单侧横假肢使用者在坐立,坐和举起时,将完整的肢体比假肢更多地负载到完整的肢体
Rachel H Teater1, Derek N Wolf1, Kirsty A McDonald2
1Vanderbilt University, Department of Mechanical Engineering, Nashville, TN 37212, USA.
穿腿假肢使用者在日常活动中对未受损的肢体造成过度负荷,例如坐到站,坐和举起. 这可能会增加完整四肢关节疼痛和骨关节炎的风险.
科学领域:
- 生物力学 生物力学
- 假肢手术 假肢手术是一门专业.
- 整形外科 整形外科 整形外科
背景情况:
- 下肢假肢使用者通常会在健康的肢体中经历关节疼痛和疾病,如骨关节炎.
- 在日常活动中对完整的肢体的过度负荷是潜在的促成因素.
- 有限的研究存在于除了行走之外的功能运动期间的四肢负荷.
研究的目的:
- 为了描述穿腿假肢使用者的下肢负荷,在坐到站,坐和举起时.
- 为了比较完整和假肢之间的肢体负荷不对称.
主要方法:
- 八名单边穿腿假肢使用者参与了这项研究.
- 参与者进行了坐立 (3个椅子高度),腰,并举起一个10公斤的盒子.
- 峰值垂直地面反应力,膝盖屈曲时刻和脚运动范围被测量了两只四肢.
主要成果:
- 在所有任务中,完整的四肢经历了显著更大的高峰地面反应力和膝盖屈曲时刻 (p < 0.02).
- 完整的四肢力量比36-48%更高,膝盖时刻比假肢力量高168-343%.
- 假肢脚的运动范围有限 (<10°),不到完整脚的一半.
结论:
- 穿腿假肢使用者在日常日常工作中经常会在常见的日常任务中超载他们的完整的肢体.
- 这种不对称的负载可能会加速关节损伤和骨关节炎的发展,在完整的肢体.
- 未来的研究应该探索假肢设计和康复策略,以促进更对称的肢体负荷.
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