- 期刊
- OpenAccess
探討前十字韌帶缺損後經由內視鏡韌帶重建術後其膝關節本體自覺功能性評估
Evaluation of Knee Proprioception after Arthroscopic ACL Reconstruction Using Bone-Patellar-Tendon-Bone Graft
摘要
Ligaments play a major role in normal joint kinematics, providing mechanical restraint to abnormal joint motion when a stress is placed on the joint. Following injury to the anterior cruciate ligament (ACL) is thought to disrupt joint afferent sensation and result in proprioceptive deficits. The primary concern of the orthopedic surgeon has been the mechanical restoration of this ligament following injury, or post reconstructive surgery, in attempt to reestablish the joint's static stability and kinematics. Proprioception is considered a specialization variation of the sensory modality of touch, which encompasses the dynamic and static sensation of joint motion (kinesthetic sensibility) and position (joint position sensibility), respectively. To investigate this problem, 10 patients were studied at an average of 11.2 mouths after arthroscopy ACL reconstruction with BPTB. The kinesthetic sensibility was measured by establishing the threshold to detection of passive motion (TTDPM) and joint position sensibility was assessed by reproduction of passive positioning (RPP). A proprioceptive testing device (PTD) which was designed to assess joint propriocetion. Results revealed no significantly decrease Kinesthetic awareness in the ACL reconstructed knee versus the uninvolved knee. Lastly, we found that surgery combined with rehabilitation may restore some, if not all, of the proprioceptive sensibility and may ultimately improve function and prevent the recurrent symptoms.
並列摘要
Ligaments play a major role in normal joint kinematics, providing mechanical restraint to abnormal joint motion when a stress is placed on the joint. Following injury to the anterior cruciate ligament (ACL) is thought to disrupt joint afferent sensation and result in proprioceptive deficits. The primary concern of the orthopedic surgeon has been the mechanical restoration of this ligament following injury, or post reconstructive surgery, in attempt to reestablish the joint's static stability and kinematics. Proprioception is considered a specialization variation of the sensory modality of touch, which encompasses the dynamic and static sensation of joint motion (kinesthetic sensibility) and position (joint position sensibility), respectively. To investigate this problem, 10 patients were studied at an average of 11.2 mouths after arthroscopy ACL reconstruction with BPTB. The kinesthetic sensibility was measured by establishing the threshold to detection of passive motion (TTDPM) and joint position sensibility was assessed by reproduction of passive positioning (RPP). A proprioceptive testing device (PTD) which was designed to assess joint propriocetion. Results revealed no significantly decrease Kinesthetic awareness in the ACL reconstructed knee versus the uninvolved knee. Lastly, we found that surgery combined with rehabilitation may restore some, if not all, of the proprioceptive sensibility and may ultimately improve function and prevent the recurrent symptoms.
延伸閱讀
- Lin, L. C. (2002). 使用臏骨韌帶自體移植重建膝關節前十字韌帶後其關節鏡之發現. Journal of Orthopaedic Surgery Taiwan, 19(1), 10-15. https://www.airitilibrary.com/Article/Detail?DocID=10116923-200203-19-1-10-15-a
- 郭易軒（2011）。等速訓練結合影像追蹤標記與功能性電刺激應用於膝關節前十字韌帶鬆弛者之復健〔碩士論文，國立臺灣大學〕。華藝線上圖書館。https://doi.org/10.6342/NTU.2011.01666
- 蔡宗遠（2004）。結合動態X光及電腦骨骼模型量測正常人與前十字韌帶缺損患者之膝關節三維運動〔碩士論文，國立臺灣大學〕。華藝線上圖書館。https://doi.org/10.6342/NTU.2004.02343
- 邱馨儀、高宜暄、郭曉縈、陳佳琳、施怡芬、李雪楨、陳文英（2010）。前十字韌帶重建術後穿戴膝護具之必要性探討一系統性回顧與統合分析。物理治療，35(1)，24-37。https://www.airitilibrary.com/Article/Detail?DocID=15632555-201003-201005200075-201005200075-24-37
- Sabatini, L., Schirò, M., Atzori, F., Ferrero, G., & Massè, A. (2016). Patellofemoral Joint Arthroplasty: Our Experience in Isolated Patellofemoral and Bicompartmental Arthritic Knees. Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders, (2016), 189-193. https://doi.org/10.4137/CMAMD.S40498