步态分析在膝关节骨性关节炎中的应用研究进展  

Research progress of Gait analysis in knee osteoarthritis diagnosis

作　　者：李远栋[1] 刘爱峰[1] 张君涛[1] 苏瑾[1] 王平[1] Li Yuandong;Liu Aifeng;Zhang Juntao;Su Jin;Wang Ping(Orthopedics and Traumatology,First Teaching Hospital of Tianjin University of Traditional Chinese Medicine,Regional TCM Bone Injury Diagnosis and Treatment Center of State Administration of Traditional Chinese Medicine,Tianjin 300381,China)

机构地区：[1]天津中医药大学第一附属医院骨伤科,国家中医药管理局区域中医骨伤科诊疗中心

出　　处：《国际生物医学工程杂志》2020年第1期75-79,共5页International Journal of Biomedical Engineering

基　　金：天津市教委科研计划项目(2019KJ064);国家自然科学基金项目(81873316,81102607,81673994,51573137);王平劳模创新工作室-天津市教委资助项目(津教工〔2016〕3号);中医传承工作室-天津卫计委资助项目(津卫中〔2017〕193号)。

摘　　要：膝关节骨性关节炎(KOA)是以膝关节软骨退变、丢失及逐渐恶化为主要病理变化的关节疾病,临床中以中老年人多见,主要表现为膝关节疼痛及活动受限,逐渐出现步行能力障碍。步行是人类行为活动的基础,而步态则是人类行走时的行为特征。步态分析(GA)即研究人体在步行时的步态行为特点,并结合运动学、动力学及生物力学等方面的知识进行分析及获得步态特征数字化信息的研究方法,是定量评估步态障碍的有效工具。KOA发病后,膝关节动力与静力系统失衡,下肢力线异常,继而出现下肢运动异常,影响人的正常步态。国内外学者已把KOA患者的步态特征分析作为研究热点,期望能在KOA诊断、治疗及康复等不同阶段把握病情。通过步态分析对KOA患者步态特征研究进展进行综述,旨在为KOA的诊断、治疗及康复评定提供更加精确的数字化依据,使患者的诊疗方案更精准化。Knee Osteoarthritis(KOA)is a joint disease with the main pathological changes of knee articular cartilage degeneration,loss and gradual deterioration.Clinically,KOA is more common in the middle-aged and the elderly,mainly manifested as knee pain and limited mobility,and walking disabilities.Walking is the basis of human behavior,and gait is the characteristic of human behavior when walking.Gait analysis(GA)studies the characteristics of the human body's gait behavior while walking,and combines knowledge of kinematics,dynamics,and biomechanics to analyze and obtain digital information on gait characteristics.GA is an effective tool for quantitative assessment of gait disorders.In KOA patients,the knee dynamic and static systems are unbalanced,the lower limb force lines are abnormal,and then the lower limb movement abnormalities occur,which affects normal gait.Researchers have taken gait feature analysis of KOA patients as a research hotspot,hoping to grasp the condition of patients with GA at different stages of KOA diagnosis,treatment and rehabilitation.In this paper the research progress of the studies on the GA patients'gait characteristics obtained by gait analysis was reviewed.This paper is expected to provide a more accurate digital basis for the diagnosis,treatment and rehabilitation assessment of KOA,and make the patient's diagnosis and treatment plan more precise.

关 键 词：步态分析 膝关节骨性关节炎 应用 

分 类 号：R684.3[医药卫生—骨科学]