基于Treadscan步态分析系统探究慢性踝关节不稳小鼠模型步态行为特点
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苏州大学第一附属医院骨科研究所

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Effects of chronic ankle instability on gait behavior in mice based on Treadscan gait analysis system: an experimental animal study
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Orthopedic Institute, Department of Orthopedic Surgery, The First Affiliated Hospital, Suzhou Medical College, Soochow University, Suzhou, Jiangsu 215000, China

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    摘要:

    背景: 慢性踝关节不稳是临床最常见的运动损伤之一,相关动物模型已被建立用于研究其损伤机制及康复评估,但目前缺乏针对动物模型步态参数的深入研究。方法:选取30只C57BL/6J雄性小鼠随机分为2组,即对照组和损伤组。对照组踝关节做假手术,损伤组离断左侧踝关节距腓前韧带和跟腓韧带。使用TreadScan被动步态分析仪分析各组步态参数。结果:与对照组相比,损伤组平均站立时间以及站立时间百分比分别上升28.43%(p<0.05)和23.07%(p<0.05),而平均摇摆时间和摆动时间百分比分别缩短50.63%(p<0.001)和19.75%(p<0.01)。损伤组平均制动时间和平均跨步时间也分别缩短18.37%(p<0.01)和37.86%(p<0.001)。损伤组步长和前后步宽分别缩短36.96%,13.66%和8.10%,除此之外,损伤组运动总速度和瞬时速度分别下降8.05%和11.12%,步频反而上升51.41%。损伤组平均足印面积和平均最大站立面积分别下降8.8%和13.24%,足压仅下降3%。通过对足底压力分布的进一步分析,我们发现损伤组足底压力分布不均匀,后足足底压力下降更为明显,尤其是右后象限下降13.92%。结论:基于Treadscan步态分析仪,我们发现慢性踝关节不稳小鼠在运动过程中会采取更加保守的步行模式,通过减少运动量和降低运动幅度以提高步行的协调性和稳定性。本研究希望可为慢性踝关节不稳的机制研究以及药物的筛选和评估提供参考。

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    Abstract Objective: Chronic ankle instability is one of the most common sports injuries in the clinic, and relevant animal models have been established to study the injury mechanism and rehabilitation assessment, but there is a lack of in-depth studies on gait parameters in animal models. Methods:Thirty C57BL/6J male mice were randomly divided into two groups, i.e., the control group and the injury group. In the control group, the ankle joint was sham-operated, and in the injured group, the anterior talofibular ligament and the calcaneofibular ligament of the left ankle joint were dissected. Gait parameters were analyzed in each group using TreadScan passive gait analyzer. Results:Compared to the control group, the mean standing time as well as the percentage of standing time increased by 28.43% (p<0.05) and 23.07% (p<0.05) in the injury group, whereas the mean swing time and the percentage of swing time were shortened by 50.63% (p<0.001) and 19.75% (p<0.01), respectively. The mean braking time and mean stride time of the injury group were also shortened by 18.37% (p<0.01) and 37.86% (p<0.001), respectively. Step length and anterior-posterior step width were shortened by 36.96%, 13.66% and 8.10% respectively in the injury group, in addition to this, total and instantaneous speed of movement decreased by 8.05% and 11.12% respectively in the injury group, while stride frequency increased by 51.41% instead. Mean footprint area and mean maximum standing area decreased by 8.8% and 13.24% in the injury group, and foot pressure decreased by only 3%. By further analyzing the distribution of plantar pressure, we found that the distribution of plantar pressure in the injury group was not uniform, and the decrease of plantar pressure in the hindfoot was more obvious, especially in the right posterior quadrant by 13.92%. Conclusion:Based on the Treadscan gait analyzer, we found that mice with chronic ankle instability adopt a more conservative walking pattern during exercise, by reducing the amount and amplitude of movement in order to improve the coordination and stability of walking. This study is hoped to provide a reference for the study of the mechanism of chronic ankle instability as well as the screening and evaluation of drugs. Keywords: ankle arthritis; gait analysis; ankle instability; gait compensation

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  • 收稿日期:2025-02-15
  • 最后修改日期:2025-03-10
  • 录用日期:2025-03-10
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