膝の障害を持つ人々の幹部神経筋機能:メタ解析とギャップマップによる体系的なレビュー
Júlia C P da Silva1, Théo M B da Silva2, Lionel Chia3,4
1School of Science and Technology, Department of Physical Therapy, Sao Paulo State University, Presidente Prudente, SP, Brazil.
Journal of sport rehabilitation
|August 23, 2025
まとめ
膝関節痛の患者は体幹の強さと耐久性が低下し,運動パターンの変化が説明される可能性があります. 膝の怪我に対する効果的なリハビリテーション戦略についてはさらなる研究が必要である.
科学分野:
- バイオメカニクス
- 神経筋機能
- 膝の障害
背景:
- 膝の障害のある個体ではトランク運動の変化が観察され,おそらくトランク筋の欠陥によるものです.
- 健康な個人と比較して,膝の障害の集団における幹神経筋機能に関する限られた合成された証拠が存在する.
研究 の 目的:
- 膝の障害のある人とない人の幹神経筋機能を体系的に比較する.
主な方法:
- 2024年9月までの5つのデータベースで 総合的な文献検索が行われました
- トランク筋の強さ,耐久性,安定性,神経筋肉の測定を比較した観察研究が含まれています.
- 可能な限りメタ分析を行い,GRADEを用いて証拠の確実性を評価し,証拠のギャップマップを作成しました.
主要な成果:
- 23件の研究では,膝関節痛,ACL欠陥/再構築,および膝関節炎が対象でした.
- 膝関節の痛みのある個人は,横側幹の屈折力と耐久性が著しく低下し,前側/延長耐久性が低下しました.
- 特定の作業の際に勃起器脊椎の発症時間や外側斜面の活性化において,有意な差異は認められなかった.
結論:
- 骨盤の強さと耐久性の低下は,観察された運動変化と一致する.
- 膝の怪我や関節炎の患者のリハビリテーションを最適化するために,幹部神経筋機能に関するさらなる研究が不可欠です.
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