模拟步行训练改善了单边转骨骨的肢体用户的关节负荷对称性
Nicholas W Vandenberg1, Benjamin B Wheatley2, R Dana Carpenter1
1University of Colorado Bone-Anchored Limb Research Group, Aurora, CO, United States; Department of Mechanical Engineering, University of Colorado Denver, Denver CO, United States.
Journal of biomechanics
|February 13, 2026
概括
骨四肢 (BALs) 是传统假肢的替代品. 这项研究表明,通过模拟步行训练,骨转移BAL使用者可以实现对称步行和改善关节负荷对称性.
科学领域:
- 生物力学 生物力学
- 康复工程 康复工程 康复工程
- 假肢手术 假肢手术是一门专业.
背景情况:
- 与关节相关的病理在移截肢患者中很常见.
- 骨四肢 (BALs) 是一个有希望的替代品,但步态和关节负荷不对称性在植入后仍然存在.
- 目前的步行训练侧重于对称性,但其在BAL用户中的可行性尚不清楚.
研究的目的:
- 为了确定是否可以实现走路对称性转骨BAL用户.
- 通过最佳控制和肌肉骨建模来研究强制执行步行对称性的生物力学效应.
- 为了评估模拟步行训练后的运动和关节负荷对称性的变化.
主要方法:
- 利用OpenSim Moco进行肌肉骨模型和最佳控制模拟.
- 模拟的步行训练干预措施对11个骨转移BAL用户.
- 预测目标步行模式并使用特定主体的BAL模型跟踪它们,评估对称度量和关节负荷.
主要成果:
- 模拟训练导致肢体之间更多的相位和相关的动力学模式.
- 获得了改善的步态对称性,证明了临床目标的可行性.
- 截肢的肢体增加了关节反应力和关节负荷冲动,增强了关节负荷对称性,而不会对完整的肢体产生不良影响.
结论:
- 移动对称性是可以实现的转骨BAL用户.
- 模拟步行训练可以改善运动和关节负荷对称性.
- BAL用户可以在没有有害的关节负荷效应的情况下实现对称的步态.
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