[1]万贤杰,侯卫坤,许珂,等.步态分析在膝骨关节炎诊治中的应用进展[J].中医正骨,2023,35(06):53-55,58.
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步态分析在膝骨关节炎诊治中的应用进展()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第35卷
期数:
2023年06期
页码:
53-55,58
栏目:
综述
出版日期:
2023-06-20

文章信息/Info

作者:
万贤杰侯卫坤许珂杨明义马宇杰许鹏
(西安交通大学附属红会医院,陕西 西安 710054)
关键词:
骨关节炎 步态分析 综述
摘要:
膝骨关节炎(knee osteoarthritis,KOA)主要表现为膝关节疼痛、肿胀、活动受限,严重者可出现膝关节内翻或外翻畸形,影响患者生活质量。步态分析可采集、分析KOA患者行走过程中的步态参数,有助于KOA的临床诊断、疗效评价和康复方法选择。本文简要介绍了步态分析系统,并从诊断、疗效评价、康复指导3个方面对步态分析在KOA诊治中的应用进行了综述,以期为KOA的诊治提供新的思路。

参考文献/References:

[1] 中国中医药研究促进会骨伤科分会.膝骨关节炎中医诊疗指南(2020年版)[J].中医正骨,2020,32(10):1-14.
[2] ABRAMOFF B,CALDERA F E.osteoarthritis:pathology,diagnosis,and treatment options[J].Med Clin North Am,2020,104(2):293-311.
[3] SHARMA L.Osteoarthritis of the knee[J].N Engl J Med,2021,384(1):51-59.
[4] 张峻霞,高昆,谢兵.步态分析研究综述[J].包装工程,2022,43(10):41-53.
[5] 顾琳燕.基于步态分析的运动康复评价方法研究[D].杭州:浙江大学,2016.
[6] ENGLUND M.The role of biomechanics in the initiation and progression of OA of the knee[J].Best Pract Res Clin Rheumatol,2010,24(1):39-46.
[7] 王常海,李峰,张蓉,等.步态分析技术在膝骨性关节炎康复中的应用[J].中国康复理论与实践,2007,13(7):686-687.
[8] 李向毅,张鹏,王子江,等.老年膝骨关节炎患者与不同年龄段健康人步态分析对比研究[J].现代医药卫生,2023,39(1):58-61.
[9] 钱竞光,宋雅伟,叶强,等.步行动作的生物力学原理及其步态分析[J].南京体育学院学报(自然科学版),2006,5(4):1-7.
[10] DELUZIO K J,ASTEPHEN J L.Biomechanical features of gait waveform data associated with knee osteoarthritis:an application of principal component analysis[J].Gait Posture,2007,25(1):86-93.
[11] MÜNDERMANN A,DYRBY C O,ANDRIACCHI T P.Secondary gait changes in patients with medial compartment knee osteoarthritis:increased load at the ankle,knee,and hip during walking[J].Arthritis Rheum,2005,52(9):2835-2844.
[12] 殷可意.老年女性膝骨关节炎患者步态适应性运动特征研究[D].上海:上海体育学院,2021.
[13] 黄萍,王怡,陈博,等.膝骨关节炎患者的三维运动解析[J].中国全科医学,2020,23(17):2169-2176.
[14] 李永杰,付申宇,夏渊,等.膝骨关节炎女性伸膝肌力、步态时空参数与峰值膝关节屈曲/内收力矩关系[J/OL]中国组织工程研究:1-5[2023-03-26].http://kns.cnki.net/kcms/detail/21.1581.r.20230307.1803.003.html.
[15] MILLS K,HUNT M A,FERBER R.Biomechanical deviations during level walking associated with knee osteoarthritis:a systematic review and meta-analysis[J].Arthritis Care Res(Hoboken),2013,65(10):1643-1665.
[16] VÅRBAKKEN K,LORÅS H,NILSSON K G,et al.Relative difference in muscle strength between patients with knee osteoarthritis and healthy controls when tested bilaterally and joint-inclusive:an exploratory cross-sectional study[J].BMC Musculoskelet Disord,2019,20(1):593.
[17] CALLAGHAN M J,MCCARTHY C J,OLDHAM J A.The re-liability of surface electromyography to assess quadriceps fatigue during multi joint tasks in healthy and painful knees[J].J Electromyogr Kinesiol,2009,19(1):172-180.
[18] 王欣,罗文,黄文泽,等.单侧膝骨关节炎临床分期与双足足底压力的相关性[J].中国组织工程研究,2021,25(27):4312-4317.
[19] 王子坚,闫松华,李伟,等.单侧膝内翻型膝骨关节炎患者足底压力分布特征研究[J].北京生物医学工程,2019,38(2):151-158.
[20] 徐欣,吴明霞.针刀松解治疗膝关节骨性关节炎的步态分析[J].福建中医药,2014,45(5):41-42.
[21] DA SILVA H G P V,ZORZI A R,DA SILVA H P V,et al.Gait analysis in short-term follow-up of medial opening wedge high tibial osteotomy[J].Eur J Orthop Surg Traumatol,2018,28(5):939-946.
[22] ZEYU HUANG Y N,XU B,SHEN B,et al.Evidence and mechanism by which upper partial fibulectomy improves knee biomechanics and decreases knee pain of osteoarthritis[J].J Orthop Res,2018,9:10.
[23] 高宇,肖强,赵丽莉,等.不同手术方式治疗双膝关节骨性关节炎效果及对足底压力的影响[J].解放军医药杂志,2018,30(2):62-65.
[24] KIM M K,YOON J R,YANG S H,et al.Unicompartmental knee arthroplasty fails to completely restore normal gait patterns during level walking[J].Knee Surg Sports Traumatol Arthrosc,2018,26(11):3280-3289.
[25] 周欣,韦民,王伟.高屈曲度固定平台和高屈曲度旋转平台膝关节假体置换后的早期步态比较[J].中国组织工程研究与临床康复,2011,15(43):8023-8026.
[26] HUNT M A,BIRMINGHAM T B,BRYANT D,et al.Lateral trunk lean explains variation in dynamic knee joint load in patients with medial compartment knee osteoarthritis[J].Osteoarthritis Cartilage,2008,16(5):591-599.
[27] HISLOP A C,COLLINS N J,TUCKER K,et al.Does adding hip exercises to quadriceps exercises result in superior outcomes in pain,function and quality of life for people with knee osteoarthritis?A systematic review and meta-analysis[J].Br J Sports Med,2020,54(5):263-271.
[28] XIE Y,ZHANG C,JIANG W,et al.Quadriceps combined with hip abductor strengthening versus quadriceps strengthening in treating knee osteoarthritis:a study protocol for a randomized controlled trial[J].BMC Musculoskelet Disord,2018,19(1):147.
[29] LIANG J,LANG S,ZHENG Y,et al.The effect of anti-gravity treadmill training for knee osteoarthritis rehabilitation on joint pain,gait,and EMG:case report[J].Medicine(Baltimore),2019,98(18):e15386.
[30] 权宏磊,郑洁皎,丰有燕,等.全膝关节置换后早期髋外展肌强化训练改善平衡及步行能力[J].中国组织工程研究,2022,26(33):5311-5316.

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备注/Memo

备注/Memo:
基金项目:陕西省重点研发计划项目(2020GXLH-Y-007,2022SF-352) 通讯作者:许鹏 E-mail:sousou369@163.com
更新日期/Last Update: 1900-01-01