Messier S P, Loeser R F, Hoover J L, Semble E L, Wise C M
Department of Health and Sport Science, Wake Forest University, Winston-Salem, NC 27109.
Arch Phys Med Rehabil. 1992 Jan;73(1):29-36.
This study examined the differences in gait mechanics, isokinetic knee strength, and flexibility between a group of adults with symptomatic osteoarthritis (OA) of the knee (n = 15) and an age-, mass-, and gender-matched group of control subjects (n = 15). Both groups performed under similar environmental conditions. Our results suggest that patients with symptomatic OA of the knee have poorer flexibility in both the affected and unaffected legs and demonstrate significantly less (p less than .05) knee angular velocity and, to a lesser extent, knee range of motion during gait. They have an increased loading rate in the unaffected leg after heel strike, exert less peak vertical force during pushoff, and are significantly weaker in both the dominant and nondominant legs compared to adults with no lower extremity disease.
本研究调查了一组有症状的膝关节骨关节炎(OA)成人患者(n = 15)与年龄、体重和性别相匹配的对照组(n = 15)在步态力学、等速膝关节力量和灵活性方面的差异。两组均在相似的环境条件下进行测试。我们的结果表明,有症状的膝关节OA患者,患侧和未患侧腿部的灵活性均较差,且在步态中膝关节角速度明显降低(p < 0.05),膝关节活动范围也有较小程度的降低。与无下肢疾病的成年人相比,他们在足跟触地后未患侧腿部的负荷率增加,在蹬离期施加的垂直峰值力较小,且优势腿和非优势腿的力量均明显较弱。