基于加速度信号的功能性踝关节不稳者动态姿势稳定性评价方法

doi:10.3969/j.issn.1006-9771.2023.06.005

Abstract

Abstract:

Objective To compare the retest reliability and discriminant validity of dynamic postural stability indices for functional ankle instability (FAI) obtained by different algorithms based on acceleration signals at different positions of human body.
Methods From April to June, 2021, 21 subjects with unilateral FAI and 21 subjects with normal ankle were recruited. Three inertial sensors were attached to the waist points, knee and ankle positions. The ground reaction force (GRF) and kinematics data of the subjects in multi-direction single leg landing test were collected synchronously by 3D force plate and inertial sensors. The unbounded third order polynomial (UTOP) fitting method was used to calculate the stability time, and the root mean square was used to caculate the stability index.
Results Most of the indicators calculated based on acceleration signal correlated with that based on GRF with low coefficient (|r| = 0.116 to 0.368, P < 0.05). The stability time and stability index based on the acceleration signals of different positions of human body showed low to high retest reliability (CMC 0.30 to 0.91). For the females, among the stability time based on acceleration signal, eleven indexes achieved average to very high discriminant validity (AUC = 0.702 to 0.942, P < 0.05); eight of the stability indexes reached general level of discriminant validity (AUC = 0.717 to 0.782, P < 0.05). No algorithms achieved good discriminant effect in male subjects.
Conclusion Based on the acceleration signal of waist point in single-leg landing stability test, the stability time calculated by UTOP algorithm can evaluate the dynamic postural stability of female FAI patients with high discriminant validity and medium to high retest reliability.

Key words: functional ankle instability, inertial sensor, postural stability, acceleration signal

CLC Number:

R684.7

HUANG Dongxu, LI Yinuo, LI Qiujie, YANG Chen, WAN Xianglin. Evaluation method of dynamic postural stability for functional ankle instability based on acceleration signals[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(6): 654-666.

Figures/Tables 11

加速度计位置	性别	落地方向	执行次数	SI			TTS
加速度计位置	性别	落地方向	执行次数	前后	内外	垂直	前后	内外	垂直
腰点	男	向前	1	0.61±0.62	1.55±1.53	1.98±1.83	0.54±0.41	1.23±0.81	1.33±0.86
			2	0.70±0.69	1.63±1.39	2.28±1.88	0.55±0.42	1.29±0.86	1.30±0.90
			3	0.62±0.48	1.70±1.33	2.45±1.92	0.58±0.42	1.23±0.90	1.30±0.90
		CMC		0.64	0.72	0.53	0.74	0.87	0.83
		向侧	1	0.60±0.59	1.60±1.38	2.04±1.75	0.60±0.46	1.15±0.86	1.25±0.93
			2	0.55±0.49	1.56±1.35	2.14±1.82	0.57±0.45	1.22±0.88	1.18±0.89
			3	0.60±0.53	1.67±1.45	2.18±1.86	0.62±0.45	1.12±0.84	1.18±0.90
		CMC		0.79	0.79	0.73	0.78	0.73	0.69
		向后	1	0.41±0.38	1.08±1.05	1.54±1.46	0.61±0.40	1.15±0.80	1.36±0.93
			2	0.46±0.36	1.20±0.98	1.95±1.56	0.62±0.41	1.19±0.78	1.28±0.92
			3	0.50±0.39	1.19±0.97	1.90±1.49	0.58±0.39	1.11±0.82	1.33±0.96
		CMC		0.67	0.79	0.70	0.75	0.65	0.84
	女	向前	1	1.00±0.75	2.15±1.53	2.82±1.35	0.86±0.39	1.41±0.62	1.61±0.57
			2	1.10±1.01	2.15±1.58	2.71±1.49	0.87±0.37	1.36±0.61	1.71±0.60
			3	0.93±0.75	1.89±1.33	2.55±1.33	0.78±0.38	1.34±0.62	1.64±0.64
		CMC		0.76	0.84	0.65	0.78	0.84	0.74
		向侧	1	0.85±0.59	2.10±1.39	2.84±1.61	0.77±0.29	1.35±0.54	1.60±0.58
			2	0.83±0.36	2.30±1.21	3.13±1.45	0.75±0.31	1.31±0.56	1.63±0.55
			3	0.76±0.47	2.02±1.34	2.73±1.48	0.75±0.30	1.34±0.63	1.66±0.58
		CMC		0.72	0.83	0.70	0.62	0.87	0.58
		向后	1	0.66±0.45	1.50±1.22	2.54±1.63	0.83±0.42	1.30±0.68	1.77±0.79
			2	0.69±0.40	1.58±1.11	2.78±1.50	0.82±0.38	1.33±0.70	1.63±0.87
			3	0.74±0.55	1.60±1.29	2.87±1.46	0.77±0.43	1.30±0.77	1.64±0.85
		CMC		0.70	0.91	0.74	0.65	0.75	0.64
膝	男	向前	1	3.65±3.53	1.32±1.11	2.26±2.06	1.55±1.21	1.21±0.81	1.07±0.75
			2	4.11±3.53	1.52±1.15	2.54±2.10	1.58±1.21	1.23±0.86	1.11±0.82
			3	4.43±3.76	1.66±1.20	2.63±2.10	1.63±1.20	1.20±0.87	1.07±0.77
		CMC		0.74	0.57	0.69	0.81	0.87	0.69
		向侧	1	4.32±3.72	1.53±1.20	2.31±2.02	1.44±1.28	1.16±0.84	1.12±0.86
			2	4.43±3.80	1.56±1.17	2.41±2.00	1.59±1.33	1.21±0.83	1.05±0.80
			3	4.23±3.85	1.45±1.16	2.41±2.03	1.69±1.41	1.16±0.85	1.02±0.79
		CMC		0.84	0.59	0.70	0.70	0.71	0.72
		向后	1	3.06±3.18	1.13±1.10	1.81±1.66	1.61±1.22	1.15±0.77	1.02±0.75
			2	3.25±2.69	1.24±0.95	2.05±1.61	1.58±1.16	1.18±0.81	1.05±0.80
			3	3.44±2.97	1.35±1.12	2.22±1.71	1.65±1.23	1.13±0.80	0.99±0.75
		CMC		0.82	0.70	0.72	0.76	0.79	0.69
	女	向前	1	6.52±3.57	2.43±1.21	4.05±2.19	2.14±1.14	1.71±0.73	1.61±0.59
			2	5.81±3.51	2.22±1.34	3.59±2.33	1.96±1.07	1.81±0.66	1.66±0.69
			3	5.97±3.45	2.20±1.16	3.70±2.12	2.18±1.06	1.72±0.60	1.54±0.60
		CMC		0.74	0.70	0.76	0.79	0.73	0.55
		向侧	1	5.87±3.57	2.10±1.17	3.29±1.96	2.32±1.08	1.72±0.53	1.56±0.61
			2	6.63±3.23	2.35±1.19	3.81±1.93	2.42±0.98	1.72±0.52	1.56±0.71
			3	6.29±3.15	2.16±1.10	3.61±1.93	2.28±0.98	1.71±0.60	1.57±0.60
		CMC		0.66	0.74	0.71	0.71	0.73	0.64
		向后	1	5.21±3.62	1.87±1.27	3.34±1.97	1.89±1.10	1.53±0.74	1.42±0.75
			2	5.43±3.59	1.93±1.10	3.34±1.85	2.04±1.13	1.47±0.72	1.42±0.83
			3	4.84±3.43	1.82±1.34	3.26±1.91	2.00±1.18	1.45±0.80	1.32±0.77
		CMC		0.85	0.87	0.81	0.73	0.76	0.65
踝	男	向前	1	1.70±1.94	1.40±1.35	2.39±1.92	1.33±1.01	0.69±0.55	0.72±0.66
			2	1.55±1.60	1.43±1.19	2.41±1.95	1.34±1.05	0.63±0.52	0.78±0.67
			3	1.58±1.60	1.53±1.32	2.56±2.07	1.29±0.97	0.73±0.65	0.73±0.66
		CMC		0.52	0.82	0.56	0.79	0.61	0.78
		向侧	1	1.40±1.21	1.29±1.05	2.58±2.16	1.35±1.03	0.80±0.65	0.70±0.64
			2	1.43±1.12	1.30±0.98	2.75±2.19	1.35±1.08	0.82±0.67	0.71±0.62
			3	1.48±1.26	1.25±1.01	2.67±2.28	1.47±1.12	0.77±0.65	0.71±0.67
		CMC		0.70	0.72	0.71	0.69	0.86	0.70
		向后	1	1.37±1.33	1.05±0.87	1.91±1.64	1.17±0.92	0.87±0.63	0.69±0.60
			2	1.65±1.82	1.12±0.80	2.20±1.62	1.15±0.84	0.81±0.62	0.65±0.68
			3	1.40±1.33	1.21±1.00	2.17±1.61	1.20±0.98	0.81±0.63	0.68±0.67
		CMC		0.54	0.48	0.72	0.70	0.69	0.57
	女	向前	1	2.26±1.82	2.04±1.24	3.52±2.27	1.50±0.70	0.79±0.44	0.97±0.59
			2	2.20±1.73	1.95±1.16	3.39±2.15	1.59±0.75	0.75±0.39	0.96±0.60
			3	2.02±1.88	1.74±1.00	3.25±1.95	1.51±0.78	0.76±0.45	1.01±0.66
		CMC		0.30	0.67	0.77	0.50	0.52	0.69
		向侧	1	1.91±1.79	1.54±0.95	3.11±1.87	1.77±0.71	0.85±0.38	0.99±0.52
			2	2.23±2.21	1.56±1.00	3.54±1.79	1.79±0.75	0.87±0.39	0.96±0.53
			3	2.19±2.08	1.49±0.94	3.52±2.01	1.66±0.73	0.89±0.42	0.98±0.52
		CMC		0.35	0.72	0.69	0.70	0.49	0.45
		向后	1	2.18±1.92	1.48±1.08	3.09±1.88	1.47±0.75	0.83±0.43	0.90±0.62
			2	1.84±1.71	1.38±1.08	3.14±1.94	1.57±0.83	0.81±0.46	0.83±0.63
			3	1.70±1.74	1.46±1.17	2.84±1.95	1.48±0.79	0.79±0.45	0.81±0.64
		CMC		0.76	0.85	0.80	0.59	0.53	0.80

落地方向	传感器位置	组别	男			女
落地方向	传感器位置	组别	APSI_ACC	MLSI_ACC	VSI_ACC	APSI_ACC	MLSI_ACC	VSI_ACC
向前落地	腰点^a	不稳组	0.78±0.37	2.48±1.30	2.97±1.33	1.09±0.69	2.48±1.37	2.98±1.36
	腰点^a	正常组	0.74±0.30	1.60±1.03	2.13±1.24	0.72±0.32	1.64±0.82	2.26±1.04
	膝^b	不稳组	5.46±2.86	2.05±0.85	3.19±1.53	6.97±3.43	2.64±1.32	4.23±2.28
	膝^b	正常组	3.57±2.10	1.69±0.89	2.56±1.52	5.08±2.72	1.74±0.72	3.03±1.61
	踝^c	不稳组	1.85±0.81	1.66±0.59	2.79±0.87	2.62±2.26	2.32±1.12	4.14±2.23
	踝^c	正常组	1.94±1.12	1.64±0.82	2.96±1.36	2.21±1.85	1.98±1.17	3.37±1.88
向侧落地	腰点^d	不稳组	1.00±0.58	2.62±1.27	3.08±1.43	0.98±0.55	2.69±1.70	3.22±1.70
	腰点^d	正常组	0.72±0.26	2.25±0.90	3.14±1.11	0.65±0.35	1.60±0.60	2.76±1.16
	膝^e	不稳组	5.90±3.36	2.24±0.91	3.43±1.64	7.48±3.44	2.67±1.31	4.49±2.37
	膝^e	正常组	6.20±2.75	2.11±0.60	3.17±1.43	5.67±2.87	1.89±0.74	3.10±1.38
	踝^f	不稳组	2.06±1.12	1.94±0.77	3.88±1.79	1.97±1.19	1.70±0.80	4.13±2.08
	踝^f	正常组	2.13±0.83	1.62±0.62	3.70±1.36	1.68±1.15	1.44±0.94	3.06±1.56
向后落地	腰点^g	不稳组	0.70±0.32	1.83±0.94	2.60±1.13	0.98±0.58	2.16±1.42	3.39±1.67
	腰点^g	正常组	0.61±0.24	1.59±0.77	2.46±0.77	0.59±0.24	1.24±0.51	2.44±0.96
	膝^h	不稳组	4.89±2.85	1.88±0.98	2.99±1.24	6.44±4.05	2.58±1.56	3.92±1.99
	膝^h	正常组	3.82±2.63	1.53±0.77	2.72±1.47	5.20±3.00	1.53±0.62	3.30±1.46
	踝ⁱ	不稳组	1.82±1.00	1.53±0.64	3.04±1.07	1.76±1.51	1.66±1.14	3.66±2.08
	踝ⁱ	正常组	1.63±1.00	1.34±0.56	2.61±1.03	1.70±1.56	1.34±0.67	2.88±1.39
	t值^a		0.401	2.594	2.271	2.648	2.879	2.327
	P值^a		0.690	0.013	0.028	0.010	0.006	0.023
	t值^b		2.602	1.441	1.443	2.365	3.290	2.359
	P值^b		0.012	0.156	0.156	0.021	0.002	0.022
	t值^c		-0.317	0.084	-0.494	0.766	1.145	1.442
	P值^c		0.753	0.933	0.624	0.447	0.257	0.155
	t值^d		2.346	1.306	-0.184	2.925	3.462	1.304
	P值^d		0.022	0.197	0.855	0.005	< 0.001	0.197
	t值^e		-0.368	0.649	0.665	2.322	2.970	2.919
	P值^e		0.715	0.519	0.509	0.023	0.004	0.005
	t值^f		-0.267	1.820	0.429	1.013	1.212	2.350
	P值^f		0.791	0.074	0.670	0.315	0.230	0.022
	t值^g		1.186	1.113	0.580	3.527	3.506	2.844
	P值^g		0.241	0.270	0.564	< 0.001	< 0.001	0.006
	t值^h		1.511	1.544	0.761	1.418	3.612	1.423
	P值^h		0.136	0.128	0.450	1.161	< 0.001	0.160
	t值ⁱ		0.724	1.243	1.565	0.159	1.379	1.782
	P值ⁱ		0.472	0.219	0.123	0.874	0.173	0.080

落地方向	传感器位置	组别	男			女
落地方向	传感器位置	组别	APTTS_ACC	MLTTS_ACC	VTTS_ACC	APTTS_ACC	MLTTS_ACC	VTTS_ACC
向前落地	腰点^a	不稳组	1.47±0.36	0.63±0.26	1.63±0.44	1.63±0.46	0.92±0.34	1.84±0.40
	腰点^a	正常组	1.55±0.20	0.62±0.13	1.67±0.25	0.92±0.28	0.59±0.16	1.53±0.30
	膝^b	不稳组	1.53±0.62	1.66±0.83	1.34±0.56	2.10±0.44	2.30±1.09	1.70±0.46
	膝^b	正常组	1.46±0.22	1.79±0.53	1.26±0.36	1.71±0.13	1.94±0.31	1.62±0.19
	踝^c	不稳组	0.86±0.31	1.62±0.63	0.97±0.57	0.78±0.27	1.64±0.65	1.02±0.44
	踝^c	正常组	0.91±0.20	1.89±0.22	0.99±0.26	0.73±0.18	1.40±0.38	0.70±0.26
向侧落地	腰点^d	不稳组	0.81±0.35	1.55±0.45	1.77±0.56	0.85±0.29	1.67±0.56	1.80±0.50
	腰点^d	正常组	0.84±0.17	1.70±0.39	1.57±0.45	0.61±0.11	0.88±0.26	1.42±0.30
	膝^e	不稳组	2.01±1.09	1.65±0.55	1.42±0.61	2.53±0.95	2.02±0.41	1.74±0.65
	膝^e	正常组	2.18±0.80	1.61±0.24	1.43±0.40	2.06±0.31	1.59±0.11	1.46±0.15
	踝^f	不稳组	1.63±0.82	1.06±0.59	0.94±0.57	1.66±0.68	0.96±0.29	1.05±0.47
	踝^f	正常组	2.19±0.40	1.08±0.20	0.94±0.42	1.68±0.42	0.75±0.18	0.70±0.22
向后落地	腰点^g	不稳组	0.84±0.18	1.50±0.38	1.76±0.45	0.92±0.28	1.70±0.44	2.06±0.45
	腰点^g	正常组	0.75±0.15	1.53±0.43	1.73±0.45	0.73±0.19	1.03±0.36	1.68±0.39
	膝^h	不稳组	2.19±0.79	1.58±0.52	1.60±0.48	2.37±1.03	1.91±0.53	1.67±0.58
	膝^h	正常组	2.07±0.60	1.49±0.23	1.23±0.44	2.00±0.38	1.42±0.20	1.36±0.26
	踝ⁱ	不稳组	1.48±0.69	1.05±0.44	0.95±0.54	1.76±0.51	0.84±0.27	0.86±0.43
	踝ⁱ	正常组	1.59±0.40	1.12±0.20	0.73±0.34	1.61±0.26	0.97±0.15	0.72±0.25
	t值^a		-1.035	0.296	-0.446	7.199	4.793	3.407
	P值^a		0.306	0.769	0.658	< 0.001	< 0.001	< 0.001
	t值^b		0.538	-0.654	0.552	4.753	1.724	0.956
	P值^b		0.593	0.517	0.584	< 0.001	0.090	0.343
	t值^c		-0.665	-1.967	-0.146	0.836	1.779	3.428
	P值^c		0.509	0.055	0.884	0.407	0.080	< 0.001
	t值^d		-0.382	-1.398	1.520	4.463	7.292	3.746
	P值^d		0.704	0.167	0.134	< 0.001	< 0.001	< 0.001
	t值^e		-0.704	0.325	-0.068	2.747	5.737	2.386
	P值^e		0.484	0.747	0.946	0.008	< 0.001	0.020
	t值^f		-3.325	-0.151	0.039	-0.124	3.525	3.915
	P值^f		0.002	0.880	0.969	0.902	< 0.001	< 0.001
	t值^g		2.180	-0.301	0.304	3.207	6.899	3.636
	P值^g		0.033	0.764	0.762	0.002	< 0.001	< 0.001
	t值^h		0.627	0.831	3.073	1.949	4.920	2.779
	P值^h		0.533	0.409	0.003	0.056	< 0.001	0.007
	t值ⁱ		-0.799	-0.814	1.927	1.519	-2.501	1.531
	P值ⁱ		0.427	0.419	0.059	0.134	0.015	0.131

References 35

[1]	BESTWICK-STEVENSON T, WYATT L A, PALMER D, et al. Incidence and risk factors for poor ankle functional recovery, and the development and progression of posttraumatic ankle osteoarthritis after significant ankle ligament injury (SALI): the SALI cohort study protocol[J]. BMC Musculoskelet Disord, 2021, 22(1): 362. doi: 10.1186/s12891-021-04230-8
[2]	MEDINA MCKEON J M, HOCH M C. The ankle-joint complex: a kinesiologic approach to lateral ankle sprains[J]. J Athl Train, 2019, 54(6): 589-602. doi: 10.4085/1062-6050-472-17
[3]	ROOS KAREN G, KERR ZACHARY Y, MAUNTEL TIMOTHY C, et al. The epidemiology of lateral ligament complex ankle sprains in National Collegiate Athletic Association Sports[J]. Am J Sports Med, 2017, 45(1): 201-209. doi: 10.1177/0363546516660980 pmid: 27573356
[4]	WATERMAN B R, OWENS B D, DAVEY S, et al. The epidemiology of ankle sprains in the United States[J]. J Bone Joint Surg Am, 2010, 92(13): 2279-2284. doi: 10.2106/JBJS.I.01537 pmid: 20926721
[5]	LIN C I, HOUTENBOS S, LU Y H, et al. The epidemiology of chronic ankle instability with perceived ankle instability: a systematic review[J]. J Foot Ankle Res, 2021, 14(1): 41. doi: 10.1186/s13047-021-00480-w
[6]	CHO B K, PARK J K. Correlation between joint-position sense, peroneal strength, postural control, and functional performance ability in patients with chronic lateral ankle instability[J]. Foot Ankle Int, 2019, 40(8): 961-968. doi: 10.1177/1071100719846114
[7]	SANTOS M J, LIU W. Possible factors related to functional ankle instability[J]. J Orthop Sports Phys Ther, 2008, 38(3): 150-157.
[8]	ARNOLD B L, DE LA MOTTE S, LINENS S, et al. Ankle instability is associated with balance impairments: a meta-analysis[J]. Med Sci Sports Exerc, 2009, 41(5): 1048-1062. doi: 10.1249/MSS.0b013e318192d044
[9]	VALLANDINGHAM R A, GAVEN S L, POWDEN C J. Changes in dorsiflexion and dynamic postural control after mobilizations in individuals with chronic ankle instability: a systematic review and meta-analysis[J]. J Athl Train, 2019, 54(4): 403-417. doi: 10.4085/1062-6050-380-17
[10]	LABANCA L, MOSCA M, GHISLIERI M, et al. Muscle activations during functional tasks in individuals with chronic ankle instability: a systematic review of electromyographical studies[J]. Gait Posture, 2021, 90: 340-373. doi: 10.1016/j.gaitpost.2021.09.182 pmid: 34564008
[11]	SIMPSON J D, STEWART E M, MACIAS D M, et al. Individuals with chronic ankle instability exhibit dynamic postural stability deficits and altered unilateral landing biomechanics: a systematic review[J]. Phys Ther Sport, 2019, 37: 210-219. doi: 10.1016/j.ptsp.2018.06.003
[12]	ROSS S E, GUSKIEWICZ K M, YU B. Single-leg jump-landing stabilization times in subjects with functionally unstable ankles[J]. J Athl Train, 2005, 40(4): 298.
[13]	ROSS S E, GUSKIEWICZ K M. Examination of static and dynamic postural stability in individuals with functionally stable and unstable ankles[J]. Clin J Sport Med, 2004, 14(6): 332-338. doi: 10.1097/00042752-200411000-00002 pmid: 15523204
[14]	WIKSTROM E A, TILLMAN M D, SMITH A N, et al. A new force-plate technology measure of dynamic postural stability: the dynamic postural stability index[J]. J Athl Train, 2005, 40(4): 305-309.
[15]	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.
	YIN Y. Research on assessment tool and contribution factors for dynamic postural stabiliby in subjects with functional ankle instability[D]. Beijing: Beijing Sport University, 2016.
[16]	BROWN C N, MYNARK R. Balance deficits in recreational athletes with chronic ankle instability[J]. J Athl Train, 2007, 42(3): 367-373.
[17]	HALE S A, HERTEL J, OLMSTED-KRAMER L C. The effect of a 4-week comprehensive rehabilitation program on postural control and lower extremity function in individuals with chronic ankle instability[J]. J Orthop Sports Phys Ther, 2007, 37(6): 303-311. doi: 10.2519/jospt.2007.2322
[18]	KNAPP D, LEE S Y, CHINN L, et al. Differential ability of selected postural-control measures in the prediction of chronic ankle instability status[J]. J Athl Train, 2011, 46(3): 257-262. doi: 10.4085/1062-6050-46.3.257
[19]	LEVIN O, VAN NEVEL A, MALONE C, et al. Sway activity and muscle recruitment order during transition from double to single-leg stance in subjects with chronic ankle instability[J]. Gait Posture, 2012, 36(3): 546-551. doi: 10.1016/j.gaitpost.2012.05.009 pmid: 22727049
[20]	POPE M, CHINN L, MULLINEAUX D, et al. Spatial postural control alterations with chronic ankle instability[J]. Gait Posture, 2011, 34(2): 154-158. doi: 10.1016/j.gaitpost.2011.04.012 pmid: 21600773
[21]	HADADI M, ABBASI F. Comparison of the effect of the combined mechanism ankle support on static and dynamic postural control of chronic ankle instability patients[J]. Foot Ankle Int, 2019, 40(6): 702-709. doi: 10.1177/1071100719833993 pmid: 30808178
[22]	MCKEON P O, HERTEL J. Spatiotemporal postural control deficits are present in those with chronic ankle instability[J]. BMC Musculoskelet Disord, 2008, 9(1): 76. doi: 10.1186/1471-2474-9-76
[23]	ROSS S E, GUSKIEWICZ K M. Effect of coordination training with and without stochastic resonance stimulation on dynamic postural stability of subjects with functional ankle instability and subjects with stable ankles[J]. Clin J Sport Med, 2006, 16(4): 323-328. doi: 10.1097/00042752-200607000-00007 pmid: 16858216
[24]	章丽莉, 杨玉珊, 郑洁皎. 慢性踝关节不稳姿势稳定性的研究进展[J]. 中国康复理论与实践, 2019, 25(8): 908-912. doi: 10.3969/j.issn.1006-9771.2019.08.006
	ZHANG L L, YANG Y S, ZHENG J J. Advance in posture control for chronic ankle instability (review)[J]. Chin J Rehabil Theory Pract, 2019, 25(8): 908-912.
[25]	LUIGI B, SILVIA F, FEDERICA A, et al. Smartphone-based evaluation of postural stability in Parkinson's disease patients during quiet stance[J]. Electronics, 2020, 9(6): 919. doi: 10.3390/electronics9060919
[26]	DE VOS M, PRINCE J, BUCHANAN T, et al. Discriminating progressive supranuclear palsy from Parkinson's disease using wearable technology and machine learning[J]. Gait Posture, 2020, 77: 257-263. doi: S0966-6362(20)30068-0 pmid: 32078894
[27]	HEATHER B. Evaluation of an inertial sensor to quantify postural stability assessments in young healthy individuals and individuals with chronic ankle instability[D]. Pittsburgh: University of Pittsburgh, 2017.
[28]	JOHNSTON W, O'REILLY M, ARGENT R, et al. Reliability, validity and utility of inertial sensor systems for postural control assessment in sport science and medicine applications: a systematic review[J]. Sports Med, 2019, 49(5): 783-818. doi: 10.1007/s40279-019-01095-9 pmid: 30903440
[29]	PATEL M, PAVIC A, GOODWIN V A. Wearable inertial sensors to measure gait and posture characteristic differences in older adult fallers and non-fallers: a scoping review[J]. Gait Posture, 2020, 76: 110-121. doi: S0966-6362(19)30166-3 pmid: 31756666
[30]	ABE Y, SUGAYA T, SAKAMOTO M. Postural control characteristics during single leg standing of individuals with a history of ankle sprain: measurements obtained using a gravicorder and head and foot accelerometry[J]. J Phys Ther Sci, 2014, 26(3): 447-450. doi: 10.1589/jpts.26.447 pmid: 24707105
[31]	KAMINSKI THOMAS W, ROSS SCOTT E, GUSKIEWICZ KEVIN M. Time to stabilization: a method for analyzing dynamic postural stability[J]. Athletic Therapy Today, 2003, 8(3): 37-39.
[32]	MAO M, YIN Y, LUO D, et al. Evaluation of dynamic postural control during single-leg landing tasks using initial impact force, landing leg stiffness and time to stabilisation[J]. [ahead of print].Sports Biomech, 2021. doi: 10.1080/14763141.2020.1833969. doi: 10.1080/14763141.2020.1833969
[33]	HEEBNER N R, AKINS J S, LEPHART S M, et al. Reliability and validity of an accelerometry based measure of static and dynamic postural stability in healthy and active individuals[J]. Gait Posture, 2015, 41(2): 535-539. doi: 10.1016/j.gaitpost.2014.12.009 pmid: 25544692
[34]	张阳, 张秋霞. 功能性踝关节不稳者在着地过程中相关生物力学特征研究[J]. 天津体育学院学报, 2013, 28(4): 355-358.
	ZHANG Y, ZHANG Q X. Biomechanics of single leg landing in people with unilateral functional ankle instability[J]. J Tianjin Univ Sport, 2013, 28(4): 355-358.
[35]	WIKSTROM E A, TILLMAN M D, KLINE K J, et al. Gender and limb differences in dynamic postural stability during landing[J]. Clin J Sport Med, 2006, 16(4): 311-315. pmid: 16858214

组别		n	年龄/岁	身高/cm	体质量/kg	CAIT评分
不稳组	男	10	19.30±0.90	182.92±5.81	76.79±9.70	18.40±3.23
不稳组	女	11	21.75±3.92	163.12±4.23	59.91±7.14	16.00±4.64
正常组	男	10	20.20±1.31	176.33±4.71	75.56±8.47	29.40±1.20
正常组	女	11	23.20±2.14	163.3±6.03	57.55±5.09	29.00±1.21

落地方向	GRF/N	传感器位置	加速度/(m·s^-2)	r值	P值
向前落地	71.81±71.27	腰点	1.92±1.38	0.116	0.030
		膝	1.70±1.25	0.363	< 0.001
		踝	2.56±1.61	0.031	0.569
向侧落地	69.17±67.10	腰点	2.04±1.42	0.358	< 0.001
		膝	4.12±2.77	-0.341	< 0.001
		踝	2.46±1.55	0.140	0.006
向后落地	58.55±60.05	腰点	1.70±1.25	0.245	< 0.001
		膝	3.49±2.55	-0.228	< 0.001
		踝	2.13±1.46	0.054	0.292

性别	落地方向	执行次数	SI			TTS
性别	落地方向	执行次数	前后	内外	垂直	前后	内外	垂直
男	向前	1	48.00±32.95	8.17±6.15	157.83±105.75	1.44±0.88	0.49±0.30	2.69±1.63
		2	46.98±32.58	8.41±6.63	160.34±116.74	1.37±0.88	0.50±0.32	2.63±1.70
		3	47.45±33.49	8.54±6.76	154.06±113.33	1.41±0.86	0.46±0.33	2.58±1.68
	CMC		0.98	0.89	0.97	0.91	0.67	0.97
	向侧	1	11.13±9.01	34.16±27.62	133.66±98.23	0.59±0.41	1.17±0.80	2.44±1.62
		2	10.63±8.31	33.33±26.29	131.36±101.82	0.58±0.40	1.11±0.79	2.38±1.66
		3	10.80±8.44	32.93±27.57	130.97±103.31	0.55±0.40	1.14±0.83	2.37±1.67
	CMC		0.93	0.98	0.94	0.76	0.78	0.95
	向后	1	34.39±18.17	9.99±5.10	147.88±67.15	1.03±0.72	0.44±0.35	2.30±1.52
		2	36.05±20.41	10.23±5.49	143.10±65.88	1.06±0.76	0.44±0.35	2.22±1.53
		3	34.96±18.50	9.90±5.02	142.94±65.81	1.00±0.72	0.44±0.35	2.12±1.55
	CMC		0.96	0.9	0.89	0.81	0.69	0.73
女	向前	1	41.51±22.23	7.12±4.38	124.08±63.96	2.26±4.59	0.75±1.76	5.62±18.98
		2	40.67±21.49	6.79±4.21	125.35±68.08	2.50±6.24	0.86±2.50	6.46±24.86
		3	40.48±20.71	7.10±5.18	123.87±68.15	2.30±4.99	0.91±2.79	5.56±18.97
	CMC		0.96	0.90	0.91	0.97	0.65	0.92
	向侧	1	10.68±5.59	34.28±17.78	119.42±54.67	0.63±0.28	1.34±0.52	2.59±0.93
		2	10.29±5.17	34.21±17.91	121.50±56.67	0.64±0.27	1.30±0.58	2.58±1.02
		3	9.58±4.93	33.63±18.24	124.21±55.89	0.62±0.25	1.31±0.55	2.62±1.00
	CMC		0.90	0.97	0.90	0.73	0.89	0.89
	向后	1	27.01±12.85	8.06±3.84	118.47±52.03	1.19±0.48	0.55±0.23	2.55±0.90
		2	26.94±12.77	7.96±4.57	113.87±52.37	1.20±0.44	0.54±0.25	2.50±0.96
		3	26.30±12.23	8.21±4.51	114.48±53.38	1.18±0.44	0.53±0.23	2.49±0.96
	CMC		0.94	0.89	0.89	0.86	0.77	0.87

落地方向	性别	组别	APSI_GRF	MLSI_GRF	VSI_GRF	APTTS_GRF	MLTTS_GRF	VTTS_GRF
向前落地	男^a	不稳组	65.31±20.39	9.82±3.57	197.85±68.76	2.05±0.27	0.63±0.10	3.71±0.54
	男^a	正常组	50.45±12.20	8.72±2.83	177.75±40.48	1.67±0.35	0.55±0.14	3.20±0.48
	女^b	不稳组	43.11±11.88	6.97±2.44	137.52±32.87	1.67±0.29	0.52±0.12	2.88±0.40
	女^b	正常组	39.74±7.30	6.63±1.39	122.81±30.58	1.55±0.15	0.43±0.11	2.79±0.37
向侧落地	男^c	不稳组	14.68±4.29	56.26±18.35	183.60±54.35	0.80±0.16	1.75±0.42	3.41±0.54
	男^c	正常组	14.96±5.78	37.31±7.93	175.43±34.10	0.78±0.23	1.42±0.16	3.33±0.35
	女^d	不稳组	11.20±3.29	44.32±10.32	133.57±34.84	0.70±0.20	1.47±0.31	2.77±0.33
	女^d	正常组	9.24±2.61	27.98±5.24	125.45±27.75	0.54±0.11	1.23±0.26	2.64±0.48
向后落地	男^e	不稳组	46.54±12.21	10.87±2.46	160.90±35.78	1.46±0.46	0.64±0.20	3.06±0.76
	男^e	正常组	30.22±8.80	10.16±4.14	157.14±44.18	1.30±0.25	0.56±0.26	3.03±0.40
	女^f	不稳组	28.18±7.46	8.07±3.15	120.04±22.13	1.22±0.16	0.56±0.15	2.72±0.29
	女^f	正常组	23.62±4.14	6.59±1.64	108.66±20.55	1.27±0.19	0.51±0.12	2.56±0.26
	t值^a		-3.426	-1.326	-1.380	-4.593	-2.607	-3.856
	P值^a		< 0.001	0.190	0.173	< 0.001	0.012	< 0.001
	t值^b		-1.367	0.686	1.853	-1.996	3.167	0.939
	P值^b		0.176	0.495	0.069	0.050	0.002	0.351
	t值^c		-0.211	-5.194	-0.698	-0.475	-4.077	-0.672
	P值^c		0.834	< 0.001	0.488	0.636	< 0.001	0.504
	t值^d		2.672	-8.178	-1.050	4.250	-3.487	1.306
	P值^d		0.010	< 0.001	0.297	< 0.001	< 0.001	0.196
	t值^e		-6.017	-0.776	-0.354	-1.727	1.258	0.190
	P值^e		< 0.001	0.441	0.724	0.089	0.213	0.850
	t值^f		-3.069	2.400	2.165	-1.284	1.315	2.424
	P值^f		0.003	0.019	0.034	0.204	0.193	0.018

落地方向	指标	男		女
落地方向	指标	AUC	P值	AUC	P值
向前落地	APSI_GRF	0.694	0.010	-	-
	APTTS_GRF	0.753	0.001	-	-
	MLTTS_GRF	0.559	0.429	0.753	0.001
	VTTS_GRF	0.658	0.036	-	-
向侧落地	APSI_GRF	-	-	0.670	0.018
	MLSI_GRF	0.818	< 0.001	0.094	< 0.001
	APTTS_GRF	-	-	0.871	< 0.001
	MLTTS_GRF	0.864	< 0.001	0.178	< 0.001
向后落地	APSI_GRF	0.766	< 0.001	0.307	0.007
	MLSI_GRF	-	-	0.612	0.116
	VSI_GRF	-	-	0.629	0.072
	VTTS_GRF	-	-	0.660	0.025

Evaluation method of dynamic postural stability for functional ankle instability based on acceleration signals

RichHTML

PDF (PC)

Knowledge

Abstract

Cite this article

share this article

Figures/Tables 11

References 35

Related Articles 15

Metrics

Comments

Recommended 0

落地方向	GRF/N	传感器位置	加速度/(m·s^-2)	r值	P值
向前落地	1.79±1.13	腰点	1.25±0.55	0.114	0.042
		膝	1.73±0.61	-0.009	0.870
		踝	1.12±0.55	-0.164	0.003
向侧落地	1.73±1.04	腰点	1.29±0.58	0.368	< 0.001
		膝	1.81±0.68	-0.213	< 0.001
		踝	1.21±0.64	-0.315	< 0.001
向后落地	1.56±1.01	腰点	1.35±0.57	0.319	< 0.001
		膝	1.74±0.65	-0.220	< 0.001
		踝	1.14±0.53	-0.351	< 0.001

[1]	YU Ge, WANG Lu, CHEN Yaping. Effects of whole body vibration training on postural stability in chronic ankle instability: a meta-analysis [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(4): 423-432.
[2]	LIU Yuduo,WAN Xianglin. Comparison of effects of proprioceptive neuromuscular facilitation and whole body vibration training on functional ankle instability [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(7): 776-782.
[3]	HUANG Zhaoxin,LI Lei,ZHONG Jiamin,GUO Cunyang,ZHANG Liqiang,CHENG Zongshen,XIAO Xiaofei. Characteristics of surface electromyography and postural stability of lower limb muscles in Y-balance test in females aged 18 to 22 years [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(7): 848-854.
[4]	YU Hui,CHEN Ziyan,DAI Ruixiang,WANG Xiaodong. Effect of intensive isometric strength training of hip adductor on functional ankle instability [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(2): 125-131.
[5]	CHAI Liangwei,LIU Hua,HUANG Qiuyu,SUN Ximei,LI Kaiyang,MA Jing. Effect of therapeutic exercise on posture control and muscular function around ankle in patients with functional ankle instability: a meta-analysis [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(11): 1278-1287.
[6]	WANG Jianguo,TANG Jia,DONG Jige,CHEN Yaping. Analysis of plantar pressure for functional ankle instability [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(10): 1217-1223.
[7]	ZHANG Mei-ying,ZHAO Lei,LI Hui,WANG Ying-ying,DAI Shi-you. Effect of Strength Training of Hip Muscles on Functional Ankle Instability: Evaluated with Surface Electromyography [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(8): 936-942.
[8]	LI Dai, YU Hong, LIANG Zi-xuan, HUANG Hong-shi, SHI Hai-hua, LIU Xiao-min, AO Ying-fang. Initiatory Application of Three-dimensional Asymmetry on Anterior-cruciate-ligament Rupture Gait Analysis [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2018, 24(8): 956-962.
[9]	YIN Yan, LUO Dong-mei, LIU Hui, YU Bing. Advance in Mechanism and Self-reported Measures of Functional Ankle Instability (review) [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2018, 24(6): 671-677.
[10]	LUO Li, SUN Wu-dong, ZHAO Xiang-hu, XU Liang, CAI Qian, XIAO Qi, MA Ming. Effect of Strengthening Training of Hip Muscles on Functional Ankle Instability [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2017, 23(10): 1195-1199.
[11]	LIU Xin;ZHANG Yun-peng;WANG Lei;et al.. Effect of Comprehensive Rehabilitation Direction on Functional Ankle Instability [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2014, 20(5): 467-469.
[12]	ZHANG Li;LI Chun-hua;WENG Chang-shui;et al.. Test-retest Reliability of Tetrax Posturographic Balance Assessment System in Elderly [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2011, 17(7): 637-639.
[13]	ZHANG Li;WENG Chang-shui;PENG Nan;et al.. Quantitative Assessment and Age-related Analysis of Static Equilibrium in Elderly Individuals [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2011, 17(3): 258-261.
[14]	ZHANG Li;WENG Chang-shui;WANG Qiu-hua;et al.. Effect of Vestibular Sense, Proprioception, and Vision on Fall Risk in Elderly [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2010, 16(1): 16-18.
[15]	ZHAO Chun-yu;ZHANG Tong;NIU Zhu.. Mechanism and Issues of Balance Training During Rehabilitation Course of Cerebrovascular Disease (review) [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2007, 13(08): 727-729.