Tanaka Noriyuki, Hoshiyama Minoru
Department of Rehabilitation Sciences, School of Health Sciences, Nagoya University, Japan.
J Back Musculoskelet Rehabil. 2012;25(2):117-22. doi: 10.3233/BMR-2012-0319.
Osteo-arthropathy (OA) is one of the most common diseases of the knee joint, but functional information is limited on imaging analyses. We aimed to clarify the functional pathology based on vibroarthrography (VAG) signals at the knee joint during standing-up and sitting-down movements in patients with OA of the knee joints.
VAG signals and angular changes of the knee joint during standing-up and sitting-down movements were recorded in 145 knees, including 46 knees with OA in 27 patients, 49 knees in 26 age-matched healthy senior subjects, and 50 knees in 25 healthy young subjects.
The level of VAG signals was greater in the knees with OA at 50-99 and 100-149 Hz compared to the age-matched control knees during movements.
We considered that the increase in VAG signals in these ranges of frequency suggested the pathological change of OA during weight-loaded movements. This method of VAG recording is fully noninvasive, and can be used by therapists during interventions to obtain physical information regarding functional pathological changes of the knee joint.
骨关节炎(OA)是最常见的膝关节疾病之一,但影像学分析所提供的功能信息有限。我们旨在基于振动关节造影(VAG)信号,阐明膝关节骨关节炎患者在起立和坐下动作过程中膝关节的功能病理学特征。
记录了145个膝关节在起立和坐下动作过程中的VAG信号及角度变化,其中包括27例患者的46个患骨关节炎的膝关节、26名年龄匹配的健康老年受试者的49个膝关节以及25名健康年轻受试者的50个膝关节。
与年龄匹配的对照膝关节相比,骨关节炎膝关节在50 - 99赫兹和100 - 149赫兹时,运动过程中的VAG信号水平更高。
我们认为,这些频率范围内VAG信号的增加表明了负重运动过程中骨关节炎的病理变化。这种VAG记录方法完全无创,治疗师在干预过程中可使用该方法获取有关膝关节功能病理变化的生理信息。