在前十字带重建后的第一年,步态生物力学上的差异:系统性审查
Thomas B Birchmeier1, Todd A Schwartz2, Alex E Edison2
1Department of Exercise and Sport Science, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States of America; Department of Kinesiology, University of North Carolina Greensboro, Greensboro, NC, United States of America.
前十字带重建 (ACLR) 后的步行生物力学得到改善,但仍然异常,增加了骨关节炎的风险. 这些改变的步态模式在康复过程中仍然存在,这突显了手术后第一年恢复的差距.
科学领域:
- 整形外科 整形外科 整形外科
- 运动医学 运动医学
- 生物力学 生物力学
背景情况:
- 前十字带重建 (ACLR) 增加了骨关节炎的风险,由于改变了步态生物力学.
- 了解ACLR后第一年的步态恢复对于缓解骨关节炎发病至关重要.
- 本综述侧重于ACLR恢复的关键第一年期间的步态生物力学.
研究的目的:
- 将ACLR肢体的步态生物力学与未受伤的肢体和健康对照进行比较.
- 分析ACLR之后的第一年内步态恢复趋势.
主要方法:
- 在主要科学数据库 (PubMed,CINAHL,Scopus,SportDiscus) 的系统文献搜索.
- 包括35岁以下接受ACLR的个体的纵向和横截面研究.
- 评估方法质量使用黑色和唐斯尺度和提取人口统计学,外科和生物力学数据.
主要成果:
- 包括9项研究,显示在第一年内,ACLR肢体的步态生物力学逐渐改善.
- 与对照组相比,ACLR肢体始终表现出较小的斜腰平面膝盖角度和内部时刻.
- 在手术后的第一年,ACLR肢体在前50%的姿势中承受不够的负荷.
结论:
- 与骨关节炎发展相关的异常步态生物力学在ACLR后仍然存在.
- 这些步行偏差在康复的第一年内并未完全解决,这是获得康复护理的时期.
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