肥胖和正常体重成人上下楼梯时的下肢生物力学模式

C. Egret, A. Ransom
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摘要

肥胖在临床上与骨关节炎(OA)等肌肉骨骼疾病有关,因为直接负荷涉及承重关节[18]。肥胖是膝关节OA进展的头号危险因素,并可能对膝关节产生长期不良影响[9]。膝关节骨性关节炎最突出的物理特征是胫骨-股间室内侧和外侧的关节间隙狭窄[1]。Sturmer等人(2000)[18]报道了肥胖与双侧膝骨关节炎之间的密切联系,这可能会导致肥胖人群楼梯行走模式的改变。当下肢关节有额外的负荷时,就会发生关节退行性变。肥胖个体的步态分析已经确定了与正常体重人群相比的运动学和动力学适应[12],然而,将肥胖个体与正常体重人群在上下楼梯时进行比较的研究有限。
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Lower Extremities Biomechanics Patterns of Obese and Normal Body Mass Adults during Stairs Ascent and Descent
Obesity has been clinically implicated with musculoskeletal disorders such as osteoarthritis (OA) as a result of the direct load involving weight bearing joints [18]. Obesity is the number one risk factor for the progression of knee OA and may have long-term adverse effects on the knee joint [9]. The most prominent physical characteristic seen in knee osteoarthritis is joint space narrowing in the medial and lateral tibio-femoral compartments [1]. Sturmer et al., (2000) [18] reported a strong association between obesity and bilateral knee osteoarthritis which may potentially lead to changes in stair ambulation patterns in an obese population. When the joints of the lower extremity have an added load placed on them, joint degeneration occurs. Gait analyses of obese individuals have identified kinematic and kinetic adaptations when compared to normal body mass (normal mass) population [12], however limited research is available when comparing obese individuals to normal mass individuals during ascending and descending stairs.
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