踝关节等速肌力测试在下肢关节损伤中的应用进展

doi:10.3969/j.issn.1006-9771.2019.12.004

《中国康复理论与实践》 ›› 2019, Vol. 25 ›› Issue (12): 1384-1388.doi: 10.3969/j.issn.1006-9771.2019.12.004

踝关节等速肌力测试在下肢关节损伤中的应用进展

宋桂芸¹, 赵建宇¹, 恽晓平², 高明明², 张璞¹, 何泽佳¹

1.中国康复研究中心北京博爱医院康复评定科，北京市 100068
2.首都医科大学康复医学院，北京市 100068

收稿日期:2019-07-30 修回日期:2019-09-29 出版日期:2019-12-25 发布日期:2019-12-26
通讯作者: 恽晓平，E-mail: xiaoping_yun@163.com E-mail:xiaoping_yun@163.com
作者简介:宋桂芸(1972-)，女，汉族，北京市人，副主任治疗师，主要研究方向：康复评定与康复治疗。
基金资助:
中国康复研究中心科研项目课题(No. 2016ZX-10)

Advance in Ankle Isokinetic Test for Lower Limb Joint Injuries (review)

SONG Gui-yun¹, ZHAO Jian-yu¹, YUN Xiao-ping², GAO Ming-ming², ZHANG Pu¹, HE Ze-jia¹

1.Department of Rehabilitation Evaluation, Beijing Bo'ai Hospital, China Rehabilitation Research Center, Beijing 100068, China
2.Capital Medical University School of Rehabilitation Medicine, Beijing 100068, China

Received:2019-07-30 Revised:2019-09-29 Published:2019-12-25 Online:2019-12-26
Contact: YUN Xiao-ping, E-mail: xiaoping_yun@163.com E-mail:xiaoping_yun@163.com
Supported by:
Supported by China Rehabilitation Research Center Project (No. 2016ZX-10)

摘要/Abstract

摘要： 本文综述常见下肢关节损伤后其踝关节肌力的变化特点和能较好反映该特点的等速肌力测试方式。踝关节单次内翻跖屈损伤后外翻肌力明显下降；踝关节功能性不稳人群内翻肌力明显下降；前交叉韧带断裂术后及跟腱损伤后踝关节背屈肌力在长时间内未达到健侧水平。等速肌力测试方式主要包括测试方向、肌肉收缩形式和测试速度等内容。踝关节扭伤及踝关节功能性不稳人群的等速肌力测试内翻/外翻和跖屈/背屈方向测试意义明显，肌肉收缩方式和测试速度对结果的影响还有待进一步研究。

关键词: 等速测试, 踝关节, 下肢关节损伤, 综述

Abstract: This article reviewed the changes of ankle muscle strength after lower limb joint injuries and the isokinetic test mode which could reflect this characteristic better. The varus plantarflexion strength decreased significantly after plantarflexion injury of ankle joint. The dorsiflexor strength of ankle joint could not reach the level of the healthy side for a long time after anterior cruciate ligament rupture and Achilles tendon injury. Ankle isokinetic muscle test included testing direction, muscle contraction form and testing speed. It is meaningful to test varus/valgus and plantar/dorsal flexion in ankle joint sprain and functional ankle instability; however, the muscle contraction form and testing speed have little effect on the result.

Key words: isokinetic test, ankle joint, lower limb joint injuries, review

中图分类号:

R684.7

宋桂芸, 赵建宇, 恽晓平, 高明明, 张璞, 何泽佳. 踝关节等速肌力测试在下肢关节损伤中的应用进展[J]. 《中国康复理论与实践》, 2019, 25(12): 1384-1388.

SONG Gui-yun, ZHAO Jian-yu, YUN Xiao-ping, GAO Ming-ming, ZHANG Pu, HE Ze-jia. Advance in Ankle Isokinetic Test for Lower Limb Joint Injuries (review)[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2019, 25(12): 1384-1388.

参考文献

1 ThomasA C, VillwockM, WojtysE M, et al. Lower extremity muscle strength after anterior cruciate ligament injury and reconstruction [J]. J Athl Train, 2013, 48(5): 610-620.
2 陆阿明,王国栋,王芳. 运动性疲劳对跑运动学与下肢肌电的影响[J]. 体育科学, 2012, 32(6): 44-49, 80.
3 刘根林,李建军,周红俊,等. 肌力定量检查方法研究进展[J]. 中国康复理论与实践, 2017, 23(7): 766-769.
4 吴伟峰,糜迅. 等速肌力测试和训练技术在我国康复医学领域应用现状[J]. 中国伤残医学, 2014, 22(9): 44-7.
5 徐莉莉. 等速肌力测试和训练技术在我国康复医学领域应用[J]. 世界复合医学, 2016, 2(1): 21-23.
6 PerronM, MoffetH, NadeauS, et al. Persistence of long term isokinetic strength deficits in subjects with lateral ankle sprain as measured with a protocol including maximal preloading [J]. Clin Biomech (Bristol, Avon), 2014, 29(10): 1151-1157.
7 HubbardT J, KaminskiT W, Vander GriendR A, et al. Quantitative assessment of mechanical laxity in the functionally unstable ankle [J]. Med Sci Sports Exerc, 2004, 36(5): 760-766.
8 ArnoldB L, LinensS W, de la MotteS J, et al. Concentric evertor strength differences and functional ankle instability: a meta-analysis [J]. J Athl Train, 2009, 44(6): 653-662.
9 FoxJ, DochertyC L, SchraderJ, et al. Eccentric plantar-flexor torque deficits in participants with functional ankle instability [J]. J Athl Train, 2008, 43(1): 51-54.
10 MunnJ, SullivanS J, SchneidersA G. Evidence of sensorimotor deficits in functional ankle instability: a systematic review with meta-analysis [J]. J Sci Med Sport, 2010, 13(1): 2-12.
11 WikstromE A, TillmanM D, BorsaP A. Detection of dynamic stability deficits in subjects with functional ankle instability [J]. Med Sci Sports Exerc, 2005, 37(2): 169-175.
12 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.
13 华英汇,郑洁皎,陈世益,等. 机械性踝关节不稳患者踝屈、伸肌群等速肌力评价[J]. 中国运动医学杂志, 2011, 30(9): 810-813.
14 BernierJ N, PerrinD H, RijkeA. Effect of unilateral functional instability of the ankle on postural sway and inversion and eversion strength [J]. J Athl Train, 1997, 32(3): 226-232.
15 HartsellH D, SpauldingS J. Eccentric/concentric ratios at selected velocities for the invertor and evertor muscles of the chronically unstable ankle [J]. Br J Sports Med, 1999, 33(4): 255-258.
16 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(2): 7-11.
17 杨涛,李之俊. 等速测试在评价运动员肌力中的应用[J]. 体育科研, 2007(3): 68-71.
18 HillerC E, NightingaleE J, LinC W, et al. Characteristics of people with recurrent ankle sprains: a systematic review with meta-analysis [J]. Br J Sports Med, 2011, 45(8): 660-672.
19 赵丽,李翠,顾博雅,等. 功能性踝关节不稳者动态平衡能力及等速肌力特征研究[J]. 中国医药导报, 2012, 9(35): 44-46, 49.
20 KaikkonenA, NatriA, PasanenM, et al. Isokinetic muscle performance after surgery of the lateral ligaments of the ankle [J]. Int J Sports Med, 1999, 20(3): 173-178.
21 NegahbanH, Moradi-BousariA, NaghibiS, et al. The eccentric torque production capacity of the ankle, knee, and hip muscle groups in patients with unilateral chronic ankle instability [J]. Asian J Sports Med, 2013, 4(2): 144-152.
22 XergiaS A, PappasE, ZampeliF, et al. Asymmetries in functional hop tests, lower extremity kinematics, and isokinetic strength persist 6 to 9 months following anterior cruciate ligament reconstruction [J]. J Orthop Sports Phys Ther, 2013, 43(3): 154-162.
23 KaranikasK, ArampatzisA, BruggemannG P. [Development of muscle strength in knee, hip and ankle joints after ACL reconstruction] [J]. [in German]. Sportverletzung Sportschaden, 2004, 18(3): 130-135.
24 赵卫侠,巫宗德,刘波,等. 等速肌力测试评价断裂跟腱修复后的肌肉力量[J]. 中国组织工程研究, 2014, 18(46): 7468-7471.
25 PorterD A, BarnesA F, RundA M, et al. Acute achilles tendon repair: strength outcomes after an acute bout of exercise in recreational athletes [J]. Foot Ankle Int, 2014, 35(2): 123-130.
26 OksanenM M, HaapasaloH H, EloP P, et al. Hypertrophy of the flexor hallucis longus muscle after tendon transfer in patients with chronic Achilles tendon rupture [J]. Foot Ankle Surg, 2014, 20(4): 253-257.
27 TenenbaumS, DreiangelN, SegalA, et al. The percutaneous surgical approach for repairing acute Achilles tendon rupture: a comprehensive outcome assessment [J]. J Am Podiatr Med Assoc, 2010, 100(4): 270-275.
28 MahieuN N, WitvrouwE, StevensV, et al. Intrinsic risk factors for the development of achilles tendon overuse injury: a prospective study [J]. Am J Sports Med, 2006, 34(2): 226-235.
29 HorstmannT, LukasC, MerkJ, et al. Deficits 10-years after Achilles tendon repair [J]. Int J Sports Med, 2012, 33(6): 474-479.
30 蔡雅楠,梁嘉樑. 七厘散治疗踝关节骨折对踝关节功能和等速肌力的影响[J]. 世界中医药, 2019, 14(4): 941-945.
31 黄苑芬,谢培英,曾秋华. 胫骨骨折内固定术后并发足下垂的护理措施探讨[J]. 中外医疗, 2010, 29（21）: 13-14.
32 金辽沙,毛履真. 腓骨切除后踝关节的生物力学研究：附50例报告[J]. 中华骨科杂志, 1994, 14(10): 608-611.
33 FrinkM, KlausA K, KutherG, et al. Long term results of compartment syndrome of the lower limb in polytraumatised patients [J]. Injury, 2007, 38(5): 607-613.
34 王向东,刘学贞,仰红慧,等. 中国青年踝关节跖屈、背屈肌群力量的研究 [J]. 中国运动医学杂志, 2003, 22(6): 569-572.
35 DallingaJ M, BenjaminseA, LemminkK A. Which screening tools can predict injury to the lower extremities in team sports?: a systematic review [J]. Sports Med, 2012, 42(9): 791-815.
36 NaickerM, McleanM, EsterhuizenT M, et al. Poor peak dorsiflexor torque associated with incidence of ankle injury in elite field female hockey players [J]. J Sci Med Sport, 2007, 10(6): 363-371.
37 尚玢,曹峰锐,陈静. 男子水球守门员膝、踝关节屈伸肌群等速肌力实验测量[J]. 太原理工大学学报, 2019, 50(1): 135-140.
38 师玉涛,刘颖,马馨,等. 我国优秀10m跳台男子运动员下肢肌肉力量特征研究[J]. 中国体育科技, 2010, 46(3): 54-56.
39 CobbS C, Bazett-JonesD M, JoshiM N, et al. The relationship among foot posture, core and lower extremity muscle function, and postural stability [J]. J Athl Train, 2014, 49(2): 173-180.
40 DavidP, HalimiM, MoraI, et al. Isokinetic testing of evertor and invertor muscles in patients with chronic ankle instability [J]. J Appl Biomech, 2013, 29(6): 696-704.
41 MunnJ, BeardD J, RefshaugeK M, et al. Eccentric muscle strength in functional ankle instability [J]. Med Sci Sports Exerc, 2003, 35(2): 245-250.
42 WilkersonG B, PinerolaJ J, CaturanoR W. Invertor vs. evertor peak torque and power deficiencies associated with lateral ankle ligament injury [J]. J Orthop Sports Phys Ther, 1997, 26(2): 78-86.
43 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.
44 van der WeesP J, LenssenA F, HendriksE J, et al. Effectiveness of exercise therapy and manual mobilisation in ankle sprain and functional instability: a systematic review [J]. Aust J Physiother, 2006, 52(1): 27-37.
45 ColladoH, CoudreuseJ M, GrazianiF, et al. Eccentric reinforcement of the ankle evertor muscles after lateral ankle sprain [J]. Scand J Med Sci Sports, 2010, 20(2): 241-246.
46 StanleyA, McGannR, HallJ, et al. Shoulder strength and range of motion in female amateur-league tennis players [J]. J Orthop Sports Phys Ther, 2004, 34(7): 402-429.
47 LeppilahtiJ, SiiraP, VanharantaH, et al. Isokinetic evaluation of calf muscle performance after Achilles rupture repair [J]. Int J Sports Med, 1996, 17(8): 619-623.
48 张阳,王强,黄武胜,等. FIFA 11+练习对功能性踝关节不稳者的康复研究[J]. 中国体育科技, 2019, 55(2): 64-69, 80.

[1]	邵伟婷, 雷江华. 反应中断再定向干预孤独症谱系障碍儿童刻板语言的效果：Scoping综述[J]. 《中国康复理论与实践》, 2024, 30(1): 10-20.
[2]	王航宇, 葛可可, 范永红, 都丽露, 邹敏, 封磊. 基于ICD-11和ICF主动式音乐疗法改善认知障碍老年人认知功能的系统综述[J]. 《中国康复理论与实践》, 2024, 30(1): 36-43.
[3]	闻嘉宁, 金秋艳, 张琦, 李杰, 司琦. 认知参与型身体活动对发展儿童青少年执行功能的效果：基于ICF的系统综述[J]. 《中国康复理论与实践》, 2024, 30(1): 44-53.
[4]	葛可可, 范永红, 王航宇, 都丽露, 李长江, 邹敏. 失眠老年人正念干预健康效益的系统综述[J]. 《中国康复理论与实践》, 2024, 30(1): 54-60.
[5]	张婧雅, 邹敏, 孙宏伟, 孙昌隆, 朱峻同. 听障儿童青少年焦虑或抑郁情绪心理干预效果的系统综述[J]. 《中国康复理论与实践》, 2023, 29(9): 1004-1011.
[6]	王俊宇, 杨永, 袁逊, 谢婷, 庄洁. 高强度间歇训练对健康儿童青少年执行功能效果的系统综述[J]. 《中国康复理论与实践》, 2023, 29(9): 1012-1020.
[7]	魏晓微, 杨剑, 魏春艳. 特殊教育学校孤独症谱系障碍儿童参与适应性瑜伽活动的心理与行为效益的系统综述[J]. 《中国康复理论与实践》, 2023, 29(9): 1021-1028.
[8]	杨亚茹, 杨剑. 基于WHO-HPS架构学校身体活动相关健康服务及其健康效益：系统综述的系统综述[J]. 《中国康复理论与实践》, 2023, 29(9): 1040-1047.
[9]	史佳伟, 李凌宇, 杨浩杰, 王琴潞, 邹海欧. 预康复对全膝关节置换术后患者的有效性：系统综述的系统综述[J]. 《中国康复理论与实践》, 2023, 29(9): 1057-1064.
[10]	孙藤方, 任梦婷, 杨琳, 王耀霆, 王红雨, 闫兴洲. 高压氧治疗联合重复外周磁刺激干预脑卒中患者踝运动功能和平衡能力的效果[J]. 《中国康复理论与实践》, 2023, 29(8): 875-881.
[11]	蒋长好, 黄辰, 高晓妍, 戴元富, 赵国明. 神经反馈训练对老年人认知功能效果的系统综述[J]. 《中国康复理论与实践》, 2023, 29(8): 903-909.
[12]	魏晓微, 杨剑, 魏春艳, 贺启令. 学校环境下适应性体育课程促进智力与发展性残疾儿童心理运动发展的系统综述[J]. 《中国康复理论与实践》, 2023, 29(8): 910-918.
[13]	任艺, 王蕊, 章耀华. 本体感觉神经肌肉促进技术联合神经肌肉电刺激对慢性踝关节不稳的效果[J]. 《中国康复理论与实践》, 2023, 29(7): 750-755.
[14]	张园, 杨剑. 基于世界卫生组织健康促进学校架构的学校健康服务及效果：Scoping综述[J]. 《中国康复理论与实践》, 2023, 29(7): 791-799.
[15]	王少璞, 陈钢. 基于世界卫生组织健康促进学校架构的心理行为健康服务及其健康效益：系统综述的系统综述[J]. 《中国康复理论与实践》, 2023, 29(7): 800-807.

踝关节等速肌力测试在下肢关节损伤中的应用进展

Advance in Ankle Isokinetic Test for Lower Limb Joint Injuries (review)

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

Metrics

本文评价

推荐阅读 0