在健康的老年人和患有关节骨关节炎的人群中,直行和90度转时的移动性要求和关节负荷
Hannah Steingrebe1, Stefan Sell1,2, Thorsten Stein1
1Institute of Sports and Sports Science, Karlsruhe Institute of Technology, 76131 Karlsruhe, Germany.
Journal of clinical medicine
|September 14, 2024
概括
关节骨关节炎 (HOA) 患者在90度转时比直行时显示出更大的关节运动限制. 分析轮可以提高关节骨关节炎的早期检测,这对于及时治疗至关重要.
科学领域:
- 生物力学 生物力学
- 整形外科 整形外科 整形外科
- 老年学是一门学科.
背景情况:
- 关节炎 (HOA) 的评估通常集中在直行.
- 在轻度至中度的HOA中,在这个任务中,前面和横面平面的移动性限制通常会被忽视.
- 转动是日常常见的活动,需要更大的部移动性.
研究的目的:
- 在HOA患者和健康成年人中,比较直行和90度转时的部移动性和关节负荷.
- 确定转是否显示出平行行走时不明显的局限性.
- 调查不同类型的转 (步骤与旋转) 在移动性缺陷中的作用.
主要方法:
- 对21名轻度至中度HOA患者和21名健康对照者的回顾性分析.
- 使用移动捕捉和力板进行行走分析.
- 在直行,90度步转和90度旋转过程中评估部角度和时刻.
主要成果:
- 峰值部拉伸/拉伸角度和群体差异在转时最大.
- 这两种转都需要比直行更大的横向部运动范围.
- HOA组表现出显著的横跨部运动限制,特别是在步骤转时.
- 与直行相比,转动导致关节的时刻更高.
结论:
- 将90度的步骤和旋转转入步态分析中,有助于提前识别HOA中部运动缺陷.
- 在转时,正面和横平面的限制更明显.
- 通过轮回分析进行早期诊断,可促进关节骨关节炎的及时保守治疗.
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