脚姿势与膝关节骨关节炎患者的膝关节和脚功能减少有关
Shingo Mitamura1, Akito Kataoka1, Hideki Warashina2
1Rehabilitation, Nagoya Joint Replacement and Orthopedic Clinic, Kitanagoya, JPN.
Cureus
|July 2, 2025
概括
膝关节骨关节炎患者的脚在位上表现出下肢力量和运动范围的减少. 评估脚姿势对于有效的膝关节关节炎康复至关重要.
科学领域:
- 整形外科 整形外科 整形外科
- 生物力学 生物力学
- 康复科学 康复科学 康复科学
背景情况:
- 膝关节关节炎 (KOA) 显著影响下肢功能.
- 足部姿势是一个潜在的,但尚未研究的,影响KOA的因素.
- 了解脚姿势的作用可以优化KOA患者的治疗策略.
研究的目的:
- 为了在KOA患者中比较卧底和中立脚姿势之间的下肢功能.
- 评估在全膝关节整形术 (TKA) 之前脚姿势和功能指标之间的关联.
主要方法:
- 62名女性KOA患者被分为中性 (n=33) 或坐卧 (n=29) 脚姿势组,使用脚姿势指数-6 (FPI-6).
- 评估了关键的功能参数,包括股骨角 (FTA),膝盖曲和脚背曲的运动范围 (ROM),膝盖伸展强度,脚握力 (TGS),定时启动和启动 (TUG) 测试以及膝盖疼痛.
- 在两个脚姿势组之间进行了统计比较.
主要成果:
- 与中立组相比,卧卧脚姿势组显示膝盖曲ROM,脚背曲ROM,膝盖伸展强度和TGS显著减少.
- 在俯卧脚姿势组中观察到更大的股骨角 (FTA).
- 两组之间没有发现TUG测试表现或报告的膝盖疼痛的显著差异.
结论:
- 脚置的KOA患者表现出下肢强度和ROM的减弱.
- 建议将脚对齐评估整合到KOA康复计划中.
- 需要进一步的长期研究,以确定脚姿势和KOA进展之间的确切因果关系.
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