中国康复医学杂志2024,Vol.39Issue(8) :1155-1161.DOI:10.3969/j.issn.1001-1242.2024.08.010

膝关节运动减压护具在慢跑状态下对膝关节运动学的影响

Effects of knee sports unloading brace on knee kinematic in jogging condition

郭璐琦 王留根 罗烨 周兰 张子砚 武丹妮 张玲 黄小凡 王少白
中国康复医学杂志2024,Vol.39Issue(8) :1155-1161.DOI:10.3969/j.issn.1001-1242.2024.08.010

膝关节运动减压护具在慢跑状态下对膝关节运动学的影响

Effects of knee sports unloading brace on knee kinematic in jogging condition

郭璐琦 1王留根 2罗烨 1周兰 1张子砚 1武丹妮 1张玲 1黄小凡 1王少白1
扫码查看

作者信息

  • 1. 上海体育学院"运动健身科技"省部共建教育部重点实验室,上海市,200438
  • 2. 郑州大学第一附属医院惠济院区康复医学科
  • 折叠

摘要

目的:通过研究佩戴膝关节运动减压护具前后膝关节运动学的变化,探讨膝关节运动减压护具的运动学防护机制,为运动人群的膝关节损伤防护提供依据.方法:纳入30例健康大学生,利用便携式膝关节运动分析系统采集实验对象以5km/h速度慢跑条件下的步态数据,比较佩戴运动减压护具前后膝关节运动学变化,包括支撑相和摆动相膝关节近远端位移、内外位移、前后位移、屈伸角、内外翻、内外旋的变化.结果:在步态周期的支撑相,佩戴膝关节运动减压护具后膝关节近远端位移显著性增加3.4mm,内外翻减小2.8°,内外位移、前后位移、屈伸角和内外旋都显著性减小;在步态周期的摆动相,佩戴膝关节运动减压护具后膝关节近远端位移显著性增加8.7mm,内外翻显著性减小3.5°,屈伸角和内外旋显著性减小,但前后位移(P=0.49)和内外位移(P=0.86)没有显著性意义.结论:在步态周期主要受力的支撑相,膝关节运动减压护具通过增加近远端位移、限制关节活动来有效支撑膝关节且增强膝关节的稳定性,在摆动相的固定效果较支撑相比相对较弱.

Abstract

Objective:To investigate the biomechanical changes in knee kinematics before and after wearing knee sportsunloading brace,and the mechanism of providing a protection for knee injuries in the active population.Method:Thirty healthy university students were enrolled and gait analysis was performed using a portableknee motion analysis system under the condition of jogging on a treadmill at a speed of 5 km/h. The changesin knee kinematics before and after wearing the sports brace were compared,including the changes in theproximal-distal translation,internal-external translation,anterior-posterior translation,flexion-extension angle,ab-duction-adduction rotation,internal-external rotation of the knee joint during the stance phase and swing phaseof a gait cycle.Result:During the stance phase,wearing the knee sports unloading brace significantly increased the proximal-distal translation of the knee by 3.4 mm,decreased the abduction-adduction rotation by 2.8°,and significantlydecreased the internal-external translation,anterior-posterior translation,flexion-extension angle and interna-ex-ternal rotation. During the swing phase,wearing the knee sports unloading brace significantly increased theproximal-distal translation of the knee by 8.7 mm and decreased the abduction-adduction rotation by 3.5°,withsignificant reductions in the flexion-extension angle and internal-external rotation. However,changes in anterior-posterior translation (P=0.49) and internal-external translation (P=0.86) were not significant.Conclusion:During the stance phase (primary loading phase),the knee sports unloading brace effectively sup-ports the knee joint and enhances its stability by increasing the proximal-distal translation and restricting the joint mobility. The stabilization effect during the swing phase is relatively weaker compared to the stance phase.

关键词

膝关节/运动减压护具/运动学/步态分析

Key words

knee/sports unloading brace/kinematics/gait analysis

引用本文复制引用

出版年

2024
中国康复医学杂志
中国康复医学会

中国康复医学杂志

CSTPCD北大核心
影响因子:2.026
ISSN:1001-1242
段落导航相关论文