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站立期冲击力中冲量左右差异的评估:平地与楼梯测量结果的比较

Evaluation of left-right difference of impulse in impact forces at stance phase: comparison of measurements on flat land and stairs.

作者信息

Tasato Hiroshi, Kida Noriyuki

机构信息

Department of Advanced Fibro-Science, Kyoto Institute of Technology: Matsugasaki, Sakyo-ku, Kyoto 606-8585, Japan.

Graduate School of Science and Technology, Kyoto Institute of Technology, Japan.

出版信息

J Phys Ther Sci. 2018 Apr;30(4):525-533. doi: 10.1589/jpts.30.525. Epub 2018 Apr 13.

DOI:10.1589/jpts.30.525
PMID:29706699
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5908995/
Abstract

[Purpose] The purpose of this study was to investigate the measurement method and parameters to simply evaluate the condition of the knee that are necessary for preventing locomotive syndrome as advocated by the Japan Orthopedic Association. [Subjects and Methods] The subjects installed acceleration sensors in lateral condyles of the tibia and measured acceleration and load under the conditions of walking on a flat ground and walking using stairs; the difference between the impulse of impact forces (acceleration × load) of the two knees was defined as a simple evaluation parameter. [Results] Simple evaluation parameters were not correlated with age during walking on a flat ground, but during walking using stairs, it was almost flat up to the age of 20-40 years, and after the age of 49 years, based on the quadratic curve approximation (R=0.99), a correlation of simple evaluation parameters with age could be confirmed. [Conclusion] The simple evaluation parameter during walking using stairs was highly correlated with age, suggesting a contribution to preventing locomotive syndrome by improving reliability. In the future, we plan to improve reliability by increasing the data, and establish it as a simple evaluation parameter that can be used for preventing locomotive syndrome in elderly people and those with KL classification grades 0-1.

摘要

[目的]本研究旨在探讨如日本骨科协会所倡导的,用于简单评估膝关节状况的测量方法和参数,这对于预防行动障碍综合征是必要的。[对象与方法]受试者在胫骨外侧髁安装加速度传感器,测量在平地上行走和上下楼梯行走时的加速度和负荷;将两膝冲击力脉冲(加速度×负荷)的差值定义为一个简单评估参数。[结果]在平地上行走时,简单评估参数与年龄无关,但在上下楼梯行走时,在20 - 40岁时几乎无变化,49岁以后,基于二次曲线近似(R = 0.99),可确认简单评估参数与年龄相关。[结论]上下楼梯行走时的简单评估参数与年龄高度相关,表明通过提高可靠性对预防行动障碍综合征有作用。未来,我们计划通过增加数据来提高可靠性,并将其确立为可用于预防老年人及KL分类等级为0 - 1级人群行动障碍综合征的简单评估参数。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6772/5908995/2e72646ba72b/jpts-30-525-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6772/5908995/35d98273cfe2/jpts-30-525-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6772/5908995/6fb45ff3c5fb/jpts-30-525-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6772/5908995/65c016ce3b97/jpts-30-525-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6772/5908995/0e5dd088d7e3/jpts-30-525-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6772/5908995/2e72646ba72b/jpts-30-525-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6772/5908995/35d98273cfe2/jpts-30-525-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6772/5908995/6fb45ff3c5fb/jpts-30-525-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6772/5908995/65c016ce3b97/jpts-30-525-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6772/5908995/0e5dd088d7e3/jpts-30-525-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6772/5908995/2e72646ba72b/jpts-30-525-g005.jpg

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本文引用的文献

1
Vibroarthrography in patients with knee arthropathy.膝关节病患者的振动关节造影术。
J Back Musculoskelet Rehabil. 2012;25(2):117-22. doi: 10.3233/BMR-2012-0319.
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[Musculoskeletal Ambulation Disability Symptom Complex (MADS)].
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Kinetic analysis of stair descent: Part 1. Forwards step-over-step descent.楼梯下降的运动学分析:第 1 部分。向前跨步式下降。
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Self-reported difficulty in climbing up or down stairs in nondisabled elderly.非残疾老年人自我报告的上下楼梯困难。
Arch Phys Med Rehabil. 2008 Jan;89(1):100-4. doi: 10.1016/j.apmr.2007.08.129.
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The demands of stair descent relative to maximum capacities in elderly and young adults.老年人和年轻人下楼梯的需求相对于最大能力的情况。
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