Suppr超能文献

老年女性全膝关节置换术后的步态分析

Gait analysis of elderly women after total knee arthroplasty.

作者信息

Lee Aenon, Park Junhyuck, Lee Seungwon

机构信息

Department of Physical Therapy, The Graduate School of Sahmyook University, Republic of Korea.

Department of Physical Therapy, Sahmyook University, Republic of Korea.

出版信息

J Phys Ther Sci. 2015 Mar;27(3):591-5. doi: 10.1589/jpts.27.591. Epub 2015 Mar 31.

Abstract

[Purpose] The purpose of this study was to investigate ability and muscle activities of elderly women after total knee arthroplasty (TKA) and compare them with those of healthy ones. [Subjects and Methods] Fifteen female patients with TKA due to advanced degenerative arthritis of the measured on knee joint and 19 healthy elderly females participated. Tibiofemoral angles of TKA patients were using a gait analysis system anterioposterior X-rays of the weight-bearing knee. The knee flexion angle and gait parameters were measured. Muscle activities and prolongation time were EMG system. The gait of the treated limb of each participant was evaluated in three consecutive trials at fast speed and comfortable speed. [Results] The knee flexion angle %stance phase, stride length, step length, speed, cadence, and gait cycle significantly decreased at both the fast speed and comfortable speeds, and the onset and duration time of rectus femoris activity was significantly increased at the comfortable speed in the TKA group. [Conclusion] In conclusion, elderly women who received TKA showed decreased gait ability and muscle activity compared to the healthy elderly women.

摘要

[目的]本研究旨在调查老年女性全膝关节置换术(TKA)后的能力和肌肉活动情况,并将其与健康老年女性进行比较。[对象与方法]15例因晚期退行性关节炎行TKA的女性患者及19例健康老年女性参与研究。TKA患者的胫股角通过负重膝关节的前后位X线片使用步态分析系统进行测量。测量膝关节屈曲角度和步态参数。肌肉活动和延长时间通过肌电图系统进行测量。对每位参与者治疗肢体的步态在快速和舒适速度下连续进行三次试验进行评估。[结果]在快速和舒适速度下,TKA组的膝关节屈曲角度、站立相百分比、步幅、步长、速度、步频和步态周期均显著降低,在舒适速度下股直肌活动的起始和持续时间显著增加。[结论]总之,接受TKA的老年女性与健康老年女性相比,步态能力和肌肉活动下降。

相似文献

1
Gait analysis of elderly women after total knee arthroplasty.
J Phys Ther Sci. 2015 Mar;27(3):591-5. doi: 10.1589/jpts.27.591. Epub 2015 Mar 31.
2
Gait comparison of unicompartmental knee arthroplasty and total knee arthroplasty during level walking.
PLoS One. 2018 Aug 30;13(8):e0203310. doi: 10.1371/journal.pone.0203310. eCollection 2018.
4
Walking on a compliant surface does not enhance kinematic gait asymmetries after unilateral total knee arthroplasty.
Knee Surg Sports Traumatol Arthrosc. 2016 Aug;24(8):2606-13. doi: 10.1007/s00167-015-3931-y. Epub 2015 Dec 26.
5
Gait Analysis Comparing Kinematic, Kinetic, and Muscle Activation Data of Modern and Conventional Total Knee Arthroplasty.
Arthroplast Today. 2020 Jun 5;6(3):338-342. doi: 10.1016/j.artd.2020.03.011. eCollection 2020 Sep.
6
Knee kinematics during walking at different speeds in people who have undergone total knee replacement.
Knee. 2011 Jun;18(3):151-5. doi: 10.1016/j.knee.2010.04.005. Epub 2010 May 26.
8
Slow gait speed after bilateral total knee arthroplasty is associated with suboptimal improvement of knee biomechanics.
Knee Surg Sports Traumatol Arthrosc. 2018 Jun;26(6):1671-1680. doi: 10.1007/s00167-017-4682-8. Epub 2017 Aug 28.
9
Gait comparison of unicompartmental and total knee arthroplasties with healthy controls.
Bone Joint J. 2016 Oct;98-B(10 Supple B):16-21. doi: 10.1302/0301-620X.98B10.BJJ.2016.0473.R1.
10
Comparison of gait kinematics in total and unicondylar knee replacement surgery.
Ann R Coll Surg Engl. 2019 Jul;101(6):391-398. doi: 10.1308/rcsann.2019.0016. Epub 2019 Jun 3.

引用本文的文献

2
Unraveling the gait dynamics - A comparative study of iASSIST and conventional total knee replacement techniques in osteoarthritic elderly patients.
J Clin Orthop Trauma. 2024 Aug 29;55:102524. doi: 10.1016/j.jcot.2024.102524. eCollection 2024 Aug.
3
Restoration of the native tibial joint line obliquity in total knee arthroplasty with inverse kinematic alignment does not increase knee adduction moments.
Knee Surg Sports Traumatol Arthrosc. 2023 Nov;31(11):4692-4704. doi: 10.1007/s00167-023-07464-2. Epub 2023 Jun 14.
5
Gait mechanics are influenced by quadriceps strength, age, and sex after total knee arthroplasty.
J Orthop Res. 2021 Jul;39(7):1523-1532. doi: 10.1002/jor.24878. Epub 2020 Nov 2.
6
Deep Learning in Gait Parameter Prediction for OA and TKA Patients Wearing IMU Sensors.
Sensors (Basel). 2020 Sep 28;20(19):5553. doi: 10.3390/s20195553.
7
Gait Analysis after Total Knee Arthroplasty Assisted by 3D-Printed Personalized Guide.
Biomed Res Int. 2020 Jun 30;2020:6485178. doi: 10.1155/2020/6485178. eCollection 2020.
8
Gait Analysis Comparing Kinematic, Kinetic, and Muscle Activation Data of Modern and Conventional Total Knee Arthroplasty.
Arthroplast Today. 2020 Jun 5;6(3):338-342. doi: 10.1016/j.artd.2020.03.011. eCollection 2020 Sep.
9
DXA evaluation of femoral bone mineral density and cortical width in patients with prior total knee arthroplasty.
Osteoporos Int. 2019 Feb;30(2):383-390. doi: 10.1007/s00198-018-4682-7. Epub 2018 Aug 31.

本文引用的文献

2
Alterations in neuromuscular patterns between pre and one-year post-total knee arthroplasty.
Clin Biomech (Bristol). 2010 Dec;25(10):995-1002. doi: 10.1016/j.clinbiomech.2010.07.008. Epub 2010 Aug 21.
3
Knee kinetics during walking at different speeds in people who have undergone total knee replacement.
Gait Posture. 2010 Jun;32(2):205-10. doi: 10.1016/j.gaitpost.2010.04.009. Epub 2010 May 26.
4
Variability of walking and other daily activities in patients with total knee replacement.
Gait Posture. 2009 Oct;30(3):288-95. doi: 10.1016/j.gaitpost.2009.05.015. Epub 2009 Jul 18.
5
Maximum recovery after knee replacement--the MARKER study rationale and protocol.
BMC Musculoskelet Disord. 2009 Jun 17;10:69. doi: 10.1186/1471-2474-10-69.
8
Reliability of electromyographic normalization methods for evaluating the hip musculature.
J Electromyogr Kinesiol. 2007 Feb;17(1):102-11. doi: 10.1016/j.jelekin.2005.11.007. Epub 2006 Jan 19.
10
Altered loading during walking and sit-to-stand is affected by quadriceps weakness after total knee arthroplasty.
J Orthop Res. 2005 Sep;23(5):1083-90. doi: 10.1016/j.orthres.2005.01.021. Epub 2005 Mar 28.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验