Yanagisawa Shinya, Sato Naoki, Shimizu Masaki, Saito Kenichi, Yamamoto Atsushi, Takagishi Kenji
Department of Orthopaedic Surgery, Gunma University Graduate School of Medicine, Gunma, Japan.
Department of Orthopaedic Surgery, Isesaki Municipal Hospital, Isesaki, Gunma, Japan.
Asia Pac J Sports Med Arthrosc Rehabil Technol. 2015 Mar 7;2(2):68-71. doi: 10.1016/j.asmart.2015.01.002. eCollection 2015 Apr.
This study was designed as an investigation in a local population to assess the relation between the knee joint and spinal alignment in a population-based study using the SpinalMouse.
Medical check-ups were conducted for residents of a mountain village in Japan. The study population included 107 men and 157 women (528 knees) with a mean age of 71.1 ± 6.8 years (range, 60-87 years). A questionnaire dealing with any current symptoms involving the knees was administered, and physical examinations dealing with the range of motion (ROM) of knee were conducted. The SpinalMouse was used to measure sagittal spinal alignment and spinal ROM. The parameters considered were thoracic kyphosis angle, lumbar lordosis angle (LLA), sacral inclination angle (SIA), and trunk angle of inclination (INC). The patients were divided into a group with knee flexion contracture (FC group) and a group without knee FC (non-FC group) to conduct a comparative study of both groups.
With regard to static spinal alignment, LLA and SIA decreased significantly in the FC group ( < 0.05). With regard to spinal ROM, LLA and INC decreased significantly in the FC group ( < 0.05).
Results suggested that the knee and the spine affect each other and that the spinal ROM is also involved. The current study may explain the development of knee-spine syndrome.
本研究旨在对当地人群进行调查，以在一项基于人群的研究中，使用脊柱测量仪评估膝关节与脊柱排列之间的关系。
对日本一个山村的居民进行了医学检查。研究人群包括107名男性和157名女性（528个膝关节），平均年龄为71.1±6.8岁（范围60 - 87岁）。发放了一份关于当前膝关节任何症状的问卷，并进行了膝关节活动范围（ROM）的体格检查。使用脊柱测量仪测量脊柱矢状面排列和脊柱ROM。所考虑的参数包括胸椎后凸角、腰椎前凸角（LLA）、骶骨倾斜角（SIA）和躯干倾斜角（INC）。将患者分为膝关节屈曲挛缩组（FC组）和无膝关节FC组（非FC组），对两组进行比较研究。
关于静态脊柱排列，FC组的LLA和SIA显著降低（<0.05）。关于脊柱ROM，FC组的LLA和INC显著降低（<0.05）。
结果表明膝关节和脊柱相互影响，并且脊柱ROM也参与其中。本研究可能解释了膝 - 脊柱综合征的发展。
