| 膝骨关节炎患者在太极站桩练习中髌骨位置对膝关节应力的影响 |
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| 引用本文： | 张旻,陈博,庞坚,詹红生.膝骨关节炎患者在太极站桩练习中髌骨位置对膝关节应力的影响[J].上海中医药大学学报,2018,32(4):47-51. |
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| 作者姓名： | 张旻 陈博 庞坚 詹红生 |
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| 作者单位： | 上海中医药大学附属曙光医院骨伤科研究所 |
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| 基金项目： | 国家自然科学基金资助项目(81503592)；上海市卫计委科研基金项目(20154Y0176) |
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| 摘 要： | 目的:研究膝骨关节炎(knee osteoarthritis,KOA)患者在太极站桩练习过程中髌骨位置的变化对膝关节应力的影响。方法:纳入30例早期KOA患者,采用VICON三维步态采集分析系统配合4块AMTI三维测力台采集KOA患者在髌骨平行于同侧足尖、髌骨平行于同侧足尖后2 cm、髌骨平行于同侧足尖前2 cm这3种不同条件下膝关节的运动学、动力学参数。结果:与其余两种条件比较,髌骨平同侧足尖前2 cm时膝关节的最大屈曲角度、内收力矩及屈曲力矩均显著增高(P0.05);而髌骨平同侧足尖后2 cm与髌骨平同侧足尖时膝关节的内收力矩和屈曲力矩比较,其差异均无统计学意义(P0.05)。结论:KOA患者在太极站桩练习过程中当髌骨位置超过同侧足尖时,膝关节矢状面及冠状面的受力会显著增加。
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| 关 键 词： | 太极拳 膝骨关节炎 生物力学 关节载荷 运动学 动力学 |
Effects of different patellar position on knee loading during Taichi Zhanzhuang exercise in patients with knee osteoarthritis |
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| ZHANG Min,CHEN Bo,PANG Jian and ZHAN Hongsheng.Effects of different patellar position on knee loading during Taichi Zhanzhuang exercise in patients with knee osteoarthritis[J].Acta Universitatis Traditionis Medicalis Sinensis Pharmacologiaeque Shanghai,2018,32(4):47-51. |
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| Authors: | ZHANG Min CHEN Bo PANG Jian and ZHAN Hongsheng |
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| Institution: | Institute of Traumatology & Orthopedics,Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China,Institute of Traumatology & Orthopedics,Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China,Institute of Traumatology & Orthopedics,Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China and Institute of Traumatology & Orthopedics,Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China |
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| Abstract: | |
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| Keywords: | Taichi knee osteoarthritis biomechanics joint loading kinematics kinetics |
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