上海交通大学学报（医学版）

上海交通大学学报（医学版）

• 论著（临床研究） • 上一篇    下一篇

机械性踝关节不稳与功能性踝关节不稳患者平衡控制能力的差异

封旭华1,6, 郑洁皎2, 李宏云3, 华英汇3, 蔡叶华4, 张 健3, 田 野5   

  1. 1.上海体育学院运动科学学院， 上海 200438； 2.复旦大学附属华东医院康复科， 上海 200040； 3.复旦大学附属华山医院运动医学科， 上海 200040； 4.复旦大学附属华山医院超声医学科， 上海 200040； 5.国家体育科学研究所， 北京 100061； 6.上海体育科学研究所， 上海 200030
  • 出版日期:2014-09-28 发布日期:2014-09-26
  • 通讯作者: 田 野, 电子信箱: tianye@ciss.com。
  • 作者简介:封旭华（1975—）， 男， 副研究员， 硕士; 电子信箱: abao0444@sina.com。
  • 基金资助:

    国家体育总局重点研究领域（2012B057）；国家自然科学基金（81101391）

Differences of balance control ability of patients with functional and mechanical ankle instability

FENG Xu-hua1,6, ZHENG Jie-jiao2, LI Hong-yun3, HUA Ying-hui3, CAI Ye-hua4, ZHANG Jian3, TIAN Ye5   

  1. 1.School of Kinesiology， Shanghai University of Sport， Shanghai 200438， China; 2.Department of Rehabilitation， Huadong Hospital, Fudan University， Shanghai 200040， China; 3.Department of Sports Medicine， Huashan Hospital, Fudan University， Shanghai 200040， China; 4.Department of Medical Ultrasound， Huadong Hospital, Fudan University， Shanghai 200040， China; 5.China Institute of Sport Science， Beijing 100061， China; 6.Shanghai Research Institute of Sports Science， Shanghai 200030， China
  • Online:2014-09-28 Published:2014-09-26
  • Supported by:

    Key Research Field of General Administration of Sport of China, 2012B057; National Natural Science Foundation of China, 81101391

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摘要：

目的 观察机械性踝关节不稳（MAI）患者与功能性踝关节不稳（FAI）患者的平衡控制能力。方法 选取MAI 患者（MAI组，n=12）、FAI 患者(FAI 组，n=12)和正常对照者（对照组，n=12）作为研究对象。分别在睁眼和闭眼的情况下，对每例受试者进行单腿站立时的平衡能力测试，记录压力中心（COP）位移相关参数，每次站立时间为10 s，分别测量3次。测量指标包括前后平均摆幅(MSY)、左右平均摆幅(MSX)、外周面积(CA)、轨迹长(PL)、单位时间轨迹长(UTPL)以及单位面积轨迹长(UAPL)。结果 三组受试者性别构成、年龄、身高和体质量的差异无统计学意义（P>0.05）。在闭眼时， MAI组患侧单腿站立时MSY、CA、PL、UTPL均明显高于对照组（P<0.05或P<0.01）；FAI组各项测量指标与对照组比较，差异无统计学意义（P>0.05）。在睁眼时，MAI组与对照组MSY和CA的差异有统计学意义（P<0.05）。在MAI和FAI组内，患侧肢体单腿站立时与对侧肢体单腿站立时各项测量指标的差异均无统计学意义（P>0.05）。结论 MAI患者存在明显的平衡控制能力异常，这种异常在双侧下肢均存在。FAI患者无明显的平衡控制能力异常。

关键词: 慢性踝关节不稳, 机械性不稳, 功能性不稳, 平衡控制

Abstract:

Objective To observe the balance control ability of patients with mechanical ankle instability (MAI) and functional ankle instability (FAI). Methods Patients with MAI (the MAI group, n=12) and FAI (the FAI group, n=12) and normal controls (the control group, n=12) were selected. Single-limb postural sway tests were performed for all participants with eyes closed and opened. Three tests were performed for each leg and each test lasted for 10 s. Parameters relevant to displacements from the center of pressure (COP) were measured, including mensway Y axis (MSY), mensway X axis (MSX), circumference area (CA), path length (PL), unit time path length (UTPL), and unit area path length (UAPL). Results The difference of age, sex, height, and weight of three groups were not statistically significant (P>0.05). The MSY, CA, PL, and UTPL values of the MAI group with eyes closed were significantly higher than those of the control group (P<0.05 or P<0.01). The differences of each measurement index of the FAI group and control group were not statistically significant (P>0.05). The differences of MSY and CA of the MAI group and control group with eyes opened were statistically significant (P<0.05). The differences of each measurement index of unstable ankles and stable ankles of the MAI group and FAI group were not statistically significant (P>0.05). Conclusion Significant abnormal balance control ability exists in patients with MAI, while no significant abnormal balance control ability exists in patients with FAI.

Key words: chronic ankle instability, mechanical ankle instability, functional ankle instability, balance control