步态分析对膝关节骨关节炎的临床诊疗意义
摘要
<正>骨关节炎(osteoarthritis,OA)作为临床常见的慢性磨损性疾病,常累及髋、膝关节,尤其以膝关节为主[1]。近年来,随着人口老龄化发展,膝关节骨关节炎(knee osteoarthritis,KOA)患者数量逐渐增多。2007年的一项调查结果显示,调查范围中的六个城市(广州、上海、成都、西安、石家庄、哈尔滨)KOA患病率(40岁以上中老年人群)高达15.6%[2]。目
引文
[1]Murphy SL,Lyden AK,Phillips K,et al.Subgroups of older adults with osteoarthritis based upon differing comorbid symptom presentations and potential underlying pain mechanisms[J].Arthritis Res Ther,2011:13(4):R135.
[2]李宁华,张耀南,张毅,等.国内六大行政区域六城市中老年人群膝关节骨性关节炎患病危险因素比较[J].中国组织工程研究与临床康复,2007,11(39):7758-7760.
[3]Mündermann A,Dyrby CO,Andriacchi TP.Secondary gait changes in patients with medial compartment knee osteoarthritis:increased load at the ankle,knee,and hip during walking[J].Arthritis Rheum,2005,52(9):2835-2844.
[4]Jr SY,Armand S,Lubbeke A,et al.Associations between gait and clinical parameters in patients with severe knee osteoarthritis:a multiple correspondence analysis[J].Clinical Biomechanics,2013,28(3):299-305.
[5]Schmitt LC,Rudolph KS.Influences on knee movement strategies during walking in persons with medial knee osteoarthritis[J].Arthritis Rheum,2007,57(6):1018-1026.
[6]Peixoto JG,de Souza Moreira B,Diz JBM,et al.A-nalysis of symmetry between lower limbs during gait of older women with bilateral knee osteoarthritis[J].Aging Clin Exp Res,2019,31(1):67-73.
[7]Na A,Piva SR,Buchanan TS.Influences of knee osteoarthritis and walking difficulty on knee kinematics and kinetics[J].Gait Posture,2018(61):439-444.
[8]Ro DH,Han HS,Kim SH,et al.Baseline varus deformity is associated with increased joint loading and pain of non-operated knee two years after unilateral total knee arthroplasty[J].Knee,2018,25(2):249-255.
[9]赵强.全膝关节置换手术前后足底压力分析研究[D].西安:第四军医大学,2016:76.
[10]Dell’Isola A,Steultjens M.Classification of patients with knee osteoarthritis in clinical phenotypes:Data from the osteoarthritis initiative[J].PLoS One,2018,13(1):e0191045.
[11]Roberts BC,Solomon LB,Mercer G,et al.Relationships between in vivo dynamic knee joint loading,static alignment and tibial subchondral bone microarchitecture in end-stage knee osteoarthritis[J].Osteoarthritis Cartilage,2018,26(4):547-556.
[12]Williams AA,Titchenal MR,Andriacchi TP,et al.MRI UTE-T2*profile characteristics correlate to walking mechanics and patient reported outcomes 2years after ACL reconstruction[J].Osteoarthritis Cartilage,2018,26(4):569-579.
[13]Singh VA,Heng CW,Yasin NF.Gait analysis in patients with wide resection and endoprosthesis replacement around the knee[J].Indian J Orthop,2018,52(1):65-72.
[14]郭林,崔大平.全膝关节置换前后的三维步态分析[J].中国组织工程研究与临床康复,2008,12(13):2417-2420.
[15]Miller S,Agarwal A,Haddon WB,et al.Comparison of gait kinetics in total and unicondylar knee replacement surgery[J].Ann R Coll Surg Engl,2018,100(4):267-274.
[16]da Silva H,Zorzi AR,da Silva HPV,et al.Gait analysis in short-term follow-up of medial opening wedge high tibial osteotomy[J].Eur J Orthop Surg Traumatol,2018,28(5):939-946.
[17]Nie Yong,Huang ZeYu,Xu Bin,et al.Evidence and mechanism by which upper partial fibulectomy improves knee biomechanics and decreases knee pain of osteoarthritis[J].J Orthop Res,2018(36):2099-2108.
[18]Kim MK,Yoon JR,Yang SH,et al.Unicompartmental knee arthroplasty fails to completely restore normal gait patterns during level walking[J].Knee Surg Sports Traumatol Arthrosc,2018,26(11):3280-3289.
[19]Argenson JN,Komistek RD,Akizuki S.In vivo biomechanics of unicondylar knee replacement performed using minimally invasive technique[J].Orthopade,2007,36(12):1100-1105.
[20]Planckaert C,Larose G,Ranger P,et al.Total knee arthroplasty with unexplained pain:new insights from kinematics[J].Arch Orthop Trauma Surg,2018,138(4):553-561.
[21]Paterson KL,Sosdian L,Hinman RS,et al.Effects of sex and obesity on gait biomechanics before and six months after total knee arthroplasty:A longitudinal cohort study[J].Gait Posture,2018(61):263-268.
[22]Sultan AA,Cantrell WA,Khlopas A,et al.Hip osteoarthritis patients demonstrated marked dynamic changes and variability in pelvic tilt,oObliquity and rotation:a comparative,gait-analysis study[J].Surg Technol Int,2018(32):285-292.
[23]Stief F,Schmidt A,van Drongelen S,et al.Abnormal loading of the hip and knee joints in unilateral hip osteoarthritis persists two years after total hip replacement[J].J Orthop Res,2018,36(8):2167-2177.
[24]Wesseling M,Meyer C,Corten K,et al.Longitudinal joint loading in patients before and up to one year after unilateral total hip arthroplasty[J].Gait Posture,2018(61):117-124.
[25]Lee SY,Kwon SS,Chung CY,et al.Influence of surgery involving tendons around the knee joint on ankle motion during gait in patients with cerebral palsy[J].BMC Musculoskelet Disord,2018:19(1):82.
[26]马阳,董卫东,丁俊杰,等.双重任务和步行速度对慢性踝关节不稳患者步态变异性的影响[J].实用骨科杂志,2018,24(4):332-335.
[27]Sliepen M,Mauricio E,Rosenbaum D.Acute and mid-term(six-week)effects of an ankle-foot-orthosis on biomechanical parameters,clinical outcomes and physical activity in knee osteoarthritis patients with varus malalignment[J].Gait Posture,2018(62):297-302.
[28]张听雨,白玉龙.膝骨关节炎及其康复治疗[J].上海医药,2017,39(1):19-24.
[29]Lai Z,Zhang Y,Lee S,et al.Effects of strength exercise on the knee and ankle proprioception of individuals with knee osteoarthritis[J].Res Sports Med,2018,26(2):138-146.
[30]Khan SJ,Khan SS,Usman J,et al.Combined effects of knee brace,laterally wedged insoles and toe-in gait on knee adduction moment and balance in moderate medial knee osteoarthritis patients[J].Gait Posture,2018(61):243-249.
[31]Roos EM,Arden NK.Strategies for the prevention of knee osteoarthritis[J].Nat Rev Rheumatol,2016,12(2):92-101.
[2]李宁华,张耀南,张毅,等.国内六大行政区域六城市中老年人群膝关节骨性关节炎患病危险因素比较[J].中国组织工程研究与临床康复,2007,11(39):7758-7760.
[3]Mündermann A,Dyrby CO,Andriacchi TP.Secondary gait changes in patients with medial compartment knee osteoarthritis:increased load at the ankle,knee,and hip during walking[J].Arthritis Rheum,2005,52(9):2835-2844.
[4]Jr SY,Armand S,Lubbeke A,et al.Associations between gait and clinical parameters in patients with severe knee osteoarthritis:a multiple correspondence analysis[J].Clinical Biomechanics,2013,28(3):299-305.
[5]Schmitt LC,Rudolph KS.Influences on knee movement strategies during walking in persons with medial knee osteoarthritis[J].Arthritis Rheum,2007,57(6):1018-1026.
[6]Peixoto JG,de Souza Moreira B,Diz JBM,et al.A-nalysis of symmetry between lower limbs during gait of older women with bilateral knee osteoarthritis[J].Aging Clin Exp Res,2019,31(1):67-73.
[7]Na A,Piva SR,Buchanan TS.Influences of knee osteoarthritis and walking difficulty on knee kinematics and kinetics[J].Gait Posture,2018(61):439-444.
[8]Ro DH,Han HS,Kim SH,et al.Baseline varus deformity is associated with increased joint loading and pain of non-operated knee two years after unilateral total knee arthroplasty[J].Knee,2018,25(2):249-255.
[9]赵强.全膝关节置换手术前后足底压力分析研究[D].西安:第四军医大学,2016:76.
[10]Dell’Isola A,Steultjens M.Classification of patients with knee osteoarthritis in clinical phenotypes:Data from the osteoarthritis initiative[J].PLoS One,2018,13(1):e0191045.
[11]Roberts BC,Solomon LB,Mercer G,et al.Relationships between in vivo dynamic knee joint loading,static alignment and tibial subchondral bone microarchitecture in end-stage knee osteoarthritis[J].Osteoarthritis Cartilage,2018,26(4):547-556.
[12]Williams AA,Titchenal MR,Andriacchi TP,et al.MRI UTE-T2*profile characteristics correlate to walking mechanics and patient reported outcomes 2years after ACL reconstruction[J].Osteoarthritis Cartilage,2018,26(4):569-579.
[13]Singh VA,Heng CW,Yasin NF.Gait analysis in patients with wide resection and endoprosthesis replacement around the knee[J].Indian J Orthop,2018,52(1):65-72.
[14]郭林,崔大平.全膝关节置换前后的三维步态分析[J].中国组织工程研究与临床康复,2008,12(13):2417-2420.
[15]Miller S,Agarwal A,Haddon WB,et al.Comparison of gait kinetics in total and unicondylar knee replacement surgery[J].Ann R Coll Surg Engl,2018,100(4):267-274.
[16]da Silva H,Zorzi AR,da Silva HPV,et al.Gait analysis in short-term follow-up of medial opening wedge high tibial osteotomy[J].Eur J Orthop Surg Traumatol,2018,28(5):939-946.
[17]Nie Yong,Huang ZeYu,Xu Bin,et al.Evidence and mechanism by which upper partial fibulectomy improves knee biomechanics and decreases knee pain of osteoarthritis[J].J Orthop Res,2018(36):2099-2108.
[18]Kim MK,Yoon JR,Yang SH,et al.Unicompartmental knee arthroplasty fails to completely restore normal gait patterns during level walking[J].Knee Surg Sports Traumatol Arthrosc,2018,26(11):3280-3289.
[19]Argenson JN,Komistek RD,Akizuki S.In vivo biomechanics of unicondylar knee replacement performed using minimally invasive technique[J].Orthopade,2007,36(12):1100-1105.
[20]Planckaert C,Larose G,Ranger P,et al.Total knee arthroplasty with unexplained pain:new insights from kinematics[J].Arch Orthop Trauma Surg,2018,138(4):553-561.
[21]Paterson KL,Sosdian L,Hinman RS,et al.Effects of sex and obesity on gait biomechanics before and six months after total knee arthroplasty:A longitudinal cohort study[J].Gait Posture,2018(61):263-268.
[22]Sultan AA,Cantrell WA,Khlopas A,et al.Hip osteoarthritis patients demonstrated marked dynamic changes and variability in pelvic tilt,oObliquity and rotation:a comparative,gait-analysis study[J].Surg Technol Int,2018(32):285-292.
[23]Stief F,Schmidt A,van Drongelen S,et al.Abnormal loading of the hip and knee joints in unilateral hip osteoarthritis persists two years after total hip replacement[J].J Orthop Res,2018,36(8):2167-2177.
[24]Wesseling M,Meyer C,Corten K,et al.Longitudinal joint loading in patients before and up to one year after unilateral total hip arthroplasty[J].Gait Posture,2018(61):117-124.
[25]Lee SY,Kwon SS,Chung CY,et al.Influence of surgery involving tendons around the knee joint on ankle motion during gait in patients with cerebral palsy[J].BMC Musculoskelet Disord,2018:19(1):82.
[26]马阳,董卫东,丁俊杰,等.双重任务和步行速度对慢性踝关节不稳患者步态变异性的影响[J].实用骨科杂志,2018,24(4):332-335.
[27]Sliepen M,Mauricio E,Rosenbaum D.Acute and mid-term(six-week)effects of an ankle-foot-orthosis on biomechanical parameters,clinical outcomes and physical activity in knee osteoarthritis patients with varus malalignment[J].Gait Posture,2018(62):297-302.
[28]张听雨,白玉龙.膝骨关节炎及其康复治疗[J].上海医药,2017,39(1):19-24.
[29]Lai Z,Zhang Y,Lee S,et al.Effects of strength exercise on the knee and ankle proprioception of individuals with knee osteoarthritis[J].Res Sports Med,2018,26(2):138-146.
[30]Khan SJ,Khan SS,Usman J,et al.Combined effects of knee brace,laterally wedged insoles and toe-in gait on knee adduction moment and balance in moderate medial knee osteoarthritis patients[J].Gait Posture,2018(61):243-249.
[31]Roos EM,Arden NK.Strategies for the prevention of knee osteoarthritis[J].Nat Rev Rheumatol,2016,12(2):92-101.