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中华关节外科杂志(电子版) ›› 2021, Vol. 15 ›› Issue (03) : 334 -338. doi: 10.3877/cma.j.issn.1674-134X.2021.03.012

综述

基于运动捕捉膝关节运动分析及临床常规评估进展
曾小龙1, 钟国庆2, 黄文汉1, 马立敏1, 张余1,()   
  1. 1. 510080 广州,广东省人民医院(广东省医学科学院)骨科中心
    2. 510080 广州,广东省人民医院(广东省医学科学院)骨科中心;515041 汕头大学医学院
  • 收稿日期:2020-08-04 出版日期:2021-06-01
  • 通信作者: 张余
  • 基金资助:
    国家自然科学基金项目(81972126); 广州市科技计划项目(201803010106)

Progress of knee joint kinematics analysis and clinical evaluation based on motion capture system

Xiaolong Zeng1, Guoqing Zhong2, Wenhan Huang1, Limin Ma1, Yu Zhang1,()   

  1. 1. Department of Orthopedics, Guangdong Provincial People’s Hospital, Guangdong Academy of Medical Sciences, Guangzhou 510080, China
    2. Department of Orthopedics, Guangdong Provincial People’s Hospital, Guangdong Academy of Medical Sciences, Guangzhou 510080, China; Shantou University Medical College, Shantou 515041, China
  • Received:2020-08-04 Published:2021-06-01
  • Corresponding author: Yu Zhang
引用本文:

曾小龙, 钟国庆, 黄文汉, 马立敏, 张余. 基于运动捕捉膝关节运动分析及临床常规评估进展[J/OL]. 中华关节外科杂志(电子版), 2021, 15(03): 334-338.

Xiaolong Zeng, Guoqing Zhong, Wenhan Huang, Limin Ma, Yu Zhang. Progress of knee joint kinematics analysis and clinical evaluation based on motion capture system[J/OL]. Chinese Journal of Joint Surgery(Electronic Edition), 2021, 15(03): 334-338.

近年来,基于运动捕捉的膝关节运动学分析发展迅速,广泛用于探索膝关节疾病特征、治疗效果、随访分析等各个方面,其临床常规化十分具有前景。目前,基于运动捕捉系统的膝关节运动学分析主要应用于疾病特征探索,病例分析报道等,然而并未见临床常规化诊疗报道或者示范。步态采集设备型号各异、不同运动任务的结果无法对比及无规范动作标准等原因,制约膝关节步态分析临床常规化的发展与应用。本文将阐述基于运动捕捉的膝关节运动学步态发展现状及制约其临床常规化因素,有助于理解未来步态分析的临床实践和转化以及促进膝关节运动学分析临床常规化的应用。

关键词: 膝关节, 运动

In recent years, kinematic analysis of knee joint based on motion capture has developed rapidly. It is widely used to explore the characteristics of knee joint disease, treatment effect, follow-up analysis and other aspects. With the development of motion capture technology, the clinical routine of knee kinematics is very promising. At present, kinematics analysis of knee joint based on motion capture system is mainly used in disease feature exploration, case report and so on. However, there is no clinical routine treatment report or demonstration. The clinical development and application of knee gait analysis are restricted by the different types of gait acquisition equipment, the incompatibility of the results of different motion tasks and the lack of standardized motion standards. This paper described the current situation of knee kinematics gait based on motion capture and the factors restricting its clinical routine, which might help to understand the clinical practice and transformation of gait analysis in the future and promote the clinical routine application of knee kinematic analysis.

Key words: Knee joint, Motion
图1 膝关节屈/伸示意图
[1]
Marín J, Blanco T, Marín JJ, et al. Integrating a gait analysis test in hospital rehabilitation: a service design approach[J/OL]. PLoS One, 2019, 14(10): e0224409.doi:10.1371/journal.pone.0224409.
[2]
Winter DA. Knee flexion during stance as a determinant of inefficient walking[J]. Phys Ther, 1983, 63(3): 331-333.
[3]
Vilensky JA, Damasio AR, andMaurer RG. Gait disturbances in patients with autistic behavior: a preliminary study. Arch Neurol, 1981, 38(10): 646-649.
[4]
Nordeen-Snyder KS. The effect of bicycle seat height variation upon oxygen consumption and lower limb kinematics[J]. Med Sci Sports, 1977, 9(2): 113-117.
[5]
胡雪艳,恽晓平,郭忠武,等.正常成人步态特征研究[J].中国康复理论与实践,2006(10):855-857,封3.
[6]
赵恒,徐飞,寿在勇,等.膝关节骨性关节炎患者步态和下肢主要关节的运动学分析[J].北京体育大学学报,2011,34(4):71-74.
[7]
王桂茂,严隽陶,刘玉超,等.三维运动解析系统测试脑卒中偏瘫步态的运动学定量评价[J].中国组织工程研究与临床康复,2010,14(52):9816-9818.
[8]
周敬滨,李国平,李方祥.慢性膝关节前交叉韧带损伤患者步态的运动学分析[J]. 中国运动医学杂志,2012. 31(10): 898-901,912.
[9]
Zhang Y, Yao ZL, Wang SB, et al. Motion analysis of Chinese normal knees during gait based on a novel portable system[J]. Gait Posture, 2015, 41(3): 763-768.
[10]
Li, G. New fluoroscopic imaging technique for investigation of 6DOF knee kinematics during treadmill gait[J/OL].J Orthop Surg Res, 2009, 4: 6.doi:10.1186/1749-799X-4-6
[11]
Zuk M, Pezowicz C. Kinematic analysis of a six-degrees-of-freedom model based on ISB recommendation:a repeatability analysis and comparison with conventional gait model[J/OL]. Appl Bionics Biomech, 2015, 2015: 503713. doi: 10.1155/2015/503713.
[12]
Zhang Y, Huang WH, Yao, ZL, et al. Anterior cruciate ligament injuries alter the kinematics of knees with or without meniscal deficiency[J]. Am J Sports Med, 2016, 44(12): 3132-3139.
[13]
Zeng X, Ma L, Lin Z, et al. Relationship between Kellgren-Lawrence score and 3D kinematic gait analysis of patients with medial knee osteoarthritis using a new gait system[J/OL].Sci Rep, 2017, 7(1): 4080. doi: 10.1038/s41598-017-04390-5.
[14]
马青川,肖丽英,林剑浩,等.单侧全膝关节置换术前两下肢步态差异性分析[J].中国康复医学杂志,2015,30(5):447-453.
[15]
刘婷,甘云,刘杰民,等.具备内外旋自由度的双侧减压辅具对膝关节生物力学的影响[J].医用生物力学,2016,31(5):443-448.
[16]
Huang W, Lin Z, Zeng X, et al. Kinematic characteristics of an osteotomy of the proximal aspect of the fibula during walking: a case report[J/OL]. JBJS Case Connect, 2017, 7(3): e43. doi: 10.2106/JBJS.CC.16.00118.
[17]
Li JS, Tsai TY, Clancy MM, et al.Weight loss changed gait kinematics in individuals with obesity and knee pain[J].Gait Posture, 2019, 68:461-465.
[18]
Zeni JJ, Flowers P, Bade M, et al. Stiff knee gait May increase risk of second total knee arthroplasty[J]. J Orthop Res, 2019, 37(2): 397-402.
[19]
Arauz PP, Kwon YM. Knee motion symmetry was not restored in patients with unilateral bi-cruciate retaining total knee arthroplasty-in vivo three-dimensional kinematic analysis[J]. Int Orthop, 2018, 42(12): 2817-2823.
[20]
黄文汉,张余.前交叉韧带损伤运动学与动力学评估方法进展[J].中国骨科临床与基础研究杂志,2014,6(01):49-54.
[21]
时会娟.认知双任务对前交叉韧带重建术后步态对称性的影响[D].北京:北京体育大学,2017.
[22]
Bischoff L, Babisch C, Babisch J, et al. Effects on proprioception by Kinesio taping of the knee after anterior cruciate ligament rupture[J]. Eur J Orthop Surg Traumatol, 2018, 28(6): 1157-1164.
[23]
Akpinar B, Thorhauer E, Irrgang JJ, et al. Alteration of knee kinematics after anatomic anterior cruciate ligament Reconstruction is dependent on associated meniscal injury[J]. Am J Sports Med, 2018, 46(5): 1158-1165.
[24]
Nazary-Moghadam S, Salavati M, Esteki A, et al. Reliability of kinematic measures in subjects with anterior cruciate ligament deficiency during dual-task walking[J].J Bodyw Mov Ther, 2017,21(4):852-859.
[25]
李亚强,张峻,顾冬云,等.内侧半月板损伤患者关节镜手术前后三维步态特征差异[J].医用生物力学,2019,34(3):300-306.
[26]
林泽枫,张余,马立敏,等.外侧盘状半月板损伤患者膝关节在体运动学参数研究[J].中国骨科临床与基础研究杂志,2014,6(5):291-296.
[27]
Debi R, Elbaz A, Mor A, et al. Knee osteoarthritis, degenerative meniscal lesion and osteonecrosis of the knee: can a simple gait test direct us to a better clinical diagnosis[J]. Orthop Traumatol Surg Res, 2017, 103(4): 603-608.
[28]
Singh VA, Yasin NF,Yasin NF. Gait analysis in patients with wide resection and endoprosthesis replacement around the knee[J]. Indian J Orthop, 2018, 52(1): 65-72.
[29]
Bonab M, Colak TK, Toktas ZO, et al. Assessment of spatiotemporal gait parameters in patients with lumbar disc herniation and patients with chronic mechanical low back pain[J]. Turk Neurosurg, 2020, 30(2): 277-284.
[30]
Haddas RV, Lieberman IH, Lieberman IH. Kinematic comparison of the use of walking sticks versus a rolling walker during gait in adult degenerative scoliosis patients[J]. Spine Deform, 2020, 8(4): 717-723.
[31]
Mohd SN, Usman J, Wan SW, et al. Effects of simple knee sleeves on pain and knee adduction moment in early unilateral knee osteoarthritis[J]. Proc Inst Mech Eng H, 2019, 233(11): 1132-1140.
[32]
Walsh M, Connolly P, Jenkinson A, et al. Leg length discrepancy--an experimental study of compensatory changes in three dimensions using gait analysis[J]. Gait Posture, 2000, 12(2): 156-161.
[33]
Englander ZA, Garrett WE, Spritzer CE, et al. In vivo attachment site to attachment site length and strain of the ACL and its bundles during the full gait cycle measured by MRI and high-speed biplanar radiography[J/OL].J Biomech.2020,98: 109443.doi: 10.1016/j.jbiomech.2019.109443.
[34]
Tian F, Li N, Zheng Z, et al.The effects of marathon running on three-dimensional knee kinematics during walking and running in recreational runners.[J].Gait Posture, 2020,75:72-77.
[35]
Grip H, Tengman E, Liebermann DG, et al. Kinematic analyses including finite helical axes of drop jump landings demonstrate decreased knee control long after anterior cruciate ligament injury[J/OL]. PLoS One, 2019, 14(10): e0224261.doi: 10.1371/journal.pone.0224261.
[36]
Pizzuto F, De Oliveira CF, Soares T, et al. Relationship between running economy and kinematic parameters in long-distance runners[J]. J Strength Cond Res, 2019, 33(7): 1921-1928.
[37]
Sonoo MI, Kanemura N. Altered sagittal plane kinematics and kinetics during sit-to-stand in individuals with knee osteoarthritis: a systematic review and meta-analysis[J/OL].J Biomech, 2019,96:109331. doi: 10.1016/j.jbiomech.2019.109331.
[38]
Meireles S, Reeves ND, Jones RK, et al. Patients with medial knee osteoarthritis reduce medial knee contact forces by altering trunk kinematics, progression speed, and stepping strategy during stair ascent and descent: a pilot study[J]. J Appl Biomech, 2019, 35(4): 280-289.
[39]
Matsuki K,Matsuki KO,Kenmoku T, et al.In vivo kinematics of early-stage osteoarthritic knees during pivot and squat activities[J].Gait Posture, 2017,58:214-219.
[40]
Rutherford D, Bucklinghan L, Moreside, J, et al. Knee motion and muscle activation patterns are altered in hip osteoarthritis: the effect of severity on walking mechanics[J/OL]. Clin Biomech (Bristol, Avon), 2018, 59: 1-7. doi: 10.1016/j.clinbiomech.2018.08.001.
[41]
Mannering N, Young T, Spelman T, et al. Three-dimensional knee kinematic analysis during treadmill gait slowimposedspeed versus normal self-selected speed[J]. Bone Joint Res, 2017, 6(8): 514-521.
[42]
Storzer L, Butz M, Hirschamann, J, et al. Bicycling and walking are associated with different cortical oscillatory dynamics[J/OL]. Front Hum Neurosci, 2016, 10: 61. doi: 10.3389/fnhum.2016.00061.
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