评估慢性脚不稳定性中的自感性衰退:对子模式的比较评估
Junjun Li1, Qi Wang2, Xinmeng Zhang1
1College of Sports and Health, Shandong Sport University, Jinan, China.
Frontiers in sports and active living
|January 28, 2026
概括
患有慢性脚不稳定 (CAI) 的人表现出特定的自身感知缺陷,特别是在动感,力感和着陆自身感知方面. 登陆自身感应显示了CAI中临床评估和康复的最大潜力.
科学领域:
- 生物力学 生物力学
- 神经科学是一个神经科学.
- 运动医学 运动医学
背景情况:
- 慢性脚不稳定性 (CAI) 经常与反复的脚扭伤有关.
- 自身感知障碍是CAI的一个关键因素,但不同感官子模式的具体缺陷仍然不清楚.
- 了解这些缺陷对于有效的临床评估和康复策略至关重要.
研究的目的:
- 综合评估CAI患者的自感子模式缺陷.
- 为了确定诊断CAI,具有最高临床区分价值的特定自感子模式.
- 阐明CAI体内自身感知障碍的潜在机制.
主要方法:
- 58名参与者 (29名CAI,29名对照组) 接受了一系列自感测试.
- 测试包括动感 (检测被动运动的门),关节位置感 (关节位置再现),力感 (力匹配),振动感和着陆自感 (着陆脚倒置歧视装置).
- 统计分析包括独立样本t测试,曼·惠特尼U测试和接收器操作特征 (ROC) 曲线分析以确定辨别能力.
主要成果:
- 患有CAI的个体在多个运动方向上表现出显著更高的动感和力感值.
- 此外,CAI参与者在着陆自感受方面也表现出明显较低的分数,该分数是根据着陆脚逆向歧视装置 (AIDAL) 测试来评估的.
- ROC曲线分析表明,AIDAL测试具有最高的辨别能力 (AUC = 0.728),用于识别CAI.
结论:
- 在CAI的自身感知缺陷是特定于模式的,影响着动感,力感和着陆自身感知.
- 通过AIDAL评估的着陆自感觉显示了CAI的最强的预测值.
- 在临床评估和康复干预中,应优先考虑降落自身感应对CAI患者的治疗.
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