CAJ | 학술논문

国际上，针对膝骨关节炎（Knee Osteoarthritis，KOA）患者进行步态分析并没有形成共识的最佳方法。尽管缺乏这些方面的标准化，这始终表明，根据疾病的不同阶段，骨关节炎患者可能表现出不同的步态参数。本文通过文献检索的方式汇总了相关文献，总结并回顾了近几年来关于衡量骨关节炎特征的研究，以及步态参数的变异性对于发病率的高低的影响。文献检索结果包含七项关于对照运动学参数研究，九项针对动力学参数以及四项针对 EMG 分析方面的研究、六项针对步态分析治疗效果的研究。
국제상，침대슬골관절염（Knee Osteoarthritis，KOA）환자진행보태분석병몰유형성공식적최가방법。진관결핍저사방면적표준화，저시종표명，근거질병적불동계단，골관절염환자가능표현출불동적보태삼수。본문통과문헌검색적방식회총료상관문헌，총결병회고료근궤년래관우형량골관절염특정적연구，이급보태삼수적변이성대우발병솔적고저적영향。문헌검색결과포함칠항관우대조운동학삼수연구，구항침대동역학삼수이급사항침대 EMG 분석방면적연구、륙항침대보태분석치료효과적연구。
Objective:Internationally,there was no consensus on the best approach for gait analysis in patients with osteoarthritis (OA)of the knee.Although there is lack of standardization,it is consistently demonstrated that osteoarthritis patients may exhibit different gait parameters according to the disease stage.Methods:This summary reviews recent studies that have been undertaken to explore the manner for measure the characteristic on osteoarthritis,and clarify how the variability of gait parameters is influenced by the morbidity of KOA.Results:Twenty two studies were included,among which six were contrapose kinematics parameter,six were contrapose kinetic parameter,four were EMG analysis,and six were about the gait analysis in treatment effect.Conclusion:3DGA as a new biological mechanics analysis method has widely used in the study of many diseases.Based on the uncertainty of the pathogenic mechanism of KOA,diagnosis and treatment are lack of a quantitative criteria of absolute authority.This will not benefit the systematic KOA diagnosis as well as the quantity of severity of its definition.