髋关节骨关节炎患者步态时大腿、骨盆和腰部运动的协调模式。

Coordination Pattern of the Thigh, Pelvic, and Lumbar Movements during the Gait of Patients with Hip Osteoarthritis.

机构信息

Graduate School of Biomedical and Health Sciences, Hiroshima University, 2-3, Kasumi 1-Chome, Minami-ku, Hiroshima 734-8553, Japan.

Department of Rehabilitation, Kawashima Clinic, 11-1 Miyabu, Nakatsu, Oita 871-0012, Japan.

出版信息

J Healthc Eng. 2020 Jul 24;2020:9545825. doi: 10.1155/2020/9545825. eCollection 2020.

Abstract

There are limited reports on segment movement and their coordination pattern during gait in patients with hip osteoarthritis. To avoid the excessive stress toward the hip and relevant joints, it is important to investigate the coordination pattern between these segment movements, focusing on the time series data. This study aimed to quantify the coordination pattern of lumbar, pelvic, and thigh movements during gait in patients with hip osteoarthritis and in a control group. An inertial measurement unit was used to measure the lumbar, pelvic, and thigh angular velocities during gait of 11 patients with hip osteoarthritis and 11 controls. The vector coding technique was applied, and the coupling angle and the appearance rate of coordination pattern in each direction were calculated and compared with the control group. Compared with the control group, with respect to the lumbar/pelvic segment movements, the patients with hip osteoarthritis spent more rates in anti-phase and lower rates in in-phase lateral tilt movement. With respect to the pelvic/thigh segment movements, the patients with hip osteoarthritis spent more rates within the proximal- and in-phases for lateral tilt movement. Furthermore, patients with osteoarthritis spent lower rates in the distal-phase for anterior/posterior tilt and rotational movement. Patients with hip osteoarthritis could not move their pelvic and thigh segments separately, which indicates the stiffness of the hip joint. The rotational movement and lateral tilt movements, especially, were limited, which is known as Duchenne limp. To maintain the gait ability, it seems important to pay attention to these directional movements.

摘要

在髋关节炎患者的步态中,节段运动及其协调模式的相关报道有限。为了避免髋关节和相关关节承受过度的压力,研究这些节段运动之间的协调模式,重点关注时间序列数据非常重要。本研究旨在定量分析髋关节炎患者和对照组在步态中腰椎、骨盆和大腿运动的协调模式。使用惯性测量单元测量 11 例髋关节炎患者和 11 例对照组在步态中的腰椎、骨盆和大腿角速度。应用矢量编码技术,计算并比较各方向的耦合角和协调模式出现率。与对照组相比,髋关节炎患者的腰椎/骨盆节段运动以反相运动为主,同相侧倾运动的出现率较低。对于骨盆/大腿节段运动,髋关节炎患者的骨盆在近端相和同相的倾斜运动中出现的比例更高。此外,髋关节炎患者在前/后倾斜和旋转运动的远相出现率较低。髋关节炎患者不能单独移动骨盆和大腿节段,这表明髋关节僵硬。旋转运动和侧倾运动受限,这被称为杜兴氏跛行。为了保持步态能力,似乎有必要注意这些定向运动。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cce/7396060/79cc0490b9fa/JHE2020-9545825.001.jpg

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