单边单关节关节炎改变了未受影响关节的关节力量
James Campbell1,2, Daniel Schmitt2, Laura P Sands3
1Department of Head and Neck Surgery & Communication Sciences, Duke University School of Medicine, Durham, North Carolina, USA.
概括
部,膝盖或脚的关节炎导致关节和四肢力量的显著损失. 不受影响的肢体补偿,可能会导致进一步的退行,没有干预.
科学领域:
- 生物力学 生物力学
- 整形外科 整形外科 整形外科
- 肌肉骨健康 肌肉骨健康
背景情况:
- 关节炎通常会影响下肢关节,导致疼痛和残疾.
- 关于关节炎如何影响受影响和未受影响四肢的关节力量和补偿机制的数据有限.
研究的目的:
- 为了研究单边下肢关节性关节炎对关节和四肢功率的影响.
- 确定关节炎是否导致受影响关节和四肢的功率损失.
- 评估对侧肢和 ipsilateral 关节的补偿功率生产.
主要方法:
- 在患有单侧脚,部或膝关节关节炎的参与者中,在行走时收集地面反应力和关节角度.
- 在立姿阶段计算双边关节功率 (部,膝盖,脚) 和四肢总功率.
- 在受影响的和相反的四肢之间,以及在不同的关节之间比较功率输出.
主要成果:
- 部,膝盖或脚的关节炎显著减少了受影响关节和四肢的功率.
- 反侧肢,特别是脚,表现出增加的能量生产来补偿.
- 在部和脚关节炎病例中,双侧膝关节显示了一些补偿功率的增加.
结论:
- 孤立的下肢关节炎导致受影响侧的功率下降.
- 反侧肢补偿功率损失,增加重复负荷和进一步退化的风险.
- 干预对于减轻补偿性关节应变和预防渐进性关节损伤至关重要.
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