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使用计算机化姿势描记法对稳定性极限进行生物力学分析:与髋骨关节炎老年个体功能活动度的相关性——一项横断面研究。

Biomechanical analysis of limits of stability using computerized posturography: correlations with functional mobility in elderly individuals with hip osteoarthritis - a cross-sectional study.

作者信息

Alahmari Khalid A, Reddy Ravi Shankar

机构信息

Biomechanics and Research Lab, Program of Physical Therapy, Department of Medical Rehabilitation Sciences, College of Applied Medical Sciences, King Khalid University, Abha, Saudi Arabia.

出版信息

Front Bioeng Biotechnol. 2024 Nov 25;12:1440393. doi: 10.3389/fbioe.2024.1440393. eCollection 2024.


DOI:10.3389/fbioe.2024.1440393
PMID:39654827
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11625571/
Abstract

BACKGROUND: Hip osteoarthritis (OA) is a degenerative joint disease that predominantly affects the elderly, causing significant morbidity due to joint pain, stiffness, and loss of function. This study aimed to assess the limits of stability (LOS) using computerized posturography and evaluate the correlations with functional mobility in elderly individuals with hip OA. METHODS: This cross-sectional study included elderly individuals aged 65 years and above with a clinical diagnosis of hip OA and age-matched asymptomatic controls. The LOS was measured using a computerized dynamic posturography system, which quantified the maximum distance and angle participants could shift their center of gravity without losing balance. Functional mobility was assessed using the Timed Up and Go (TUG) test, which measures the time taken for participants to stand up, walk 3 m, turn around, walk back, and sit down. RESULTS: The study included 86 elderly individuals with hip OA and 86 age-matched asymptomatic controls. LOS assessments showed that individuals with hip OA had significantly lower stability scores across all directions compared to controls (p < 0.001). TUG test times were significantly slower for the OA group (10.50 ± 2.20 s) compared to controls (8.70 ± 2.00 s, p < 0.001). Positive correlations were found between LOS and functional mobility (r = 0.50, p = 0.009). Moderation analysis revealed that age and duration of OA significantly influenced the relationship between stability and mobility. CONCLUSION: Hip OA significantly impacts stability and functional mobility in elderly individuals. Enhanced stability is associated with improved mobility, and demographic and clinical variables such as age and duration of OA play crucial roles in these relationships. These findings underscore the importance of targeted therapeutic interventions to improve stability and mobility in this population.

摘要

背景:髋骨关节炎(OA)是一种退行性关节疾病,主要影响老年人,因其导致的关节疼痛、僵硬和功能丧失而造成显著的发病率。本研究旨在使用计算机化姿势描记法评估稳定性极限(LOS),并评估髋OA老年个体中LOS与功能移动性之间的相关性。 方法:这项横断面研究纳入了65岁及以上临床诊断为髋OA的老年人以及年龄匹配的无症状对照组。使用计算机化动态姿势描记系统测量LOS,该系统可量化参与者在不失平衡的情况下重心能够移动的最大距离和角度。使用定时起立行走(TUG)测试评估功能移动性,该测试测量参与者站立、行走3米、转身、走回并坐下所需的时间。 结果:该研究纳入了86名髋OA老年人和86名年龄匹配的无症状对照组。LOS评估显示,与对照组相比,髋OA个体在所有方向上的稳定性得分均显著较低(p < 0.001)。与对照组(8.70 ± 2.00秒,p < 0.001)相比,OA组的TUG测试时间明显更长(10.50 ± 2.20秒)。LOS与功能移动性之间存在正相关(r = 0.50,p = 0.009)。调节分析显示,年龄和OA病程显著影响稳定性与移动性之间的关系。 结论:髋OA对老年人的稳定性和功能移动性有显著影响。稳定性增强与移动性改善相关,年龄和OA病程等人口统计学和临床变量在这些关系中起关键作用。这些发现强调了针对性治疗干预对改善该人群稳定性和移动性的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/32ff/11625571/dc7a58d6c4bb/fbioe-12-1440393-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/32ff/11625571/da03a289f23f/fbioe-12-1440393-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/32ff/11625571/937c9edc5cee/fbioe-12-1440393-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/32ff/11625571/dc7a58d6c4bb/fbioe-12-1440393-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/32ff/11625571/da03a289f23f/fbioe-12-1440393-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/32ff/11625571/937c9edc5cee/fbioe-12-1440393-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/32ff/11625571/dc7a58d6c4bb/fbioe-12-1440393-g003.jpg

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本文引用的文献

[1]
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[2]
An initial set of reference values for the Balance Tracking System (BTrackS) Limits of Stability protocol.

Gait Posture. 2024-1

[3]
Investigating Knee Joint Proprioception and Its Impact on Limits of Stability Using Dynamic Posturography in Individuals with Bilateral Knee Osteoarthritis-A Cross-Sectional Study of Comparisons and Correlations.

J Clin Med. 2023-4-7

[4]
A review of quality-of-life in elderly osteoarthritis.

Expert Rev Pharmacoecon Outcomes Res. 2023-4

[5]
The Impact of Chronic Pain, Stiffness and Difficulties in Performing Daily Activities on the Quality of Life of Older Patients with Knee Osteoarthritis.

Int J Environ Res Public Health. 2022-12-14

[6]
Developing and Establishing Biomechanical Variables as Risk Biomarkers for Preventable Gait-Related Falls and Assessment of Intervention Effectiveness.

Front Sports Act Living. 2021-9-22

[7]
Fundamentals of OA. An initiative of Osteoarthritis and Cartilage. Obesity and metabolic factors in OA.

Osteoarthritis Cartilage. 2022-4

[8]
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BMC Musculoskelet Disord. 2021-3-3

[9]
Toward improving functional recovery in spinal cord injury using robotics: a pilot study focusing on ankle rehabilitation.

Expert Rev Med Devices. 2022-1

[10]
Equimetrix Device: Criteria Based Validation and Reliability Analysis of the Center of Mass and Base of Support of a Human Postural Assessment System.

Sensors (Basel). 2021-1-7

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