步态分析技术在膝骨关节炎应用研究进展  

Study Progress on Gait Analysis Technology in the Application on Knee Osteoarthritis

作　　者：刘丹[1] 唐占英[1] 杨强玲[1] 林婕[1] 胡志俊[1] 

机构地区：[1]上海中医药大学附属龙华医院康复医学科,上海200030

出　　处：《世界中医药》2015年第6期946-950,共5页World Chinese Medicine

基　　金：上海市卫生系统先进适宜技术推广项目(编号:2013SY014)

摘　　要：国际上,针对膝骨关节炎(Knee Osteoarthritis,KOA)患者进行步态分析并没有形成共识的最佳方法。尽管缺乏这些方面的标准化,这始终表明,根据疾病的不同阶段,骨关节炎患者可能表现出不同的步态参数。本文通过文献检索的方式汇总了相关文献,总结并回顾了近几年来关于衡量骨关节炎特征的研究,以及步态参数的变异性对于发病率的高低的影响。文献检索结果包含七项关于对照运动学参数研究,九项针对动力学参数以及四项针对EMG分析方面的研究、六项针对步态分析治疗效果的研究。Objective： Internationally,there was no consensus on the best approach for gait analysis in patients with osteoarthritis（ OA） of the knee. Although there is lack of standardization,it is consistently demonstrated that osteoarthritis patients may exhibit different gait parameters according to the disease stage. Methods： This summary reviews recent studies that have been undertaken to explore the manner for measure the characteristic on osteoarthritis,and clarify how the variability of gait parameters is influenced by the morbidity of KOA. Results： Twenty two studies were included,among which six were contrapose kinematics parameter,six were contrapose kinetic parameter,four were EMG analysis,and six were about the gait analysis in treatment effect. Conclusion：3DGA as a new biological mechanics analysis method has widely used in the study of many diseases. Based on the uncertainty of the pathogenic mechanism of KOA,diagnosis and treatment are lack of a quantitative criteria of absolute authority. This will not benefit the systematic KOA diagnosis as well as the quantity of severity of its definition.

关 键 词：步态分析 膝关节骨性关节炎 表面肌电图 

分 类 号：R684.3[医药卫生—骨科学]