不同机制组合在走路和抬腿过程中对支架和下肢之间滑动的影响
Yuzhou Yan1, Ruitao Gong1, Mengzhao Cao1
1Innovation Center of Bioengineering, Shaanxi Engineering Laboratory for Transmissions and Controls, Northwestern Polytechnical University, Xi'an, Shaanxi, P.R. China.
新的膝盖支架设计显著减少支架的滑动,提高治疗效果. 侧面四条连接和中间非圆形轮组合显示出在运动过程中滑动的最大减少.
科学领域:
- 生物医学工程 生物医学工程
- 整形外科 整形外科 整形外科
- 生物力学 生物力学
背景情况:
- 膝关节支架对于膝关节的支持和功能至关重要.
- 由于错位而导致支架的滑动会降低治疗效果,并导致患者不坚持支架.
- 研究机制组合对于优化支架性能至关重要.
研究的目的:
- 为了评估不同机制组合对膝盖支架滑动的影响.
- 为了确定最大限度地减少支架位移的最佳机制组合.
- 评估机制组合对膝盖运动范围的影响.
主要方法:
- 设计了一种实验性膝盖支架,具有四种侧向/中向机制组合:单轴 (SA),超级轮 (SG),四条连接 (FL) 和非圆形轮 (NCG).
- 十名健康的参与者执行了行走和抬腿的任务.
- 用惯性测量单位测量膝盖曲,用3D运动捕捉系统量化支架滑动.
主要成果:
- 与SA组合相比,所有测试的机制组合都显著改变了峰值滑动 (p < 0.05).
- 侧侧FL和中间NCG组合显示出最低的峰值和最后的滑动,减少大腿滑动高达85.3%,腿部滑动高达72.0% (p < 0.05).
- 选择的机制没有显著影响膝盖的运动范围 (p > 0.05).
结论:
- 与膝盖即时旋转中心保持一致的机制组合显著减少了支架的滑动.
- 侧面的四条连接和中间非圆形轮组合提供了卓越的性能,最大限度地减少膝盖支架位移.
- 优化机制设计是提高膝关节支架有效性和患者合规性的关键.
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