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骨关节炎中的自身感受和机制感受器:一个系统的文献综述

Francesca Salamanna¹, Silvio Caravelli², Laura Marchese¹

¹Surgical Sciences and Technologies, IRCCS Istituto Ortopedico Rizzoli, Via di Barbiano 1/10, 40136 Bologna, Italy.

Journal of clinical medicine

|October 28, 2023

概括

骨关节炎 (OA) 患者表现出自身感受受损失,特别是在膝盖后十字带 (PCL),可能是由于机械感受器的变化. 需要进一步的研究来澄清自身感受在OA管理中的作用.

科学领域:

整形外科整形外科整形外科
神经科学是一个神经科学.
康复医学康复医学康复医学

背景情况:

骨关节炎 (OA) 是一种常见的慢性疾病,导致严重的疼痛和功能障碍.
亲感,身体位置的感觉,对于关节的稳定性和功能至关重要.

研究的目的:

系统地审查患有骨关节炎的患者自身感受和相关机械感受器的变化.
分析膝关节疾病,特别是后十字带 (PCL) 和软骨病变对自身感受的影响.

主要方法:

在PubMed,Web of Science和Scopus (2013年9月至2023年9月) 进行了系统的文献搜索,遵循PRISMA指南.
包括的研究使用ROBINS-I工具评估了偏差风险.
使用描述性方法总结了14项临床研究的发现.

主要成果:

骨关节炎患者,特别是膝关节PCL患者,表现出受损的自感准确性.
机械受体 (Ruffini,Pacini,Golgi Mazzoni体质) 的变化被认为是减少自身感受的原因.
膝关节软骨病变显著影响自身感受,这是动态稳定计发现的证据.

结论:

在OA中,自身感知精度很重要,特别是在膝关节PCL和软骨方面.
在OA中,自身感受和机械感受器的确切作用需要进一步研究.
未来的研究应该探索年龄/性别差异和非膝关节OA关节,以提高临床结果.

关键词:

临床研究临床研究.机械感受器的机械感受器骨关节炎是一种关节炎.自己的感觉 (proprioception),就是感觉.系统性审查系统性审查

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