患者在经历月经切除术后,在走路和跑步时卸载膝盖
Chelsea Starbuck1,2,3, Vanessa Walters2,3, Lee Herrington2
1Applied Sports, Technology, Exercise and Medicine Research Centre, Faculty of Science and Engineering, Swansea University, Swansea, UK.
Orthopaedic journal of sports medicine
|March 25, 2024
概括
阴道切除术改变了行走和跑步期间的膝盖负荷,受影响的四肢显示膝关节总时刻减少. 康复应该专注于改善运动,力量和减少对运动的恐惧,以优化膝盖功能.
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:
- 阴道切除术可以导致膝盖负荷模式的变化.
- 以前对膝盖负荷的评估主要使用跑步机或慢跑评估,而不是地面运动.
研究的目的:
- 为了评估膝盖功能和关节的时刻在地面运行和走路后的经半月经切除术.
- 为了比较受影响的肢体功能与相反的肢体和健康个体.
主要方法:
- 在地上跑步和走路时收集动力学和动力学数据.
- 计算了膝关节总时刻 (TKJM),并评估了四头骨的强度,感知功能和运动恐惧症.
- 利用混合线性模型对受影响,逆侧和健康四肢进行比较分析.
主要成果:
- 与健康个体相比,受影响的四肢在行走过程中显著降低了TKJM,膝盖屈曲时刻 (KFM) 和膝盖旋转时刻 (KRM).
- 在跑步期间,与逆侧肢和健康肢体相比,在受影响的肢体中观察到TKJM和KFM的减少.
- 经过月经切除术的个体表现出较低的四头肌强度和较高的运动恐惧症,以及感知到的膝盖功能下降.
结论:
- 经月经切除术后的个体表现出改变的膝盖负载策略,其特点是受影响四肢的下部TKJM.
- 膝盖负荷的这些变化发生在斜面和横面平面上,暗示了修改后的运动模式.
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