2002,30(1):136-151.
[49] SEKIR U,YILDIZ Y,HAZNECI B,et al.Effect of isokinetic training on strength, functionality and proprioception in athletes with function al ankle instability[J].Knee Surg Sports Traumatol Arthrosc,2007,15(5):654-664.
[50] 骆丽,孙武东,赵祥虎,等.强化髋周肌群力量训练对功能性踝关节不稳的效果[J].中国康复理论与实践,2017,23(10):1195-1199.
(收稿日期:2022-08-09 本文编辑:时红磊)

相似文献/References:

[1]江涛,江林,史俊德,等.动气针法在踝关节骨折术后中后期康复中的应用[J].中医正骨,2015,27(11):20.
 JIANG Tao,JIANG Lin,SHI Junde,et al.Application of Dongqi acupuncture(动气针法)to postoperative rehabilitation in the middle-late period in patients with ankle joint fractures[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(01):20.
[2]方华宴,李兴华,王爱国.手术治疗踝关节骨折手术失败导致的复杂陈旧性踝关节脱位[J].中医正骨,2015,27(11):45.
[3]王亮,王予彬,汤华林.肩袖损伤和创伤性肩关节前方不稳定患者肩部疼痛 与肩峰下滑囊组织中炎症反应的关系研究[J].中医正骨,2015,27(10):5.
 WANG Liang,WANG Yubin,TANG Hualin.Study on the relationship between shoulder pain and inflammatory reaction in the subacromial bursa tissues in patients with rotator cuff injury and traumatic shoulder joint anterior instability[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(01):5.
[4]田正强.消肿止痛散外敷联合绷带固定治疗急性踝关节扭伤[J].中医正骨,2015,27(10):28.
[5]戴国钢,刘剑伟,黄雷,等.运动员反复踝关节扭伤后继发足弓塌陷的原因探讨[J].中医正骨,2015,27(09):61.
[6]朱彦昭,申成春,蒋丽娜,等.早期手术修复踝关节骨折合并的三角韧带完全断裂[J].中医正骨,2015,27(08):46.
[7]戴国钢,刘剑伟,黄雷,等.第一跗跖关节滑膜嵌顿10例报告[J].中医正骨,2015,27(07):75.
[8]刘辉,刘波,伍萨,等.踝关节不稳患者踝关节等速肌力和动态平衡能力的临床研究[J].中医正骨,2015,27(02):7.
 LIU Hui,LIU Bo,WU Sa,et al.Clinical study on ankle isokinetic muscle strength and dynamic balance ability of patients with ankle joint instability[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(01):7.
[9]刘 超.续骨活血汤和接骨紫金丹在三踝骨折治疗中的应用[J].中医正骨,2015,27(06):57.
[10]李光阳,吴祥宗,陶志东,等.改良外侧入路在三踝骨折切开复位内固定术中的应用[J].中医正骨,2015,27(05):48.
[11]杨宗宇,刘非,崔亮,等.同种异体半腱肌解剖重建距腓前韧带和跟腓韧带治疗慢性踝关节外侧不稳[J].中医正骨,2017,29(09):64.
[12]尚林,王翔宇,徐俊峰,等.第三腓骨肌重建距腓前韧带结合中药薰洗治疗慢性踝关节外侧不稳[J].中医正骨,2018,30(06):58.
[13]马富强,王翔宇,徐俊峰,等.第三腓骨肌肌腱重建距腓前韧带和跟腓韧带配合中药薰洗治疗慢性踝关节外侧不稳[J].中医正骨,2019,31(01):73.
[14]刘晓东,李朝晖,张阳.踝上截骨结合外侧副韧带修复治疗合并踝关节外侧不稳的创伤性踝关节炎[J].中医正骨,2019,31(11):55.
[15]李其志,雷宗恒,姚东,等.慢性踝关节不稳患者的步态动力学特征及平衡训练研究进展[J].中医正骨,2021,33(04):68.
 LI Qizhi,LEI Zongheng,YAO Dong,et al.Advancement of research on kinetic characteristics of gaits and balance training of patients with chronic ankle instability[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2021,33(01):68.
[16]惠桂生,杨昆,袁炜庆,等.腓骨长肌肌腱前半部解剖重建距腓前韧带治疗慢性踝关节外侧不稳[J].中医正骨,2021,33(05):74.
 HUI Guisheng,YANG Kun,YUAN Weiqing,et al.Anatomical reconstruction of anterior talofibular ligaments with anterior half of the peroneus longus tendon for treatment of chronic lateral ankle instability[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2021,33(01):74.

备注/Memo

备注/Memo:
通讯作者:陈伟 E-mail:chenwei2339@163.com
更新日期/Last Update: 1900-01-01