Department of Orthopaedics, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, 510000, Guangdong, China; Shantou University Medical College, Shantou, 515041, Guangdong, China.
Department of Orthopaedics, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, 510000, Guangdong, China.
Gait Posture. 2021 Feb;84:254-259. doi: 10.1016/j.gaitpost.2020.12.002. Epub 2020 Dec 14.
BACKGROUND: Generalized joint hypermobility (GJH) is a common, but often ignored, condition characterized by general joint laxity, which is reported to increase one's risk of anterior cruciate ligament (ACL) injury and osteoarthritis. Nevertheless, it is not clearly learned in the prevalence and dynamic characteristics in college students. RESEARCH QUESTION: Is the active motion stability in the six-degree-of-freedom (6DOF) kinematics of the knee joint of people with GJH poorer than that of others? METHODS: This is a cross-sectional study. A population of 489 college students was recruited who was divided into two groups: a GJH group (Beighton score ≥ 4, n = 54) and a normal group (Beighton score < 4, n = 435). A paper questionnaire with questions about the participants' demographic characteristics and musculoskeletal disorder symptoms was collected. A three-dimensional gait analysis system was used to collect the participants' knee joint kinematic parameters during treadmill walking. Variables were evaluated using independent t-tests and Wilcoxon signed-rank tests. RESULTS: The prevalence of GJH was found to be 11.0 % among college students. Participants with GJH exhibited a greater active range of motions in the anterior/posterior translation than the normal (P = 0.026). Participants with GJH exhibited greater flexion at the end of the terminal stance (P = 0.039) and greater anterior translation of the tibia during almost the whole gait period than the normal group (P<0.05) during the treadmill gait. A greater external angle was found in GJH group during the periods of middle stance (P = 0.008). SIGNIFICANCE: GJH with a prevalence of 11.0 % among college students should be paid attention. Poor active motion stability in anterior/posterior translation may play an important role in the development of knee joint instability, potentially resulting in subsequent ACL deficiency and the development of knee osteoarthritis among people with GJH.
背景:全身性关节过度活动症(GJH)是一种常见但常被忽视的病症,其特征为全身性关节松弛,据报道会增加前交叉韧带(ACL)损伤和骨关节炎的风险。然而,在大学生群体中,这种病症的患病率和动态特征尚不清楚。
研究问题:全身性关节过度活动症患者的膝关节在六自由度(6DOF)运动学中的主动运动稳定性是否不如其他人?
方法:这是一项横断面研究。共招募了 489 名大学生,将他们分为两组:全身性关节过度活动症组(Beighton 评分≥4,n=54)和正常组(Beighton 评分<4,n=435)。收集了一份包含参与者人口统计学特征和肌肉骨骼疾病症状的纸质问卷。使用三维步态分析系统收集参与者在跑步机行走时的膝关节运动学参数。使用独立 t 检验和 Wilcoxon 符号秩检验评估变量。
结果:研究发现,大学生中全身性关节过度活动症的患病率为 11.0%。与正常组相比,全身性关节过度活动症患者的膝关节前/后向主动活动范围更大(P=0.026)。在终末站立期,全身性关节过度活动症患者的膝关节屈曲更大(P=0.039),在几乎整个步态周期中,胫骨的前向位移更大(P<0.05)。在中站立期,全身性关节过度活动症患者的外展角更大(P=0.008)。
意义:在大学生中,全身性关节过度活动症的患病率为 11.0%,应该引起重视。在前/后向主动运动稳定性较差可能在膝关节不稳定的发展中发挥重要作用,可能导致全身性关节过度活动症患者随后发生 ACL 缺失和膝关节骨关节炎。
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