下肢动力学变化和部分脚截肢的时刻与糖尿病神经病变相比
Omar M Elabd1, Bassem Galal Eldein El Nahass2, Mona Mohamed Ibrahim2
1Department of Physical Therapy for Orthopedics and Its Surgeries, Faculty of Physical Therapy, Delta University for Science and Technology, Gamsa, Menoufia, Egypt. Omar.Elabd@deltauniv.edu.eg.
Journal of orthopaedic surgery and research
|December 10, 2025
概括
周围神经病变 (PN) 在患有PN的个体中显著影响步态,超过部分脚截肢 (PFA). 这两种情况都会导致谨慎的行走与过度的背部屈曲,但PN单独驱动大多数步态变化.
科学领域:
- 生物力学 生物力学
- 神经学 神经学
- 整形外科 整形外科 整形外科
背景情况:
- 部分脚截肢 (PFA) 和外围神经病变 (PN) 中的步行补偿机制尚未完全理解.
- 了解这些机制对于有效的治疗和康复至关重要.
研究的目的:
- 为了比较PFA因PN而导致PN的个体的斜腰平面动力学和关节时刻,与单独PN相比.
- 确定这些人群中步态变化的主要原因.
主要方法:
- 使用巴罗踏步计和3D运动捕捉系统进行行走分析.
- 测量了脚平面运动范围 (ROM) 和脚,膝盖和部的关节时刻.
- 对比了25名PFA受试者和28名PN受试者.
主要成果:
- 两组都表现出类似的斜腿ROM图案,但PFA组在前摆时显示出 reduced ankle plantar flexion.
- 两组人都表现出补偿步态模式,包括减少脚足底 flexion 时刻和逆转膝盖时刻在晚期的姿势.
- 在PN组中,这些补偿时刻的值更高.
结论:
- 由于PN或PN单独导致PFA的个体表现出类似的步态变化,其特点是谨慎的行走和过度的背部屈曲.
- 晚期的姿势阶段受到影响最大,通过将膝关节的时刻转移到延伸来补偿减少的脚足底运动时刻.
- 外围神经病变似乎是步态改变的主要驱动因素,PFA可能会加剧这些补偿机制.
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