Do patients with knee osteoarthritis perform sit-to-stand motion efficiently?

被引:37
|
作者
Anan, Masaya [1 ]
Shinkoda, Koichi [1 ]
Suzuki, Kentaro [2 ]
Yagi, Masahide [3 ]
Ibara, Takuya [4 ]
Kito, Nobuhiro [5 ]
机构
[1] Hiroshima Univ, Inst Biomed & Hlth Sci, Dept Biomech, Minami Ku, Hiroshima 7348553, Japan
[2] Nagoya Univ Hosp, Showa Ku, Nagoya, Aichi 4668550, Japan
[3] Midorii Orthopaed Joint Reconstruct & Arthroscopy, Asaminami Ku, Hiroshima 7310103, Japan
[4] Kawashima Orthopaed Hosp, Nakatsu, Oita 8710012, Japan
[5] Hiroshima Int Univ, Higashihiroshima, Hiroshima 7370112, Japan
基金
日本学术振兴会;
关键词
Knee osteoarthritis; Sit-to-stand; Mechanical energy transfer; Power; Energy; ENERGY-TRANSFER; WALKING; STRENGTH; STRATEGIES; MECHANICS; WOMEN; GAIT;
D O I
10.1016/j.gaitpost.2014.11.015
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
The sit-to-stand motion (STS) is a frequently executed activity that is affected by weakness in the quadriceps femoris muscle and knee joint pain in patients with knee osteoarthritis (OA). We investigated whether patients with knee OA can efficiently perform STS through mechanical energy transfer assessments. Participants were 20 women with knee OA and 17 age-matched asymptomatic controls. The center of mass (COM), segment angles, joint moments, and powers during STS were measured. The negative mechanical work in the proximal portion of the shank, negative mean powers in the distal portion of the pelvis and proximal portion of the shank, and the positive mean power in the proximal and distal portions of the thigh were significantly lower in the knee OA group than in the control group. Patients with knee OA primarily performed thoracic forward lean movement, shifting their COM closer to the base of support provided by the feet alone, in an attempt to achieve stability at and after buttocks-off. However, control ability, which generates and absorbs kinetic energy quickly, was not enhanced in these patients, and their motion was unable to increase absorption of the mechanical energy in hip extensors and reduce the load on knee extensors. Furthermore, STS in patients with knee OA had reduced energy absorption in the knee extensors from the shank forward lean movement after buttocks-off, had reduced knee extensor efficiency, and made greater use of physiological energy. These findings suggest that, from the standpoint of mechanical energy transfer, patients with knee OA do not perform STS efficiently. (C) 2014 Elsevier B.V. All rights reserved.
引用
收藏
页码:488 / 492
页数:5
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