科研之友
微信
新浪微博
Facebook
分享链接
摘要
Over the last decade, proprioceptive function gained increasing attention in joint disorders such as instability of the shoulder. Common tests for evaluation of proprioception are limited by their complexity and high technical demands. Thus, they are hardly applicable during daily routine. Our hypothesis was that the simplified "laser-pointer assisted angle reproduction test" (LP-ART) presented here allows for clinically feasible assessment of proprioceptive shoulder function. Active angle reproduction capability as an aspect of sensorimotor function was evaluated with the new method in patients with shoulder instability (n = 24) and healthy controls (n = 24). 15 patients had traumatic, 9 non-traumatic anterior instability (6 bilateral), 17 were treated surgically, 13 non-operatively. Tests were performed in flexion and abduction in different angles (55A degrees, 90A degrees, 125A degrees) in randomized order. Angle reproduction capability was worst below shoulder level (55A degrees) in all groups. Best results were achieved at shoulder level (90A degrees). Healthy controls showed overall better results than patients with instability. Patients after surgical stabilization had better results in 55A degrees and 90A degrees abduction compared to instability patients before surgery. The new LP-ART presented here is a technically simple, yet effective instrument for evaluation of the proprioceptive function of the shoulder. In contrast to former test setups it is feasible in daily routine. Compared to healthy controls, patients with unstable shoulder joints show significant proprioceptive disorders that can be quantified by the LP-ART.
- 出版日期2011-8
