PDF(Pubmed)
Abstract：
Introduction Gonarthrosis (G) is a progressive disease that affects the knee joint and causes pain and limitation of movement in the knee. The determination of the morphometric status of G patients has been a subject of interest recently. The purpose of this study is to determine how hamstring length (HL) and patellofemoral angle (Q angle [QA]) affect the ability of individuals with G to maintain balance. Methods A total of 80 (40 G patients and 40 in the control group [CG]) participants aged 40-65 were included in the study. A goniometer was used to measure the participants\' QA. The mean age of the participants was 50.18±7.16 in the G group and 51.40±6.64 in CG. HL was measured using the sit-and-reach test. Participants\' dynamic balance state was evaluated using the Y balance test by stepping in the following directions: right-anterior (R-An), right-posteromedial (R-Pm), right-posterolateral (R-Pl), left-anterior (L-An), left-posteromedial (L-Pm), and left-posterolateral (L-Pl). Results According to the results of this research, the balance performance of G patients was significantly lower in all directions (R-An, R-Pm, R-Pl, L-An, L-Pm, L-Pl) compared to the CG. In both groups, R-QA, L-QA, and HL did not change. However, linear regression analysis indicated that in G patients, R-QA, L-QA, and HL affected balance performance. No significant interaction was found between these parameters and balance performance in the CG. Conclusion HL and QA have a significant role in determining body balance. In our study, we found that QA decreased in G patients, leading to genu varum in these individuals. The hamstring muscle shortening observed in G patients significantly negatively affected balance, especially in the R-An, R-Pm, L-An, L-Pm, and L-Pl directions. For healthcare professionals preparing treatment protocols for G patients, we recommend providing exercises to improve balance, especially in these directions.
摘要：
简介膝关节病（G）是一种进行性疾病，会影响膝关节并导致疼痛和膝盖运动受限。G患者的形态测量状态的确定最近一直是感兴趣的主题。这项研究的目的是确定腿筋长度（HL）和髌股角度（Q角[QA]）如何影响G个体保持平衡的能力。方法将80例(40例G患者和40例对照组[CG])40～65岁的参与者纳入研究。测角仪用于测量参与者的QA。G组参与者的平均年龄为50.18±7.16，CG组为51.40±6.64。HL是使用静坐测试测量的。参与者的动态平衡状态使用Y平衡测试通过以下方向进行评估：右前（R-An），右后内侧(R-Pm),右后外侧(R-Pl),左前(L-An),左后内侧(L-Pm),和左后外侧（L-Pl）。结果根据本研究的结果,G患者的平衡性能在各个方向上都显着降低（R-An，R-Pm,R-Pl,L-An,L-Pm,L-Pl)与CG相比。在这两组中,R-QA,L-QA,HL没有改变。然而,线性回归分析表明，在G患者中，R-QA,L-QA,和HL影响平衡性能。在这些参数和CG中的平衡性能之间没有发现显著的相互作用。结论HL和QA在决定机体平衡方面具有重要作用。在我们的研究中,我们发现G患者的QA下降，导致这些人的真性。在G患者中观察到的腿筋肌肉缩短显着负面影响平衡，尤其是在R-An,R-Pm,L-An,L-Pm,和L-Pl方向。对于为G患者准备治疗方案的医疗保健专业人员，我们建议提供练习来改善平衡，尤其是在这些方向。
