踝关节本体感觉训练.doc

The Missing Link 　2010年06月08日 12时32分53秒　骨科康复　浏览： 178次 文章摘要：本体感觉训练的内容...详细内容如下 Proprioceptive training can help prevent ankle injuries The ankle must absorb forces equaling up to three times the body weight during sport-related activities such as running, jumping, cutting, and pivoting—exposing the joint to a variety of injuries. Specifically, sports such as football, basketball, hockey, and soccer increase the risk of an injury to the foot and ankle because of the potential for direct trauma, compression, shear stresses, and excessive rotational forces. The resultant injuries can range from fractures and dislocations to ligament tears and muscle strains. However, the ankle joint can be just as easily injured during activities of daily living such as walking on an uneven surface, stepping off a curb, or landing in an awkward position. Therefore, it is not surprising that the ankle is the most common site of injury in the body, with an incidence of 1 per 10,000 people a day, accounting for approximately 20% of all sports-related injuries.1 Traditional rehabilitation programs for the ankle have emphasized range-of-motion and flexibility exercises, progressive muscle strengthening and endurance exercises, and activity-specific training. Taping and/or braces are frequently used as well, particularly during sport activities. With proper functional treatment, the individual can often return to work or sport within a few days or weeks, and most injuries resolve without difficulty. However, up to 50% of people who incur an ankle sprain develop some form of chronic symptoms,2 including persistent pain, stiffness, recurrent swelling, and functional or mechanical (anatomic) instability.3 It has been proposed that during the initial rehabilitation of these individuals, proprioception exercises may have been neglected or inadequately performed.4 ANATOMY OF PROPRIOCEPTION What exactly is proprioception and how does it influence joint stability? Proprioception is defined as