游泳时部和膝盖的负荷:一个体内负荷研究
Sijia Zhou1,2,3, Alwina Bender2, Ines Kutzner2
1Center for Musculoskeletal Surgery, Charité - Universitätsmedizin Berlin, Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.
The Journal of bone and joint surgery. American volume
|December 11, 2023
概括
关节或膝关节置换术后的游泳 (THA/TKA) 显示了增加的关节负荷,具有更高的速度和不同的冲动. 个体患者的考虑对于安全的康复至关重要.
科学领域:
- 整形外科 整形外科 整形外科
- 生物力学 生物力学
- 运动医学 运动医学
背景情况:
- 游泳是全关节整形术 (THA) 和全膝关节整形术 (TKA) 的常见术后康复方法.
- 在游泳过程中体内关节负荷以前没有被描述过.
研究的目的:
- 在体内测量各种游泳活动期间的部和膝关节关节负荷.
- 调查游泳速度和风格对THA和TKA患者关节负荷的影响.
主要方法:
- 仪器植入物被用于在体内测量部和膝关节关节负荷,6名THA和5名TKA患者.
- 测量包括得到的联合接触力 (F Res),扭矩 (M Tors),曲时刻 (M Bend) 和中间力比 (MFR).
- 患者在不同速度 (0.5-1.0米/秒) 进行了胸游泳和胸/爬行.
主要成果:
- 平均最大部F Res在体重的157%至193%之间;膝盖F Res在胸游泳期间在93%至145%之间.
- 较高的游泳速度和爬行导致部和膝关节关节负荷明显增加 (F Res,时刻).
- 最大F Res与部和膝盖的胸部游泳速度正相关.
结论:
- 对于THA/TKA患者来说,游泳通常是安全的,影响也很小.
- 部和膝关节的负荷随着游泳速度的增加而增加,并受到游泳风格的影响.
- 对于接受关节塑造手术的患者来说,关于游泳康复的个性化建议是必要的.
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