中国组织工程研究

中国组织工程研究 ›› 2010, Vol. 14 ›› Issue (24): 4439-4444.doi: 10.3969/j.issn.1673-8225.2010.24.016

• 组织构建与生物力学 tissue construction and biomechanics • 上一篇    下一篇

妊娠相关骨盆痛患者的行走步态与运动协调

吴文华1,2，林晓聪1,2   

  1. 1福建医科大学附属第二医院骨科，福建省泉州市  362000；2福建医科大学骨科生物力学研究室，福建省泉州市 362000
  • 出版日期:2010-06-11 发布日期:2010-06-11
  • 通讯作者: 吴文华，博士，主任医师，福建医科大学附属第二医院骨科，福建省泉州市 362000 drwuwenhua@126.com
  • 作者简介:吴文华☆，男，1966年生，福建省南安市人，汉族，2004年获荷兰阿姆斯特丹Vrije大学博士学位，主任医师，主要从事脊柱与关节损伤的研究。 drwuwenhua@126.com
  • 基金资助:

    福建省高等学校新世纪优秀人才支持计划(NCETFJ-0611)、教育部留学回国人员科研启动基金(教外司留[2005]383号) 。

Gait and movement coordination in patients with pregnancy-related pelvic girdle pain

Wu Wen-hua 1,2 , Lin Xiao-cong 1,2   

  1. 1 Department of Orthopaedic Surgery, Second Affiliated Hospital of Fujian Medical University, Quanzhou  362000, Fujian Province, China; 2 Orthopaedic Biomechanics Laboratory of Fujian Medical University, Quanzhou  362000, Fujian Province, China
  • Online:2010-06-11 Published:2010-06-11
  • About author:Wu Wen-hua☆, Doctor, Chief physician, Department of Orthopaedic Surgery, Second Affiliated Hospital of Fujian Medical University, Quanzhou 362000, Fujian Province, China drwuwenhua@126.com
  • Supported by:

    the Program for New Century Excellent Talents in Fujian Provincial University, No. NCETFJ-0611*; the Scientific Research Foundation for the Returned Overseas Chinese Scholars, State Education Ministry, No. [2005]383*

PDF

317

被引次数

1

摘要：

背景：妊娠相关骨盆痛患者常常有不同程度的行走功能障碍，但具体发病机制尚未阐明。
目的：通过了解妊娠相关骨盆痛患者步行速度、步态与胸廓、骨盆和腰椎的运动协调的变化，探讨妊娠相关骨盆痛运动病理机制。
方法：比较12名健康孕妇和12名患有妊娠相关骨盆痛孕妇的步态运动，计算其胸廓、骨盆和腰椎在水平面上节段性旋转的幅度、各个节段旋转的时间差和节段间的相对相以及脊柱整体旋转的幅度。
结果与结论：妊娠相关骨盆痛患者的步行速度较对照组慢，并且与运动恐惧感呈负性相关。患者胸廓、骨盆和腰椎的旋转幅度较大，而且有较大的个体间差异。脊柱的旋转在两组间没有差别。患者快速步行时胸廓旋转的峰值出现在步态周期的早期而相对相却较小，也许这可以避免骶髂关节和脊柱过度旋转的转矩。

关键词: 妊娠相关骨盆痛, 运动学, 运动协调, 相对相, 生物力学

Abstract:

BACKGROUND: Walking is often impaired in pregnancy-related pelvic girdle pain (PPP), but the precise pathogenesis remains poorly understood.
OBJECTIVE: To better understand the walking velocity, gait and changes in movement coordination in patients with PPP and to explore its underlying mechanism of movement pathology.
METHODS: The gait kinematics of 12 healthy pregnant women and 12 pregnant women with PPP were compared, focusing on the amplitudes of transverse pelvic, lumbar, and thoracic segmental rotations, the timing and relative phase of these rotations, and the amplitude of spinal rotations.
RESULTS AND CONCLUSION: The walking velocity of pregnant women with PPP was lower than that of the controls, and negatively correlated with fear of movement. While patients’ amplitudes were larger in transverse pelvic, lumbar, and thoracic segmental rotations, and there were large inter-individual differences. The spinal rotations did not differ between groups. In the patients, peak thorax rotation occurred earlier in the stride cycle at higher velocities, and relative phase was lower, probably to avoid excessive rotational torque in the sacroiliac joints and the spine.

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