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[1]馮佳捷,朱磊,陳俊杰,等.膝骨關節(jié)炎患者膝關節(jié)面夾角與步態(tài)的相關性研究[J].中醫(yī)正骨,2017,29(07):27-29.
　FENG Jiajie,ZHU Lei,CHEN Junjie,et al.A correlation analysis of the relationship between knee joint angle and gait in patients with knee osteoarthritis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2017,29(07):27-29.
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膝骨關節(jié)炎患者膝關節(jié)面夾角與步態(tài)的相關性研究 ()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第29卷
期數:
2017年07期
頁碼:
27-29
欄目:
臨床研究
出版日期:
2017-07-20

文章信息/Info

Title:
A correlation analysis of the relationship between knee joint angle and gait in patients with knee osteoarthritis
作者:
馮佳捷1; 朱磊2; 陳俊杰2; 莊汝杰2
1.浙江醫(yī)院,浙江 杭州 310013; 2.浙江中醫(yī)藥大學,浙江 杭州 310053
Author(s):
FENG Jiajie1; ZHU Lei2; CHEN Junjie2; ZHUANG Rujie2
1.Zhejiang Hospital, Hangzhou 310013,Zhejiang,China 2.Zhejiang Chinese Medical University,Hangzhou 310053,Zhejiang,China
關鍵詞:
骨關節(jié)炎; 膝;  膝關節(jié)面夾角;  步態(tài);  臨床試驗;  相關分析
Keywords:
Key words osteoarthritis; knee;  knee joint angle;  gait;  clinical trial;  correlation analysis
摘要:
目的:探討膝骨關節(jié)炎(knee osteoarthritis,KOA)患者膝關節(jié)面夾角與其步態(tài)的關系。方法:2015年1-12月收集72例KOA患者。男30例,女42例; 年齡45～80歲,中位數56.5歲; 左膝32例,右膝40例; 病程2～28個月,中位數14個月。拍攝其患側膝關節(jié)正位X線片,在X線片上測定膝關節(jié)面夾角(股骨內、外側髁最低點連線與脛骨平臺內外側關節(jié)面最低點連線的夾角); 以步態(tài)測試系統測定患者的步速、步長、步角、支撐期時間、支撐期百分數等步態(tài)指標。對膝關節(jié)面夾角與各步態(tài)指標進行相關性分析。結果:膝關節(jié)面夾角為3.61°±1.57°,步速為(60.86±14.16)cm·s-1,步長為(50.28±7.66)cm,步角為15.99°±4.17°,支撐期時間為(0.84±0.10)s,支撐期百分數為(63.57±1.80)%。相關性分析結果顯示,膝關節(jié)面夾角與步速、步長呈負相關(r=-0.704,P=0.000; r=-0.720,P=0.000),與步角、支撐期時間、支撐期百分數呈正相關(r=0.745,P=0.000; r=0.734,P=0.000; r=0.542,P=0.000)。結論:KOA患者膝關節(jié)面夾角與其步態(tài)密切相關,對其病情判斷具有一定的指導意義。
Abstract:
ABSTRACT Objective:To explore the relationship between knee joint angle and gait in patients with knee osteoarthritis(KOA).Methods:Seventy-two patients with KOA were collected from January 2015 to December 2015.The patients consisted of 30 males and 42 females and ranged in age from 45 to 80 years(Median=56.5 yrs)and ranged in disease course from 2 to 28 months(Median=14 months).The KOA located in left knee for 32 patients and right knee for 40 patients.The anteroposterior X-ray films of affected knee were taken,and the knee joint angle(the included angle between the line from the lowest point of medial femoral condyle to the lowest point of lateral femoral condyle and the line from the lowest point of medial articular surface to the lowest point of lateral articular surface of tibial plateau)were measured on the X-ray films.The patient's gait indexes such as gait speed,step length,step angle,support phase time and percentage of support phase were measured by using Gait Test System.The correlation analysis were applied to study the relationship between knee joint angle and gait indexes.Results:The knee joint angle,gait speed,step length,step angle,support phase time and percentage of support phase were 3.61+/-1.57 degrees,60.86+/-14.16 cm/s,50.28+/-7.66 cm,15.99+/-4.17 degrees,0.84+/-0.10 seconds and 63.57+/-1.80% respectively.The results of correlation analysis showed that knee joint angle was negatively correlated with gait speed and step length(r=-0.704,P=0.000; r=-0.720,P=0.000)and were positively correlated with step angle,support phase time and percentage of support phase(r=0.745,P=0.000; r=0.734,P=0.000; r=0.542,P=0.000).Conclusion:Knee joint angle is closely related to gait in patients with KOA,so it has some guiding significance for judging the condition of patients with KOA.

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備注/Memo

備注/Memo:
基金項目:浙江省重大科技專項計劃項目(2014C03038) 通訊作者:馮佳捷 E-mail:[email protected]
更新日期/Last Update: 2017-12-29