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.
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
1
Estimates of the prevalence of arthritis and other rheumatic conditions in the United States. Part II.
Arthritis Rheum. 2008 Jan;58(1):26-35. doi: 10.1002/art.23176.
2
Gender differences exist in osteoarthritic gait.
Clin Biomech (Bristol). 2007 May;22(4):400-9. doi: 10.1016/j.clinbiomech.2006.11.006. Epub 2007 Jan 18.
3
Age-related differences in muscle activity, stride frequency and heart rate response during walking in water.
J Electromyogr Kinesiol. 2007 Oct;17(5):596-604. doi: 10.1016/j.jelekin.2006.06.006. Epub 2006 Aug 14.
4
Body mass index associated with onset and progression of osteoarthritis of the knee but not of the hip: the Rotterdam Study.
Ann Rheum Dis. 2007 Feb;66(2):158-62. doi: 10.1136/ard.2006.053538. Epub 2006 Jul 12.
5
Osteoarthritis: epidemiology.
Best Pract Res Clin Rheumatol. 2006 Feb;20(1):3-25. doi: 10.1016/j.berh.2005.09.007.
6
Racial variations in self-reported osteoarthritis symptom severity among veterans.
Aging Clin Exp Res. 2005 Aug;17(4):264-9. doi: 10.1007/BF03324608.
7
A meta-analysis of sex differences prevalence, incidence and severity of osteoarthritis.
Osteoarthritis Cartilage. 2005 Sep;13(9):769-81. doi: 10.1016/j.joca.2005.04.014.
8
Do older adults with knee osteoarthritis place greater loads on the knee during gait? A preliminary study.
Arch Phys Med Rehabil. 2005 Apr;86(4):703-9. doi: 10.1016/j.apmr.2004.05.015.
9
Epidemiology of osteoarthritis: prevalence, risk factors and functional impact.
Aging Clin Exp Res. 2003 Oct;15(5):359-63. doi: 10.1007/BF03327356.
10
Radiological assessment of osteo-arthrosis.
Ann Rheum Dis. 1957 Dec;16(4):494-502. doi: 10.1136/ard.16.4.494.
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