膝骨关节炎患者下肢动静态位置觉与功能状况和平衡的相关性分析

被引：25

作者：

郭燕梅

瓮长水

陈蔚

焦伟国

机构：

[1] 解放军总医院南楼康复医学科

来源：

中国康复理论与实践 | 2013年 / 19卷 / 11期

关键词：

膝关节骨关节炎; 本体感觉; 平衡;

D O I：

暂无

中图分类号：

R684.3 [关节炎];

学科分类号：

100220 [骨科学];

摘要：

目的了解膝骨关节炎患者下肢动静态位置觉与下肢功能水平和动静态平衡之间的关系。方法对32例膝骨关节炎患者完成Lequesne患者指数评分、下肢动静态位置觉测试和动静态跌倒风险测试。进行Pearson相关性分析。结果患者双下肢中高频段姿势摆动系数和与Lequesne患者指数总分(r=0.36,P<0.05)、静态平衡跌倒风险指数(r=0.85,P<0.001)正相关,与动态平衡跌倒风险指数无显著相关(r=0.30,P>0.05);健侧或较轻侧和患侧或较重患侧复位误差平均值与Lequesne患者指数总分(r=0.33～0.39,P<0.05)、动态平衡跌倒风险指数(r=0.65～0.70,P<0.05)、静态平衡跌倒风险指数(r=0.38～0.45,P<0.05)正相关。结论膝骨关节炎患者下肢功能水平的下降会对维持机体平衡的本体感觉传入能力产生不良影响,从而导致其平衡能力的下降。

引用

页码：1064 / 1068

页数：5

共 13 条

[1]

Knee extensor isometric unsteadiness does not predict functional limitation in older adults [J].

Manini, TM ;

Cook, SB ;

Ordway, NR ;

Ploutz-Snyder, RJ ;

Ploutz-Snyder, LL .

AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION, 2005, 84 (02) :112-121

[2]

Differences between young and older women in maximal force, force fluctuations, and surface EMG during isometric knee extension and elbow flexion [J].

Bazzucchi, I ;

Felici, F ;

Macaluso, A ;

De Vito, G .

MUSCLE & NERVE, 2004, 30 (05) :626-635

[3]

Effects of experimentally-induced anterior knee pain on knee joint position sense in healthy individuals.[J].Kim Bennell;Elin Wee;Kay Crossley;Barry Stillman;Paul Hodges.Journal of Orthopaedic Research.2004, 1

[4]

Relationship of knee joint proprioception to pain and disability in individuals with knee osteoarthritis [J].

Bennell, KL ;

Hinman, RS ;

Metcalf, BR ;

Crossley, KM ;

Buchbinder, R ;

Smith, M ;

McColl, G .

JOURNAL OF ORTHOPAEDIC RESEARCH, 2003, 21 (05) :792-797

[5]

The effects of joint angle and reliability on knee proprioception [J].

Pincivero, DM ;

Bachmeier, B ;

Coelho, AJ .

MEDICINE AND SCIENCE IN SPORTS AND EXERCISE, 2001, 33 (10) :1708-1712

[6]

Experimental muscle pain produces central modulation of proprioceptive signals arising from jaw muscle spindles.[J].Norman F Capra;Jin Y Ro.Pain.2000, 1

[7]

Proprioceptive evoked potentials in man: cerebral responses to changing weight loads on the hand [J].

Sidse, A ;

Chen, ACN ;

Eder, D ;

Glenthoj, B ;

Hemmingsen, R .

NEUROSCIENCE LETTERS, 2000, 288 (02) :111-114

[8]

EFFECT OF AGE AND ACTIVITY ON KNEE JOINT PROPRIOCEPTION1.[J].R. J. Petrella;P. J. Lattanzio;M. G. Nelson.American Journal of Physical Medicine & Rehabilitation.1997, 3

[9]

Indexes of Severity for Osteoarthritis of the Hip and Knee: Validation–Value in Comparison with Other Assessment Tests.[J].M. G. Lequesne;C. Mery;M. Samson;P. Gerard.Scandinavian Journal of Rheumatology.1987, S65

[10]

膝骨关节炎患者伸肌肌力与疼痛和功能状况的关系 [J].

郭燕梅 ;

王秋华 ;

朱才兴 ;

张丽 ;

焦伟国 ;

王娜 ;

瓮长水 .

中国康复理论与实践, 2010, 16 (01) :25-26

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