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Z Orthop Unfall 2015; 153(03): 253-258
DOI: 10.1055/s-0034-1396293
Übersicht
Georg Thieme Verlag KG Stuttgart · New York

Beeinträchtigungen der sensomotorischen Kontrolle bei funktioneller Sprunggelenkinstabilität

Sensorimotor Deficits in Functional Ankle Instability
S. Steib
Institut für Sportwissenschaft und Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen
,
K. Pfeifer
Institut für Sportwissenschaft und Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen
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Publikationsverlauf

Publikationsdatum:
08. Mai 2015 (online)

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Zusammenfassung

Distorsionen des oberen Sprunggelenks stellen mit einer Prävalenz von 25–30 % aller Sportunfälle neben dem Kniegelenk die am häufigsten betroffene Körperregion dar. Mindestens ein Drittel aller Betroffenen entwickelt eine chronische Gelenkinstabilität mit anhaltenden Beschwerden, die jedoch in vielen Fällen nicht auf eine mechanische Insuffizienz des Kapsel-Band-Apparats zurückzuführen ist. Hierfür wurde der Begriff der funktionellen Sprunggelenkinstabilität geprägt. Als Ursache werden Störungen des sensomotorischen Systems vermutet. Dazu zählen u. a. Beeinträchtigungen der Propriozeption, der posturalen Kontrolle sowie der Kraft und Reflexaktivität der gelenkumgebenden Muskulatur. Im vorliegenden Übersichtsbeitrag wird die aktuelle Studienlage hinsichtlich sensomotorischer Defizite bei funktioneller Sprunggelenkinstabilität aufgearbeitet. Die Ergebnisse werden vor dem Hintergrund neuerer neurophysiologischer Modelle zur Entstehung von Gelenkinstabilitäten diskutiert.

Abstract

Lateral ankle sprains are among the most common sports injuries, with a prevalence of 25 to 30 % of all injuries. At least one-third of individuals develop long-term complaints and chronic instabilities at the ankle, which in many cases cannot be attributed to mechanical insufficiencies of the joint. This condition is referred to as functional ankle instability (FAI). Impairments of the sensorimotor control system, such as disturbed proprioception and postural control, as well as reduced muscle strength and reflex activity, have been suggested to contribute to the aetiology of FAI. This review summarises the current body of literature regarding sensorimotor control in individuals with FAI. We discuss the results in the context of current neurophysiological models of the development of functional joint instabilities.

Schlüsselwörter

chronische Sprunggelenkinstabilität - neuromuskuläre Kontrolle - Propriozeption - posturale Kontrolle - Sportverletzungen

Key words

chronic ankle instability - neuromuscular control - proprioception - postural control - sports injuries
 

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