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与膝关节骨关节炎相关的生物力学性别差异。

Sex differences in biomechanics associated with knee osteoarthritis.

作者信息

Sims Ershela L, Carland Julie M, Keefe Francis J, Kraus Virginia B, Guilak Farshid, Schmitt Daniel

机构信息

Department of Biological Anthropology & Anatomy, Duke University Medical Center, 202 Biological Sciences Building, Box 90383, Durham, NC 27708, USA.

出版信息

J Women Aging. 2009;21(3):159-70. doi: 10.1080/08952840903054856.

DOI:10.1080/08952840903054856
PMID:20183142
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3150542/
Abstract

Osteoarthritis of the knee is seen more frequently in females than males. However, few studies have examined the interplay of gender, gait mechanics, pain, and disability in persons with osteoarthritis. This study examines the influence of anthropometrics, radiographic disease severity, pain, and disability on gender differences in gait mechanics in patients with knee osteoarthritis. Gait mechanics for 26 men and 30 women were collected using 3-D kinematics and kinetics. Women had a significantly lower knee adduction moment than men and a significantly higher stride frequency. Within female subjects, variations in gait mechanics were primarily explained by weight, BMI, pain, and disability. In males, variations in gait mechanics were primarily explained by age and disability.

摘要

膝关节骨关节炎在女性中比男性更为常见。然而,很少有研究探讨骨关节炎患者中性别、步态力学、疼痛和残疾之间的相互作用。本研究考察了人体测量学、影像学疾病严重程度、疼痛和残疾对膝关节骨关节炎患者步态力学性别差异的影响。使用三维运动学和动力学收集了26名男性和30名女性的步态力学数据。女性的膝关节内收力矩明显低于男性,步频明显高于男性。在女性受试者中,步态力学的变化主要由体重、体重指数、疼痛和残疾来解释。在男性中,步态力学的变化主要由年龄和残疾来解释。

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本文引用的文献

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Estimates of the prevalence of arthritis and other rheumatic conditions in the United States. Part II.美国关节炎及其他风湿性疾病患病率的估计。第二部分。
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Gender differences exist in osteoarthritic gait.
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Age-related differences in muscle activity, stride frequency and heart rate response during walking in water.水中行走时肌肉活动、步频和心率反应的年龄相关差异。
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Do older adults with knee osteoarthritis place greater loads on the knee during gait? A preliminary study.患有膝骨关节炎的老年人在步态过程中会给膝盖施加更大的负荷吗?一项初步研究。
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