《中国康复理论与实践》

《中国康复理论与实践》 ›› 2026, Vol. 32 ›› Issue (2): 206-214.doi: 10.3969/j.issn.1006-9771.2026.02.010

• 应用研究 • 上一篇    下一篇

慢性踝关节不稳患者感觉运动功能与姿势控制能力的相关性

陈鹏1, 胡晓梅2, 卫雅如1, 陈德正1, 王琳3,4()   

  1. 1.上海体育大学运动健康学院，上海市 200438
    2.香港中文大学体育运动科学系，香港 999077
    3.上海体育大学运动医学与康复中心，上海市 200438
    4.上海上体骨科医院，上海市 200082
  • 收稿日期:2025-09-01 修回日期:2025-12-04 出版日期:2026-02-25 发布日期:2026-03-02
  • 通讯作者: 王琳(1975-)，男，汉族，河北承德市人，博士，教授，博士研究生导师，主要研究方向：运动损伤与康复、老年康复。E-mail： wanglin@sus.edu.cn E-mail:wanglin@sus.edu.cn
  • 作者简介:陈鹏(1999-)，男，汉族，湖南郴州市人，博士研究生，主要研究方向：运动损伤与康复、老年康复
    胡晓梅(1998-)，女，汉族，四川乐山市人，博士研究生，主要研究方向：运动损伤与康复。
  • 基金资助:
    1. 上海市东方英才计划拔尖项目(BJJY2025064);2. 上海体育大学研究生科研创新项目(YJSCX-2024-034)

Correlation analysis between sensorimotor function and postural control abilities in patients with chronic ankle instability

CHEN Peng1, HU Xiaomei2, WEI Yaru1, CHEN Dezheng1, WANG Lin3,4()   

  1. 1. School of Exercise and Health, Shanghai University of Sport, Shanghai 200438, China
    2. Department of Sports Science and Physical Education, the Chinese University of Hong Kong, Hong Kong 999077, China
    3. Sports Medicine and Rehabilitation Center, Shanghai University of Sport, Shanghai 200438, China
    4. Shanghai Shangti Orthopaedic Hospital, Shanghai 200082, China
  • Received:2025-09-01 Revised:2025-12-04 Published:2026-02-25 Online:2026-03-02
  • Contact: WANG Lin, E-mail: wanglin@sus.edu.cn E-mail:wanglin@sus.edu.cn
  • Supported by:
    Eastern Talent Plan Leading Project under Grant(BJJY2025064);Research and Innovation Grant for Graduate Students, Shanghai University of Sport(YJSCX-2024-034)

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摘要：

目的 比较慢性踝关节不稳(CAI)患者和健康对照踝关节感觉运动功能和姿势控制能力，探讨CAI患者踝关节感觉运动功能与姿势控制能力之间的关系。

方法 2025年3月至6月，招募上海体育大学CAI患者(观察组)和健康对照(对照组)各40例。采用CON-TREX等速肌力测试系统测试峰值肌肉力量、位置觉和力觉。计算机动态姿势描记单腿站立和Y平衡测试用于评估静态和动态姿势控制能力。对观察组感觉运动功能与姿势控制能力进行相关性分析。

结果 观察组在4个运动方向(跖屈、背屈、内翻和外翻)上的位置觉和力觉误差均高于对照组(t > 2.047, P < 0.05)。观察组睁眼条件下内外侧压力中心摆动速度(COPV)、闭眼条件下前后侧和内外侧COPV明显高于对照组(t > 2.609, P < 0.01)，Y平衡前向、后内向、后外向距离和综合分值均小于对照组(|t| > 2.187, P < 0.05)。相关性分析结果显示，跖屈和外翻位置觉误差、跖屈力觉误差与部分条件下(睁眼/闭眼)前后/内外方向的COPV呈正相关(r= 0.318~0.508, P < 0.05)。跖屈和外翻位置觉误差及跖屈、背屈和外翻力觉误差与部分方向的Y平衡距离呈负相关(r = -0.313~-0.433, P < 0.05)。峰值跖屈和背屈力量与部分方向的Y平衡距离呈正相关(r = 0.316~0.470, P < 0.05)。

结论 CAI患者踝关节位置觉和力觉减弱，并且与静态和动态姿势控制能力缺陷之间存在相关。位置觉和力觉缺陷可能是限制CAI恢复正常姿势控制的重要因素。

关键词: 慢性踝关节不稳, 本体感觉, 肌肉力觉, 肌力, 姿势控制

Abstract:

Objective To compare ankle sensorimotor function and postural control ability between patients with chronic ankle instability (CAI) and healthy controls, and to further explore their relationship.

Methods From March to June, 2025, 40 patients with CAI (observation group) and 40 healthy controls (control group) were recruited at Shanghai University of Sport. Peak muscle strength, position sense and force sense were measured using the CON-TREX isokinetic muscle strength test system. Computerized dynamic posturography single-leg standing and Y-balance tests were used to assess static and dynamic postural control abilities. Correlation analysis was performed to examine the relationship between sensorimotor function and postural control ability in the observation group.

Results The joint position sense and force sense errors were higher in the observation group than in the control group in all four movement directions (plantarflexion, dorsiflexion, inversion and eversion) (t > 2.047, P < 0.05). The mediolateral center-of-pressure velocity (COPV) under eyes-open conditions, as well as anteroposterior and mediolateral COPV under eyes-closed conditions were higher (t > 2.609, P < 0.01), and the Y-balance test reach distances in all directions were lower (|t| > 2.187, P < 0.05) in the observation group than in the control group. Correlation analyses demonstrated significant positive associations of plantarflexion and eversion joint position sense errors, and plantarflexion force sense error, to COPV in the anteroposterior and mediolateral directions under certain conditions (eyes open/eyes closed) (r = 0.318 to 0.508, P< 0.05). Significant negative associations were found from plantarflexion and eversion joint position sense errors, as well as plantarflexion, dorsiflexion and eversion force sense errors, to Y-balance test reach distances in certain directions (r = -0.313 to -0.433, P< 0.05). Furthermore, peak plantarflexor and dorsiflexor strength showed significant positive associations with Y-balance test reach distances in certain directions (r = 0.316 to 0.470, P< 0.05).

Conclusion Patients with CAI exhibit diminished ankle position and force sense, which correlate with deficits in static and dynamic postural control abilities, suggesting that position and force sense deficits may be important factors limiting the corection of normal postural control after CAI.

Key words: chronic ankle instability, proprioception, muscle force perception, muscle strength, postural control

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