在使用无监督集群方法的上关部疼痛个体中确定明显的上旋转模式
Hwa-Ik Yoo1, Ui-Jae Hwang2, Jun-Hee Kim3
1Department of Physical Therapy, Kyungdong University, Wonju 26495, Republic of Korea.
Musculoskeletal science & practice
|August 31, 2025
概括
这项研究确定了两种明显的骨运动模式:限制 (hypomobile) 和过度 (hypermobile) 运动. 这些发现表明部疼痛的个性化评估.
科学领域:
- 生物力学
- 运动学
- 肌肉骨健康
背景情况:
- 在上 (UT) 相关的部疼痛中存在不一致的发现.
- 二元疼痛分类可能无法捕捉细微的运动特征.
研究的目的:
- 通过无监督的集群,在 UT 相关的部疼痛患者中识别出明显的肩膀向上旋转模式.
- 将这些已识别的子组与健康对照组进行比较.
主要方法:
- 探索性,横截面研究设计.
- 八十九名与UT相关的部疼痛患者和25名对照患者进行了肩膀上方旋转.
- 智能手机摄像头对标记轨迹的分析,使用移位和y/x比作为k-means集群的输入特征.
主要成果:
- 两个集群出现了:集群1表现出有限的位移与高的y/x比率 (hypomobile). 集群2显示了正常的y/x比率 (超移动).
- 无症状对照值在两个已识别的群体之间.
- 鉴定的群体之间疼痛强度没有显著差异.
结论:
- 基于智能手机的聚类有效地揭示了尿道相关部疼痛的低移动和高移动状表型.
- 这种分类支持临床医生的个性化评估策略.
- 建议对更大的样本进行进一步验证,并整合3D动力学.
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