关节机械在摇摆四肢的进步与骨的四肢使用使用关节机械
James B Tracy1, Brecca M M Gaffney2, Peter B Thomsen-Freitas1
1Bone-Anchored Limb Research Group, University of Colorado Anschutz Medical Campus, Aurora, CO, USA; Department of Physical Medicine and Rehabilitation, University of Colorado Anschutz Medical Campus, Aurora, CO, USA; Veteran's Affairs Eastern Colorado Healthcare System, Aurora, CO, USA.
Journal of biomechanics
|September 24, 2025
概括
骨肢体 (BAL) 植入改善了部机械,并减少了 transfemoral amputees 的肢体差异. 这提高了行走的稳定性,并且可以减少疼痛,而不会改变步伐速度或步伐长度.
科学领域:
- 生物力学 生物力学
- 假肢手术 假肢手术是一门专业.
- 整形外科 整形外科 整形外科
背景情况:
- 骨外截肢显著影响行走,严重依赖部控制来推进摇摆四肢.
- 现有的假肢解决方案往往导致补偿策略和四肢间的机械差异,可能导致过度使用的伤害.
研究的目的:
- 为了比较关节机械和步伐特征在走路之前和之后在骨肢体 (BAL) 植入转移性截肢者.
- 调查BAL使用减少四肢间机械差异而不会影响步态的假设.
主要方法:
- 这是一项追溯观察性研究,涉及20名腿骨转移截肢者.
- 在BAL植入之前和一年后进行的地面行走运动捕捉分析.
- 在四个摆动阶段,对关节的角度,时刻,功率和大腿角速度在斜腰和正面平面的量化.
主要成果:
- 在BAL植入后的中端和终端摆动过程中,完整的四肢机制发生了显著的变化,四肢之间的差异减少了.
- 观察到前面平面机械的变化,表明像环导和侧倾等偏差的减少.
- 步行速度和步伐长度保持不变,而步伐宽度缩小.
结论:
- 使用骨的肢体积极改变部机制,并减少跨肢截肢者的肢体间步态不对称.
- 这些改善表明残余肢体对姿势控制的贡献增加,并可能减少疼痛和过度使用伤害.
- 需要进一步的研究才能充分了解BAL对步态偏差和整体行走功能的长期影响.
相关概念视频
Development of the Limb Synovial Joints
2.2K
Joints form during embryonic development in conjunction with the formation and growth of the associated bones. The embryonic tissue that gives rise to all bones, cartilage, and connective tissues of the body is called mesenchyme.
The mesenchymal stem cells differentiate into chondrocytes that form the hyaline cartilage, and later the cartilaginous model of the bone. This model further transforms into a bone. This process is known as endochondral ossification.
During development, the limbs...
The mesenchymal stem cells differentiate into chondrocytes that form the hyaline cartilage, and later the cartilaginous model of the bone. This model further transforms into a bone. This process is known as endochondral ossification.
During development, the limbs...
2.2K
Bones of the Upper Limb: Humerus
6.9K
The upper limb consists of the arm, forearm, wrist, and hand bones. The humerus is the single bone of the upper arm region. Proximally, it has a large, spherical, smooth head that articulates with the glenoid cavity of the scapula to form the glenohumeral or shoulder joint. The margin of the head is the anatomical neck, a residual epiphyseal plate. Laterally it extends to form bony projections called the greater tubercle and the lesser tubercle. Next to the tubercles is the surgical neck, a...
6.9K
Bones of the Lower Limb: Femur and Patella
4.8K
The femur is the body's longest and strongest bone spanning the thigh region. Its head articulates with the acetabulum of the hip bone to form the hip joint. A minor indentation on the medial side of the femoral head, called the fovea capitis, serves as the site of attachment for the ligament of the head of the femur. This weak ligament spans the femur and acetabulum and supports the hip joint. The narrowed region below the head is the neck of the femur. The inclination angle between the...
4.8K
Bones of the Upper Limb: Ulna
4.2K
The ulna and radius are parallel bones of the antebrachium or the forearm. The ulna lies medially and consists of a bony tip called the olecranon process at its proximal end. This hook-like projection articulates with the olecranon fossa of the humerus and forms the "hinged" ulnohumeral part of the elbow joint. This joint facilitates forearm extension and flexion while preventing its hyperextension. Similarly, the coronoid process, another bony projection on the proximal/anterior side...
4.2K
Bones of the Upper Limb: Radius
4.5K
The radius is longer of the two bones that make up the human antebrachium or forearm. At the proximal end, the radius articulates with the capitulum of the humerus and the radial notch of the ulna to form the elbow joint. At the distal end, the radius articulates with the ulna via the ulnar notch, forming the distal radioulnar joint. Distally, the radius also attaches to the carpal wrist bones (scaphoid and lunate) to form the radiocarpal joint.
The radius has a nail-shaped head, and a...
The radius has a nail-shaped head, and a...
4.5K
Ankle Joint
2.8K
The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...
2.8K


