Patients with Symptomatic Hip Osteoarthritis Have Altered Kinematics during Stair Ambulation.
Patients with Symptomatic Hip Osteoarthritis Have Altered Kinematics during Stair Ambulation.
复制标题
有症状的髋骨关节炎患者在楼梯行走过程中运动学发生了改变。
DOI：
10.1002/pmrj.12398
复制
发表时间：
2021-03
期刊：
影响因子：
--
通讯作者：
Souza RB
中科院分区：
文献类型：
--
作者：
Popovic T;Samaan MA;Link TM;Majumdar S;Souza RB
骨关节炎（OA）是一种退行性关节疾病。了解有助于减缓或阻止疾病进展的因素至关重要。目前尚无研究描述髋骨关节炎患者在楼梯行走过程中髋、膝和踝关节的下肢运动学。
目的：探讨具有髋骨关节炎临床和形态学表现的参与者与对照组之间下肢运动学的差异。
研究类型：横断面研究。
研究地点：临床研究实验室。
纳入具有髋骨关节炎影像学和症状体征的参与者（n = 42）以及健康对照组（n = 30）。
参与者接受髋部磁共振成像（MRI）检查。采用MRI髋骨关节炎评分（SHOMRI）方法评估软骨异常。使用髋关节功能障碍和骨关节炎结局评分（HOOS）获取髋关节疼痛和功能的自我报告测量值。将参与者分为有症状的髋骨关节炎组（HOA），其SHOMRI>0且HOOS≤80，以及对照组（CG），其SHOMRI = 0且HOOS>90。患者以自选速度在上下楼梯时进行三维运动分析。
主要结局测量指标为髋、膝和踝关节的运动学峰值。采用广义估计方程比较组间运动学差异（P≤.05）。
HOA组在上楼梯时髋关节内旋更多（CG = 1.77±6.3；HOA = 4.97±4.2；P =.02），髋关节外展更多（CG = -5±2.7，HOA = -3.5±3；P =.02），膝关节外旋更多（CG = -8.02±3；HOA = -10.63±6.3；P =.02）以及踝关节外旋更多（CG = -11.8±6.1；HOA = -16.3±5.6；P =.01）。同样，HOA参与者在下楼梯时膝关节伸展更多（CG = -15.5±4.9；HOA = -12±4.9；P =.01），膝关节外旋更多（CG = -10.1±4.4；HOA = -13.1±6.6；P =.04）以及踝关节外旋更多（CG = -13.5±5.3；HOA = -17.9±5.5；P =.002）。
具有髋骨关节炎相关形态和症状的参与者在上下楼梯时利用异常的下肢力学机制。
Osteoarthritis (OA) is a degenerative joint disease. Understanding contributing factors to slowing or stopping disease progression is crucial. There has been no research describing lower extremity kinematics of the hip, knee, and ankle during stair ambulation in individuals with hip OA. To explore the differences in lower extremity kinematics between participants with clinical and morphological findings of hip OA and controls. A cross-sectional study. Clinical research laboratory. Participants with radiographic and symptomatic signs of hip OA (n = 42) and healthy controls (n = 30) were enrolled. Participants underwent hip magnetic resonance imaging (MRI). The Scoring Hip Osteoarthritis with MRI (SHOMRI) method was used to assess cartilage abnormalities. Self-reported measures of hip pain and function were obtained using the Hip Disability and Osteoarthritis Outcome Score (HOOS). Participants were assigned into a symptomatic hip osteoarthritis group (HOA) with SHOMRI>0 and HOOS≤80, and a control group (CG) with SHOMRI = 0 and HOOS>90. Patients underwent 3D motion analysis during stair ascent/descent at self-selected speed. The primary outcome measurements were peak hip, knee, and ankle kinematics. General Estimation Equations were used to compare kinematics between groups (P ≤ .05). The HOA group ascended stairs with a more internally rotated hip (CG = 1.77 ± 6.3; HOA = 4.97 ± 4.2; P = .02), more abducted hip (CG = −5 ± 2.7, HOA = −3.5 ± 3; P = .02), and a more externally rotated knee (CG = −8.02 ± 3; HOA = −10.63 ± 6.3; P = .02) and ankle (CG = −11.8 ± 6.1; HOA = −16.3 ± 5.6; P = .01). Similarly, HOA participants descended stairs with a more extended knee (CG = −15.5 ± 4.9; HOA = −12 ± 4.9; P = .01), and more externally rotated knee (CG = −10.1 ± 4.4; HOA = −13.1 ± 6.6; P = .04) and ankle (CG = −13.5 ± 5.3; HOA = −17.9 ± 5.5; P = .002). Participants with hip OA-related morphology and symptoms ambulate stairs utilizing abnormal lower extremity mechanics.
登录
查看更多内容
影响因子：
--
作者：
Hootman, JM;Helmick, CG
通讯作者：
Helmick, CG
影响因子：
4.3
作者：
Watelain, E;Dujardin, F;Allard, P
通讯作者：
Allard, P
影响因子：
2.3
作者：
Neogi, Tuhina;Zhang, Yuqing
通讯作者：
Zhang, Yuqing
影响因子：
5.9
作者：
Neumann J;Zhang AL;Schwaiger BJ;Samaan MA;Souza R;Foreman SC;Joseph GB;Grace T;Majumdar S;Link TM
通讯作者：
Link TM
影响因子：
1.8
作者：
Nadeau, S;McFadyen, BJ;Malouin, F
通讯作者：
Malouin, F