The Influence of Abnormal Hip Mechanics on Knee Injury: A Biomechanical Perspective
The Influence of Abnormal Hip Mechanics on Knee Injury: A Biomechanical Perspective
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DOI：
10.2519/jospt.2010.3337
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发表时间：
2010-02-01
影响因子：
6.1
通讯作者：
Powers, Christopher M.
中科院分区：
文献类型：
--
作者：
Powers, Christopher M.
概要：在过去的十年中，有越来越多的文献表明近端因素可能在膝关节损伤中起作用。对这一领域的生物力学和临床研究的综述表明，髋关节、骨盆和躯干的肌肉控制受损会影响胫股和髌股关节在多个平面的运动学和动力学。特别是，有证据表明髋关节运动障碍可能是前交叉韧带撕裂、髂胫束综合征和髌股关节疼痛等损伤的基础。此外，文献表明，女性可能比男性更倾向于近端的影响。根据作为本临床评论的一部分提供的证据，可以认为，解决近端损伤的干预措施可能对患有各种膝关节疾病的患者有益。更具体地说，生物力学参数可以为合并骨盆和躯干的稳定性，以及动态髋关节控制，到膝关节康复计划的设计。
SYNOPSIS: During the last decade, there has been a growing body of literature suggesting that proximal factors may play a contributory role with respect to knee injuries. A review of the biomechanical and clinical studies in this area indicates that impaired muscular control of the hip, pelvis, and trunk can affect tibiofemoral and patellofemoral joint kinematics and kinetics in multiple planes. In particular, there is evidence that motion impairments at the hip may underlie injuries such as anterior cruciate ligament tears, iliotibial band syndrome, and patellofemoral joint pain. In addition, the literature suggests that females may be more disposed to proximal influences than males. Based on the evidence presented as part of this clinical commentary, it can be argued that interventions which address proximal impairments may be beneficial for patients who present with various knee conditions. More specifically, a biomechanical argument can be made for the incorporation of pelvis and trunk stability, as well as dynamic hip joint control, into the design of knee rehabilitation programs.