膝痹的“筋骨力失衡”与现代生物力学的相关性探讨

Discussion on the relationship between the"imbalance of muscle and bone strength"of knee paralysis and modern biomechanics

随着人口老龄化及肥胖趋势的增加,膝关节骨性关节炎(Knee osteoarthritis,KOA)全方位负担持续加重。现代研究发现KOA的发病以力学因素为先导,中医理论认为KOA的发生发展与"筋骨失衡"密切相关。随着影像学、运动生物力学的发展,下肢髋-膝-踝长轴X线、三维运动捕捉、表面肌电等技术的应用能够实现KOA筋骨的力学评价,为"筋骨失衡"理论增添创新性的现代力学机制阐释,从生物力学角度分析KOA"筋骨力失衡"的理论与临床。

As the population ages and obesity increases,the all-round burden of knee osteoarthritis(KOA)continues to increase.Modern studies have found that the pathogenesis of KOA is preceded by mechanical factors,and TCM theory believes that the occurrence and development of KOA are closely related to"muscles and bones imbalance".With the development of imaging and sports biomechanics,the application of lower limb hip-knee-ankle long-axis X-rays,three-dimensional motion capture,surface electromyography and other technologies can realize the mechanical evaluation of KOA muscles and bones,adding innovation to the theory of"muscles and bones imbalance"Interpretation of the modern mechanics mechanism of KOA,and analyze the theory and clinic of KOA’s"unbalance of muscle and bone force"from the perspective of biomechanics.