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骨关节炎患者中期站立时的髋关节异常

Hip Joint Abnormalities During Midstance in Osteoarthritic Patients.

作者信息

Stătescu Carmen, Gavrilă Bogdan-Ion, Deaconu Andrei, Trăistaru Rodica-Magdalena, Bălşeanu Tudor-Adrian

机构信息

Department of Physiology, Faculty of Medicine, University of Medicine and Pharmacy of Craiova, Romania.

Faculty of Medicine, University of Medicine and Pharmacy "Carol Davila" Bucharest, Romania.

出版信息

Curr Health Sci J. 2021 Jul-Sep;47(3):361-366. doi: 10.12865/CHSJ.47.03.05. Epub 2021 Sep 30.

DOI:10.12865/CHSJ.47.03.05
PMID:35003767
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8679151/
Abstract

Osteoarthritis is one of the most debilitating diseases in Europe affecting the lower limb joints, especially the hip and knee, having a bad influence on gait in the long run as well. Rehabilitation physicians use gait in order for the whole body to be seen in ensemble, and through midstance as moment of gait to also take predilection to falls into consideration. Goniometry is the quantifiable measure of a rehabilitation treatment by measuring the range of motion of each treated joint and studied during time. The patients that volunteered to be part of this study have been divided into four groups, depending on the level of osteoarthritis present at the lower limb joints: hip, knee, both hip and knee osteoarthritis or control group with no osteoarthritis, have been asked to walk for a few times and the video recordings were uploaded into the Angles App where we measured the lower limb joint angles during midstance. Patients with knee osteoarthritis present a more extended hip on both dominant and non-dominant sides compared to the ones with hip osteoarthritis, hip and knee osteoarthritis or control group. The results can be explained through the body's kinematic chains that link the knee and hip, hip and pelvis during the midstance phase in the sagittal plane. A physician can use a video goniometry app in order for him to thoroughly evaluate an osteoarthritic patient as well as follow him or her during the entire course of treatment.

摘要

骨关节炎是欧洲最使人衰弱的疾病之一,影响下肢关节,尤其是髋关节和膝关节,从长远来看对步态也有不良影响。康复医生利用步态来整体观察全身,并通过步态中期这一时刻来考虑跌倒倾向。角度测量是通过测量每个治疗关节的活动范围并随时间进行研究来对康复治疗进行量化的方法。自愿参与本研究的患者根据下肢关节骨关节炎的程度分为四组:髋关节、膝关节、髋关节和膝关节均患骨关节炎或无骨关节炎的对照组,要求他们行走几次,并将视频记录上传到Angles应用程序中,我们在该程序中测量步态中期下肢关节角度。与患髋关节骨关节炎、髋关节和膝关节骨关节炎或对照组相比,患膝关节骨关节炎的患者在优势侧和非优势侧的髋关节伸展程度更大。这些结果可以通过矢状面步态中期将膝关节与髋关节、髋关节与骨盆连接起来的身体运动链来解释。医生可以使用视频角度测量应用程序,以便全面评估骨关节炎患者,并在整个治疗过程中对其进行跟踪。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1a3/8679151/617bbe1c600d/CHSJ-47-03-361-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1a3/8679151/eaa0d8ba69bb/CHSJ-47-03-361-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1a3/8679151/5d6ca06b37ab/CHSJ-47-03-361-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1a3/8679151/617bbe1c600d/CHSJ-47-03-361-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1a3/8679151/eaa0d8ba69bb/CHSJ-47-03-361-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1a3/8679151/5d6ca06b37ab/CHSJ-47-03-361-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1a3/8679151/617bbe1c600d/CHSJ-47-03-361-fig3.jpg

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本文引用的文献

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The Importance of Functional Hamstring/Quadriceps Ratios in Knee Osteoarthritis.功能性腘绳肌/股四头肌比率在膝关节骨关节炎中的重要性。
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