六自由度步态分析系统评估膝骨关节炎严重程度的客观准确性  

Objective accuracy of six degree of freedom gait analysis system in evaluating the severity of knee osteoarthritis

作　　者：Shaban Amiri Nzelekela 杨连博 李澎[1] Shaban Amiri Nzelekela;Yang Lianbo;Li Peng(Department of Joint and Sports Medicine,Second Affiliated Hospital of Dalian Medical University,Dalian 116023,Liaoning Province,China)

机构地区：[1]大连医科大学附属第二医院关节与运动医学科,辽宁省大连市116023

出　　处：《中国组织工程研究》2025年第27期5890-5896,共7页Chinese Journal of Tissue Engineering Research

基　　金：大连医科大学附属第二医院临床能力提升“1+X”计划交叉学科创新项目(2022JCXKYB18),项目名称:膝关节康复训练机器人及情境人机交互控制系统开发,项目负责人:李澎。

摘　　要：背景:膝骨关节炎的传统评估方法是基于患者的临床症状、体格检查和影像学表现做出判断,但是这些方法不能反映膝关节的动力学动态变化,不能多维度反映出膝关节的客观状态。六自由度步态分析系统为膝骨关节炎的严重程度提供了更加客观、更为实用的一种动态评估方法,为不同患者更精准的治疗方案提供了依据,从而优化患者的治疗策略。目的:综述膝骨关节炎的相关评估系统,将六自由度步态分析与传统评估膝骨关节炎严重程度的方法进行比较,探讨六自由度步态分析在指导膝骨关节炎治疗策略制定方面的应用效果。方法:通过计算机检索Google Scholar、PubMed数据库2002年1月至2023年6月发表的相关文献,英文检索词为“knee osteoarthritis,knee osteoarthritis severity,6DOF gait analysis,evaluation methods,WOMAC,KOOS”;中文检索词为“膝骨关节炎,关节炎评估系统,六自由度步态分析”,通过纳入与排除标准,最终选择65篇文献进行归纳总结。结果与结论:①六自由度步态分析提高了评估膝骨关节炎严重程度的准确性,依据该方法制定的治疗方案显著改善了患者的预后;②基于目前的研究发现,在临床实践中应规范六自由度步态分析与传统评估方法的结合,以便客观准确地评估膝骨关节炎,从而更好地选择治疗方案及评估个体化治疗策略的长期有效性。BACKGROUND:Traditional assessment methods for knee osteoarthritis rely on clinical symptoms,physical examinations,and imaging findings of patients.However,these methods fail to reflect the dynamic changes in knee joint kinetics and do not comprehensively depict the objective status of the knee joint.The emergence of the 6 degree of freedom gait analysis system provides a more objective and practical dynamic assessment method for the severity of knee osteoarthritis.This system serves as a basis for more precise treatment strategies for different patients,thereby optimizing patient treatment approaches.OBJECTIVE:To review relevant assessment systems for knee osteoarthritis,compare the 6 degree of freedom gait analysis with traditional methods for assessing knee osteoarthritis severity,and explore the application of 6 degree of freedom gait analysis in guiding knee osteoarthritis treatment strategies.METHODS:A computer search was conducted using Google Scholar and PubMed databases for relevant articles published from January 2002 to June 2023.English search terms included“knee osteoarthritis,knee osteoarthritis severity,6DOF gait analysis,evaluation methods,WOMAC,KOOS.”Chinese search terms were“knee osteoarthritis,osteoarthritis evaluation system,6 degree of freedom gait analysis.”Based on inclusion and exclusion criteria,a total of 65 articles were selected for synthesis and summarization.RESULTS AND CONCLUSION:(1)The 6 degree of freedom gait analysis improves the accuracy of knee osteoarthritis severity assessment.Treatment plans based on this method significantly improved patient prognosis.(2)Current research findings suggest standardizing the integration of 6 degree of freedom gait analysis and traditional assessment methods in clinical practice for an objective and accurate evaluation of knee osteoarthritis.This enables better selection of treatment plans and evaluation of the long-term effectiveness of individualized treatment strategies.

关 键 词：膝骨关节炎 评估系统 六自由度步态分析 传统评估方法 个体化治疗 

分 类 号：R459.9[医药卫生—治疗学] R318[医药卫生—临床医学] R684.3