不同硬度楔形鞋垫对膝关节内翻力矩的影响
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国家自然科学基金项目(81000795)


The effect of lateral wedge insoles with different stiffness on knee adduction moment
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    摘要:

    目的 研究不同硬度楔形鞋垫在步行状态下对膝关节内翻力矩的影响。方法 15名健康成年男性受试者穿着不同硬度楔形鞋垫进行步态测试,通过光学运动捕捉系统和地面测力板收集运动学和动力学数据,经Visual 3D软件计算得出膝关节内翻力矩,分析在3种不同步行状况下(仅穿鞋、鞋中放入软、硬楔形鞋垫)膝关节内翻力矩峰值的差异。结果 与较软的楔形鞋垫相比,较硬的楔形鞋垫可使膝关节内翻力矩的第1个峰值降低9.3%,第2个峰值降低9.7%,差异具有统计学意义。结论 楔形鞋垫增加一定的硬度能更多降低膝关节内侧间室的压力,减轻关节面的磨损,从而可能缓解膝关节炎症状。

    Abstract:

    Objective To study the effect of lateral wedge insoles with different stiffness on the knee adduction moment (KAM) under walking condition. Methods The gait of 15 healthy males wearing lateral wedge insoles with different stiffness was tested. The kinetics and kinematics data were collected by optical motion capture system and ground reaction force platform. The KAM and its peak values were calculated by Visual 3D software. The differences in peak KAM under 3 walking conditions (shoes only, shoes with softer or harder lateral wedge insoles) were analyzed. Results Compared with walking with the softer lateral wedge insoles, walking with the harder lateral wedge insoles could reduce the 1st and 2nd peak KAM by 9.3% and 9.7%, respectively, with significant statistic differences. Conclusions Increasing some stiffness of lateral wedge insoles can further reduce the pressure and wear on medial compartment of the knee joint, which may relieve the symptom of knee osteoarthritis.

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李鸣,刘安民,汪方,JONES Richard,王丹.不同硬度楔形鞋垫对膝关节内翻力矩的影响[J].医用生物力学,2017,32(6):524-528

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  • 收稿日期:2017-02-14
  • 最后修改日期:2017-03-22
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  • 在线发布日期: 2017-12-27
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