靠近腿筋断裂的重建可以在各种行走条件下恢复关节生物力学
Marlene Mauch1,2, Corina Nüesch1,2,3,4, Linda Bühl1,2
1Department of Orthopaedics and Traumatology, University Hospital Basel, Basel, Switzerland.
概括
在老年人中,手术修复腿筋损伤导致腿之间有相似的行走机制. 这表明手术后至少一年的良好功能结果和成功行走.
科学领域:
- 生物力学 生物力学
- 整形外科手术 整形外科手术
- 老年医学 老年医学
背景情况:
- 腿筋受伤可以显著影响老年人的运动能力.
- 手术修复的目的是恢复功能,但长期的功能结果需要详细评估.
- 了解手术后的步态机制对于评估恢复和康复的有效性至关重要.
研究的目的:
- 在腿筋肌手术修复后,在老年人中比较下肢动力学和各种行走条件下的动力学.
- 通过分析受伤者和逆侧腿之间的步行周期来评估功能性行走.
- 为了评估地面,平面和上坡跑步机行走场景的结果.
主要方法:
- 12名老年患者 (平均年龄65岁) 接受了无接触腿筋损伤的手术修复.
- 步行分析包括时空参数,部,膝盖和脚关节角度以及关节时刻.
- 在地面和跑步机上行走时,在0%和10%的斜率下进行了测量,比较受伤和相反的四肢.
主要成果:
- 在所有测试条件下,受伤者和逆侧腿之间的时空步行参数在所有测试条件下都相似.
- 联合动力学和动力学轨迹在经过手术和未经手术的腿之间没有显著差异.
- 观察到的步态机制与现有文献中报告的规范值相当.
结论:
- 靠近腿筋肌整形手术的结果是长期保持对称和功能健全的门诊机制.
- 这些发现支持手术修复的有效性,在老年人群中实现良好的功能性行走结果.
- 这些结果与之前的研究一致,这些研究表明了积极的临床结果和肌肉强度后腿筋修复.
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