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四头肌弹性和神经肌肉控制在膝关节骨关节炎患者之间的关联
Diane M Dickson1, Stephanie L Smith2, Gordon J Hendry1
1Research Centre for Health, Department of Podiatry and Radiography, School of Health and Life Sciences, Glasgow Caledonian University, 70 Cowcaddens Road, Glasgow G4 0BA, UK.
Clinical biomechanics (Bristol, Avon)
|December 15, 2023
概括
在骨关节炎中,较硬的膝关节肌与较差的肌肉控制和关节位置感有关. 这种刚性可能会使膝关节骨关节炎患者的疼痛和症状恶化,可能会影响疾病的进展.
科学领域:
- 整形外科 整形外科 整形外科
- 类风湿病学 类风湿病学
- 生物医学工程 生物医学工程
背景情况:
- 膝关节骨关节炎 (OA) 是一种常见的退行性关节疾病,具有已知的风险因素.
- 膝关节肌,特别是四头肌在OA病变发生过程中的特定作用仍然不完全理解.
- 这项研究研究了四头肌肌特性与膝关节骨质炎患者神经肌肉功能之间的关系.
研究的目的:
- 探索四头肌肌弹性和肌肉强度之间的关联.
- 检查肌特性,神经肌肉控制和自身感知之间的联系.
- 为了将这些身体测量与患者报告的膝关节OA结局得分相关联.
主要方法:
- 招募了成年人,医生诊断出膝关节关节炎.
- 评估四头肌肌弹性使用sonoelastography.
- 收集了电肌图,机电延迟和自身感知数据.
- 管理了膝盖损伤和骨关节炎结局得分 (KOOS).
- 利用斯皮尔曼的相关性来分析关联.
主要成果:
- 四头肌肌硬度增加与力量发育速度降低和被动定位感受受损失有关.
- 患者报告的结果,包括疼痛和功能 (日常生活活动,体育/娱乐),与肌硬度和神经肌肉指标有中度至强度的相关性.
- 肌硬度与神经肌肉控制缺陷和较差的自身感知相关.
结论:
- 在膝关节OA中四肢肌的硬与神经肌肉控制和自身感知能力的下降有关.
- 较硬的肌可能会导致膝盖骨关节炎患者的症状负担增加.
- 这些发现表明四头肌肌的特性可能会影响膝关节OA症状的严重程度和疾病的进展,可能导致进一步的关节损伤.
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