《中国康复理论与实践》 ›› 2019, Vol. 25 ›› Issue (12): 1414-1417.doi: 10.3969/j.issn.1006-9771.2019.12.009

• 专题 • 上一篇    下一篇

髋关节肌康复训练治疗膝骨关节炎机制的研究进展

周甜甜, 安丙辰, 郑洁皎   

  1. 复旦大学附属华东医院康复医学科,上海市 200040
  • 收稿日期:2019-09-02 修回日期:2019-10-29 出版日期:2019-12-25 发布日期:2019-12-26
  • 通讯作者: 郑洁皎,E-mail: zjjcss@163.com E-mail:zjjcss@163.com
  • 作者简介:周甜甜(1992-),女,汉族,安徽桐城市人,硕士研究生,主要研究方向:骨科康复。
  • 基金资助:
    1.上海市科学技术委员会医学引导项目(No. 16411964000);2.国家重点研发计划“主动健康和老龄化科技应对”重点专项(No. 2018YFC2002300)

Advance in Mechanism of Hip Muscle Training for Knee Osteoarthritis (review)

ZHOU Tian-tian, AN Bing-chen, ZHENG Jie-jiao   

  1. Rehabilitation Department of Huadong Hospital Affiliated to Fudan University, Shanghai 200040, China
  • Received:2019-09-02 Revised:2019-10-29 Published:2019-12-25 Online:2019-12-26
  • Contact: ZHENG Jie-jiao, E-mail: zjjcss@163.com E-mail:zjjcss@163.com
  • Supported by:
    Supported by Shanghai Science and Technology Commission Medical Guidance Project (No. 16411964000) and National Key Research and Development Plan (No. 2018YFC2002300)

摘要: 膝骨关节炎是临床上常见的慢性骨关节退行性疾病。髋关节肌训练以其操作简便、无创等优势逐渐引起人们的重视。髋关节肌训练对膝关节内侧间室负荷、膝关节周围肌群肌力、膝关节周围肌群肌电信号等产生影响,强的髋关节外展肌还能降低关节软骨恶化的风险,从而导致膝关节受力改变,进一步缓解膝骨关节炎患者的临床症状。本文将从生物力学模拟以及肌电信号的角度对髋关节肌训练治疗膝骨关节炎的机制做一综述。

关键词: 膝骨关节炎, 髋关节肌训练, 膝关节内收力矩, 内侧间室负荷, 关节软骨, 综述

Abstract: Knee osteoarthritis (KOA) is a common chronic degenerative joint disease. Hip muscle training, with the advantage of convenience and non-invasion, has been attached great importance by people gradually. Hip muscle training may affect keen medial compartment load, the strength and the electromyography signal of the muscle around the knee joint, and strong hip abductor can protect cartilage, which leads to change the load of the knee joint, and alleviate clinical symptoms. This article reviewed the mechanism of hip muscle training for knee osteoarthritis from the views of biomechanical simulation and electromyography.

Key words: knee osteoarthritis, hip muscle training, knee adduction moment, medial compartment load, joint cartilage, review

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