前交叉韧带重建女性在步态过程中的膝关节内收力矩峰值。

Peak knee adduction moment during gait in anterior cruciate ligament reconstructed females.

作者信息

Patterson Matthew R, Delahunt Eamonn, Caulfield Brian

机构信息

School of Public Health, Physiotherapy and Population Science, University College Dublin, Dublin Ireland Health Sciences Centre, Belfield, Dublin 4, Ireland; Clarity Centre for Sensor Web Technologies, University College Dublin, Ireland.

School of Public Health, Physiotherapy and Population Science, University College Dublin, Dublin Ireland Health Sciences Centre, Belfield, Dublin 4, Ireland; Institute for Sport and Health, University College Dublin, Dublin, Ireland.

出版信息

Clin Biomech (Bristol). 2014 Feb;29(2):138-42. doi: 10.1016/j.clinbiomech.2013.11.021. Epub 2013 Dec 4.

Abstract

BACKGROUND

Recent work has shown that anterior cruciate ligament reconstructed patients exhibit an increased peak knee adduction moment during walking gait compared to healthy controls. An increased peak knee adduction moment has been suggested to be a potential mechanism of degeneration for knee osteoarthritis. The few studies in this area have not considered an exclusively female anterior cruciate ligament reconstructed group. This study tested the hypothesis that female anterior cruciate ligament-reconstructed patients would have higher peak knee adduction moments than controls.

METHODS

Peak knee adduction moment during walking was compared between a group of anterior cruciate ligament reconstructed females and a group of female activity matched controls over ten 15m walking trials in a laboratory at a self-selected pace.

FINDINGS

Peak knee adduction moment was lower for the anterior cruciate ligament reconstructed group (N = 17, M = 0.31 Nm/kg · m, SD = 0.08) than for the control group (N = 17, M = 0.41 Nm/kg · m, SD = 0.12; t(32) = 2.483, p = 0.010, one-tailed, eta squared effect size = 0.16).

INTERPRETATION

A group of female anterior cruciate ligament reconstructed subjects did not exhibit a gait characteristic which has been suggested to be associated with knee osteoarthritis development and has been shown to be present in male and mixed sex anterior cruciate ligament reconstructed populations previously.

摘要

背景

近期研究表明,与健康对照组相比,前交叉韧带重建患者在步行步态中表现出更高的膝关节内收力矩峰值。膝关节内收力矩峰值增加被认为是膝关节骨关节炎退变的潜在机制。该领域的少数研究未考虑仅为女性的前交叉韧带重建组。本研究检验了以下假设:女性前交叉韧带重建患者的膝关节内收力矩峰值会高于对照组。

方法

在实验室中,让一组前交叉韧带重建的女性患者和一组活动量匹配的女性对照组以自我选择的速度进行十次15米步行试验,比较步行过程中的膝关节内收力矩峰值。

结果

前交叉韧带重建组(N = 17,M = 0.31 Nm/kg·m,标准差 = 0.08)的膝关节内收力矩峰值低于对照组(N = 17,M = 0.41 Nm/kg·m,标准差 = 0.12;t(32) = 2.483,p = 0.010,单尾,eta平方效应量 = 0.16)。

解读

一组女性前交叉韧带重建受试者未表现出一种被认为与膝关节骨关节炎发展相关且先前已在男性和混合性别的前交叉韧带重建人群中出现的步态特征。

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