PDF(Pubmed)
Abstract：
Degenerative joint disease is a dynamic pathological process characterised by a destabilisation of the degradation and synthesis processes of articular cartilage and subchondral bone layer. Studies suggest that individuals with gonarthrosis experience deficits in proprioception, in addition to changes within their joints, which directly affects their ability to maintain posture and increases their risk of falling. Objectives: The aim of this study was to assess the functional status of patients with gonarthrosis through a posturographic examination conducted on a stabilometric platform (force plate) and a functional clinical examination. Methods: Participants were divided into two groups-a control group (n = 125) and a study group (n = 125). During the qualification process, subjective and objective examinations were conducted, including a functional assessment by means of such tests as the \"Up and Go\" Test, Functional Reach Test, Five Time Sit to Stand Test, and the Step Test. Subsequently, an assessment was conducted on the force plate by means of a posturographic test-the Romberg test performed with open and closed eyes in a standing position-and balance was evaluated using the Berg Balance Scale. The obtained data were analysed with the use of the IBM SPSS Statistics software version 27.0, by means of the Mann-Whitney test, and correlations were determined by means of Spearman\'s test. A significance level of p = 0.05 was adopted. Results: Statistically significant differences were observed among the assessed groups as a result of both functional and posturographic examinations, along with positive correlations for disease duration, age, and BMI index. Conclusions: Patients with gonarthrosis exhibited disturbances in balance, functionality, and posture compared to healthy individuals in the control group.
摘要：
退行性关节病是一种动态病理过程，其特征是关节软骨和软骨下骨层的降解和合成过程不稳定。研究表明，患有关节炎的个体在本体感受方面存在缺陷，除了关节内的变化，这直接影响他们保持姿势的能力，增加他们跌倒的风险。目标：这项研究的目的是通过在稳定平台（力板）上进行的泌尿外科检查和功能临床检查来评估膝关节病患者的功能状态。方法：将参与者分为两组，对照组（n=125）和研究组（n=125）。在资格认证过程中，进行了主观和客观检查，包括通过“UpandGo”测试等测试进行的功能评估，功能到达测试,五次坐下来进行测试，和步骤测试。随后，通过后尿路造影试验-睁眼和闭眼站立时进行的Romberg试验对测力板进行评估,并使用Berg平衡量表对平衡进行评估.通过Mann-Whitney检验，使用IBMSPSSStatistics软件27.0版分析获得的数据，并通过斯皮尔曼检验确定相关性。采用P=0.05的显著性水平。结果：由于功能和尿路造影检查，在评估组中观察到统计学上的显着差异。随着疾病持续时间的正相关，年龄,BMI指数。结论：关节炎患者表现出平衡障碍，功能，和姿势与对照组的健康个体相比。
