膝腰综合征的测量研究方法及测量设备  

Measurement research method and measurement equipment for knee-spine syndrome

作　　者：杨强 黄健[2] Yang Qiang;Huang Jian(Inner Mongolia Medical University,Hohhot 010110,Inner Mongolia Autonomous Region,China;The Second Affiliated Hospital of Inner Mongolia Medical University,Hohhot 010000,Inner Mongolia Autonomous Region,China)

机构地区：[1]内蒙古医科大学,内蒙古自治区呼和浩特市010110 [2]内蒙古医科大学第二附属医院,内蒙古自治区呼和浩特市010000

出　　处：《中国组织工程研究》2023年第29期4751-4756,共6页Chinese Journal of Tissue Engineering Research

基　　金：内蒙古自治区科技计划项目(2021GG0194),项目负责人:黄健。

摘　　要：背景:临床上下腰痛和膝前痛极为常见,并且两者常伴随出现。膝腰综合征可理解为腰椎前凸丧失和膝关节屈曲之间的显著相关性的综合征,但目前针对膝关节及腰椎之间的相互代偿研究较少,尤其是关于两者之间的研究方法及所使用的设备更是罕见报道。目的:通过对涉及膝腰综合征的相关文献进行归纳总结,将各个研究中的测量方法及测量设备进行分析,为进一步研究发展膝腰综合征给出提示。方法:应用计算机检索PubMed、中国知网、万方和维普数据库的相关文章,英文检索词:“knee-spine syndrome,low back pain,biomechanics,balance parameters,knee,spine”,中文检索词:“膝腰综合征、下腰痛、生物力学、平衡参数、膝关节、腰椎”,最终纳入46篇文献进行综述分析。结果与结论:①腰椎矢状位平衡同膝关节屈曲角度之间存在相关性,当膝关节发生屈曲挛缩畸形时,躯体重心前移,人体将重新建立新的平衡体系,即腰椎曲度丧失、腰椎前凸角减小。②科学技术的革新,是膝腰综合征深入发展的重要动力,对膝腰综合征测量研究的技术手段包括X射线平片、EOS系统、SpinalMouse、有限元分析及步态分析方法等,构建了从力线、应力、运动学和计算机模拟分析等多维度的测量探究体系,将逐步揭秘膝关节与脊柱之间的相互代偿联系。③膝腰综合征的深入研究,对发掘人体运动学及形态学的内在变化及相互代偿关系具有重要意义,人体作为一个连续的整体运动单元,通过对膝腰补偿机制的发掘,将为临床工作中膝关节及腰椎疾病的诊疗工作提供指导及理论依据。BACKGROUND:Low back pain and anterior knee pain are very common in clinical work,and they often occur together.Although the concept of knee-spine syndrome has been clearly put forward,which is a significant correlation between lumbar lordosis loss and knee flexion,there are few studies on the mutual compensation between knee and lumbar spine.In particular,there is no report on the research methods and equipment used between the two.OBJECTIVE:To summarize the relevant literature related to knee-spine syndrome,analyze the measurement methods and equipment in each study,and give tips for the further development of knee-spine syndrome.METHODS:The relevant articles in PubMed database and CNKI database were searched by computer.The Chinese and English search terms were“knee-spine syndrome,low back pain,biomechanics,balance parameters,knee,spine”.Finally,46 articles were included for review and analysis.RESULTS AND CONCLUSION:(1)There is a correlation between the sagittal balance of the lumbar spine and the flexion angle of the knee joint.When the knee joint has a flexion contracture deformity,the center of gravity of the body moves forward,and the human body will re-establish a new balance system,that is,the loss of lumbar curvature and lumbar lordosis.(2)The innovation of science and technology is an important driving force for the in-depth development of knee-spine syndrome.The technical means for the measurement and research of knee-spine syndrome include X-ray plain film,EOS system,SpinalMouse,finite element analysis,and gait analysis to build a multi-dimensional measurement and exploration system from lines of force,stress,kinematics,computer simulation analysis,etc.,which will gradually reveal the mutual compensatory connection between the knee joint and the spine.(3)In-depth research on knee-spine syndrome is of great significance to explore the internal changes and mutual compensation relationship of human kinematics and morphology.The human body is a continuous integral movement unit,can provide guidance a

关 键 词：膝腰综合征 测量方法 力线 应力 有限元分析 EOS系统 步态分析 代偿机制 

分 类 号：R452[医药卫生—治疗学] R318[医药卫生—临床医学] R608