Characteristics of dynamic balance function in patients with knee osteoarthritis

doi:10.3969/j.issn.2095-4344.2013.22.026

Abstract

Abstract:

BACKGROUND: Patients with knee osteoarthritis have decreased knee muscle strength and knee extensor muscle strength thus affecting the balance control ability.
OBJECTIVE: To explore the change characteristics of dynamic balance ability in knee osteoarthritis patients.
METHODS: Twenty-two knee osteoarthritis patients (knee osteoarthritis group) and 20 healthy adults (control group) were included. The dynamic balance ability was tested with dynamic balance device. The stability index, anterior/posterior stability index and medial/lateral stability index were measured. In limits of stability test, we measured direction control performance, average direction control performance, forward
direction control performance, back direction control performance, left direction control performance, right direction control performance, forward/left direction control performance, forward/right direction control performance, back/left direction control performance, back/right direction control performance and limits of stability time.
RESULTS AND CONCLUSION: The total instability index, anterior/posterior stability index and medial/lateral stability index with eyes open or closed while standing with feet in the knee osteoarthritis group were higher than those in the control group (P < 0.01), and the average direction control performance, forward direction control performance, back direction control performance, left direction control performance and right direction control performance were lower than those in the control group, but the time for accomplish the test was increased significantly (P < 0.01). The results indicated the dynamic balance ability of the knee osteoarthritis patients was decreased.

Key words: bone and joint implants, clinical practice of bone and joint, knee osteoarthritis, posture, balance control ability, visual sensation, proprioceptive sensation, vestibular sensation, balance, osteoarthritis

CLC Number:

R318

Li Qing, Xie Lian-hong, Yang Jian, Fan Li. Characteristics of dynamic balance function in patients with knee osteoarthritis[J]. Chinese Journal of Tissue Engineering Research, doi: 10.3969/j.issn.2095-4344.2013.22.026.

Figures/Tables 3

References

[1]Guo YM, Huang P, Chen W, et al. Zhongguo Kangfu Lilun yu Shijian. 2012;18(1):25-29.郭燕梅,黄鹏,陈蔚,等.老年单、双膝痛骨关节炎患者的平衡功能及其跌倒风险对比分析[J].中国康复理论与实践,2012, 18(1):25-29.

[2]Zeng QY, Xu JC. Zhongguo Shiyong Neike Zazhi. 1998;18: 108-109.曾庆馀,许敬才．骨关节炎的分类诊断和流行病学[J].中国实用内科杂志,1998,18:108-109.

[3]Zhang Y, An CP, Su JY, et al. Hebei Yiyao. 2009;31(8):942.张英,安翠平,苏敬阳,等.透明质酸钠治疗膝关节骨性关节炎的疗效评价[J].河北医药,2009,31(8):942.

[4]An MJ, Hu XF, Liu Y, et al. Zhongguo Yixue Wulixue Zazhi. 2011;28(2):2550-2557.安美君,胡秀坊,刘颖,等.人体平衡功能测试评估和训练系统软件的设计[J].中国医学物理学杂志,2011,28(2):2550-2557.

[5]Zhang L, Li CH, Weng CS, et al. Zhongguo Kangfu Lilun yu Shijian. 2011;17(7):637-639.张丽,黎春华,瓮长水,等.Tetrax平衡测试系统用于老年人平衡功能测试的重测信度[J].中国康复理论与实践,2011,17(7): 637-639.

[6]Shen M, Fang D, Gu QY, et al. Zhongguo Kangfu Lilun yu Shijian. 2010;16(3):249-250.沈敏,方栋,顾秋燕,等. Tetrax平衡测试与训练对脑梗死偏瘫患者平衡功能的影响[J].中国康复理论与实践,2010,16(3):249-250.

[7]Li WB, Men GL, Wang DM. Renlei Gongxiaoxue. 2000; 6(3): 46-50.李文彬,门高利,王德明.人体平衡功能测试系统研究进展[J]. 人类工效学,2000,6(3):46-50.

[8]Asseman F, Caron O, Cremieux J. Effects of the removal of vision on body sway during different postures in elite gymnasts. Int J Sports Med. 2005;26(2):116-119.

[9]Vuillerme N, Danion F, Marin L, et al. The effect of expertise in gymnastics on postural control. Neurosic Lett. 2001;303: 83-86.

[10]Coleman A. Higher risk of multiple falls among elderly women who lose visual acuity. Ophthalmology. 2004;111(5):857-862.

[11]Li R, Wang NH, Wei KL, et al. ZHongguo Kangfu Yixue Zazhi. 2012;27(7):625-630.李睿,王宁华,魏坤琳,等.视动力刺激对下背痛患者姿势控制的影响[J].中国康复医学杂志,2012,27(7):625-630.

[12]Ivers RQ, Cumming RG, Mitchell P, et al. Visual risk factors for hip fracture in older people. J Am Geriatr Soc. 2003;51(3): 356-363.

[13]Bacsi AM, Colebatch JG. Evidence for reflex and perceptual vestibular contributions to postural control. Exp Brain Res. 2005;160(1):22-28.

[14]Zhang L, Weng CS, Wang QH, et al. Zhongguo Kangfu Lilun yu Shijian. 2010;16(1):16-18.张丽,瓮长水,王秋华,等.前庭感觉、本体感觉及视觉功能对老年人跌倒风险影响的因素分析[J].中国康复理论与实践,2010, 16(1):16-18.

[15]Wu G., Zhao F, Zhou X, et al. Improvement of isokinetic knee extensor strength and reduction of postural sway in the elderly from long-term Tai Chi exercise. Arch Phys Med Rehabil. 2002;83(10):1364-1369.

[16]Wang LC, Zhang LQ, Zhang Y, et al.Zhongguo Kangfu Yixue Zazhi. 2012;27(3):251-253.王连成,章黎勤,张祎,等.平衡和步态分析测试在老年人跌倒风险评估中的应用[J].中国康复医学杂志,2012,27(3):251-253.

[17]Jin DM, Yan TB. Zhonghua Wuli Yixue yu Kangfu Zazhi. 2002; 24(3):187-189.金冬梅,燕铁斌.平衡功能临床评定研究进展[J].中华物理医学与康复杂志,2002,24(3):187-189.

[18]Ma Y, Wu QW, Ma SH, et al. Zhongguo Zuzhi Gongcheng Yanjiu. 2012;16(2):353-356.马玉,吴庆文,马素慧,等.平衡仪与人体平衡功能的评定及干预[J].中国组织工程研究,2012,16(2):353-356.

[19]Zhu Q, Yang JZ, Qiao L, et al. Zhongguo Kangfu. 2010;25(6): 439-440.朱琪,羊健中,乔蕾,等.视觉代偿对系统性红斑狼疮患者平衡功能的影响[J].中国康复,2010,25(6):439-440.

[20]Xu GH, Zheng JJ, Chen XE. Zhongguo Kangfu Linlun yu Shijian. 2009;15(12):1153-1155.徐国会,郑洁皎,陈秀恩.老年双膝骨性关节炎患者膝关节屈伸肌力与静态平衡的变化特征[J].中国康复理论与实践,2009, 15(12): 1153-1155.

[21]Muir SW,Berg K,Chesworth B,et al.Quantifying the magnitude of risk for balance impairment on falls in community-dwelling older adults:a systematic review and meta-analysis.J Clin Epidemiol. 2010;63(4):389-406.

[22]Bai HJ. Chengdu Tiyu Xueyuan Xuebao. 2012;38(5):91-94.白海军.平衡垫训练对女性膝骨关节炎患者膝关节本体感觉影响的研究[J].成都体育学院学报,2012,38(5):91-94.

[23]Liu YB, Li JA. Laonian Kangfu Lilun yu Shijian. 2012;18(1):5-8.刘元标,励建安.老年人跌倒与平衡及步态异常[J].中国康复理论与实践,2012,18(1):5-8.

[24]Guo YM, Huang P, Weng CS, et al. Wujing Yixue. 2012;23(1): 30-34.郭燕梅,黄鹏,翁长水,等.膝骨关节炎患者平衡功能下降的影响因素分析[J].武警医学,2012,23(1):30-34.