PDF(Pubmed)
Abstract：
Biomechanic studies can provide a powerful theoretical and scientific basis for studies on knee osteoarthritis (OA), which is of great significance for clinical management as it provides new concepts and methods in clinical and research settings. This study aimed to discuss and summarize biomechanical research on lower extremities in individuals with knee OA in the past ten years. The methodology of this review followed the framework outlined in the Joanna Briggs Institute (JBI) guidelines and strictly followed the checklist for drafting the findings. A literature search was conducted using PubMed, Scopus, Cochrane Library, Embase, Web of Science, Grey literature search in Open Library, and Google Academic databases. Relevant literature was searched from 2011 to 2023. Sixteen studies were included in this scoping review. Biomechanical research on knee OA in the last decade demonstrates that the biomechanics of the hip, knee, and ankle have a profound influence on the pathogenesis and treatment of knee OA. Individuals with knee OA have biomechanical changes in hip, knee, and ankle joints such as a significant defect in the strength of ankle varus muscles, weakness of hip abductor muscle, walking with toes outwards, increased knee adduction moment and angle, and decreased knee extensor moment. As the severity of knee OA increases, the tendency of hip abduction positions also increases. Further research with a longitudinal study design should focus on the determination of the relative importance of different biomechanical and neuromuscular factors in the development and progression of the disease.
摘要：
生物力学研究可以为膝骨关节炎(OA)的研究提供有力的理论和科学依据,这对临床管理具有重要意义，因为它为临床和研究环境提供了新的概念和方法。本研究旨在讨论和总结近十年来膝关节OA患者下肢生物力学研究。本次审查的方法遵循了乔安娜·布里格斯研究所（JBI）指南中概述的框架，并严格遵循了起草调查结果的清单。使用PubMed进行了文献检索，Scopus,科克伦图书馆,Embase,WebofScience,开放式图书馆中的灰色文献检索,和谷歌学术数据库。从2011年到2023年检索了相关文献。这项范围审查包括16项研究。近十年来对膝关节OA的生物力学研究表明,膝盖,和踝关节对膝关节OA的发病机制和治疗有深远的影响。膝关节OA患者髋部生物力学改变,膝盖,和踝关节，如踝内翻肌肉力量的显著缺陷，髋关节外展肌无力，用脚趾向外行走，增加膝盖内收力矩和角度，膝盖伸肌力矩减少。随着膝关节OA的严重程度增加，髋关节外展位置的趋势也增加。纵向研究设计的进一步研究应侧重于确定不同生物力学和神经肌肉因素在疾病发展和进展中的相对重要性。
