背景:股骨髋臼撞击综合征是髋关节疼痛的主要原因之一,而中国对股骨髋臼撞击综合征康复领域的研究较为缺乏。目的:采用Web of Science和Citespace软件以科学数据结合图谱的形式呈现股骨髋臼撞击综合征康复领域内的研究趋势和研究热点,...背景:股骨髋臼撞击综合征是髋关节疼痛的主要原因之一,而中国对股骨髋臼撞击综合征康复领域的研究较为缺乏。目的:采用Web of Science和Citespace软件以科学数据结合图谱的形式呈现股骨髋臼撞击综合征康复领域内的研究趋势和研究热点,并进行分析以展望研究和提出未来可研究方向。方法:在Web of Science核心集中检索2012-2021年股骨髋臼撞击综合征康复领域的相关关键词,并进行文献计量学分析,而后采用Citespace软件进行国家、机构、作者、期刊、关键词及文献共被引可视化分析,总结近10年的研究趋势和研究热点。结果与结论:①股骨髋臼撞击综合征康复领域逐渐受到学者的关注,发文量和被引量逐年增加,其中美国处于领先地位;②中国学者发文量较少,仅与澳大利亚和美国学者有合作关系,在此领域内的影响力有待提升;③通过关键词和文献共被引突现分析可知:研究趋势为股骨髋臼撞击综合征患者的步态功能、股骨髋臼撞击综合征非手术治疗/保守治疗/物理治疗的临床疗效、髋关节镜与非手术治疗的疗效对比;④结合关键词和文献共被引高频次、高中心性和聚类分析可知此领域研究热点包括:探究股骨髋臼撞击综合征疼痛的诊断、非手术治疗与髋关节镜手术治疗的短期/中期/长期的临床效果、股骨髋臼撞击综合征患者应用物理治疗的康复疗效、自我报告量表的适用性、股骨髋臼撞击综合征伴有软骨损伤或盂唇损伤的康复方案和关注它们的康复进程、预防股骨髋臼撞击综合征进展为骨关节炎;⑤文章通过对近10年文献分析可知探究非手术/手术治疗的临床疗效、非手术治疗与手术治疗中长期的疗效对比、股骨髋臼撞击综合征的并发损失以及预后、康复干预手段的随机对照试验及其细节描述是未来此领域可研究的方向。展开更多
临界型髋关节发育不良(borderline hip dysplasia,BHD)是从定义到治疗均具争议的概念。传统上将外侧中心边缘角(lateral center-edge angle,LCEA)20°~25°作为BHD的影像学诊断标准。由于BHD患者髋关节畸形的多态性,可能存在髋...临界型髋关节发育不良(borderline hip dysplasia,BHD)是从定义到治疗均具争议的概念。传统上将外侧中心边缘角(lateral center-edge angle,LCEA)20°~25°作为BHD的影像学诊断标准。由于BHD患者髋关节畸形的多态性,可能存在髋关节不稳定和/或髋股撞击。但迄今缺乏诊断及鉴别诊断的“金标准”。因此,术前需从症状、体征和影像学三方面全面评估BHD患髋,以明确是否存在髋关节不稳定和/或髋股撞击,以采取合适的治疗手段。展开更多
目的研究磁共振双回波稳态(DESS)及T2-mapping序列在髋关节撞击综合征(FAI)关节软骨退变早期的价值。方法选取经过临床确诊的30例早期髋关节撞击综合征患者分别行FS-T2WI、DESS、T2-mapping检查。结果 DESS发现FAI软骨损伤的阳性率显著...目的研究磁共振双回波稳态(DESS)及T2-mapping序列在髋关节撞击综合征(FAI)关节软骨退变早期的价值。方法选取经过临床确诊的30例早期髋关节撞击综合征患者分别行FS-T2WI、DESS、T2-mapping检查。结果 DESS发现FAI软骨损伤的阳性率显著高于FS-T2WI(10/30 vs 3/30,χ2=4.812,P=0.028),T2-mapping发现FAI软骨损伤的阳性率也显著高于FS-T2WI(11/30 vs 3/30,χ2=5.963,P=0.015),DESS和T2-mapping发现FAI软骨损伤的阳性率差异无统计学意义(χ2=0.073,P=0.787)。结论 DESS序列显示髋关节软骨退变敏感度较高,T2-mapping序列成像对FAI关节软骨早期退变进行直观的定量评估,可以发现软骨早期病变,从而能为临床治疗FAI方案提供重要参考依据。展开更多
Background:Dynamic knee valgus(DKV)is an abnormal movement pattern visually characterized by excessive medial movement of the lower extremity during weight bearing.Differences in hip and knee kinematic components of D...Background:Dynamic knee valgus(DKV)is an abnormal movement pattern visually characterized by excessive medial movement of the lower extremity during weight bearing.Differences in hip and knee kinematic components of DKV may explain the emergence of different pain problems in people who exhibit the same observed movement impairment.Using a secondary analysis of exiting data sets,we sought to determine whether hip and knee frontal and transverse plane angles during a functional task differed between women with patellofemoral pain and women with chronic hip joint pain and the relationship between joint-specific kinematics and pain in these 2 pain populations.Methods:In the original studies,3-dimensional hip and knee kinematics during a single-limb squat were obtained in 20 women with patellofemoral pain and 14 women with chronic hip joint pain who demonstrated visually classified DKV.Pain intensity during the squat was assessed in both groups.For the secondary analysis,kinematic data were compared between pain groups using their respective control groups as a reference.Within each pain group,correlation coefficients were used to determine the relationship between kinematics and pain during the squat.Results:Hip adduction and contralateral pelvic drop were greater in those with chronic hip joint pain compared to those with patellofemoral pain(effect sizes ≥0.40).Greater knee external rotation(r= 0.47,p= 0.04)was correlated with greater knee pain in those with patellofemoral pain,while greater hip adduction(r = 0.53,p = 0.05)and greater hip internal rotation(r = 0.55,p = 0.04)were correlated with greater hip pain in those with chronic hip joint pain.Conclusion:Hip frontal plane motion was greater in those with chronic hip joint pain compared to those with patellofemoral pain.In both groups,greater abnormal movement at the respective joint(e.g.,knee external rotation in the patellofemoral pain group and hip adduction and internal rotation in the chronic hip joint pain group)was associated with greater pain at that joint during a single-limb squat.展开更多
文摘背景:股骨髋臼撞击综合征是髋关节疼痛的主要原因之一,而中国对股骨髋臼撞击综合征康复领域的研究较为缺乏。目的:采用Web of Science和Citespace软件以科学数据结合图谱的形式呈现股骨髋臼撞击综合征康复领域内的研究趋势和研究热点,并进行分析以展望研究和提出未来可研究方向。方法:在Web of Science核心集中检索2012-2021年股骨髋臼撞击综合征康复领域的相关关键词,并进行文献计量学分析,而后采用Citespace软件进行国家、机构、作者、期刊、关键词及文献共被引可视化分析,总结近10年的研究趋势和研究热点。结果与结论:①股骨髋臼撞击综合征康复领域逐渐受到学者的关注,发文量和被引量逐年增加,其中美国处于领先地位;②中国学者发文量较少,仅与澳大利亚和美国学者有合作关系,在此领域内的影响力有待提升;③通过关键词和文献共被引突现分析可知:研究趋势为股骨髋臼撞击综合征患者的步态功能、股骨髋臼撞击综合征非手术治疗/保守治疗/物理治疗的临床疗效、髋关节镜与非手术治疗的疗效对比;④结合关键词和文献共被引高频次、高中心性和聚类分析可知此领域研究热点包括:探究股骨髋臼撞击综合征疼痛的诊断、非手术治疗与髋关节镜手术治疗的短期/中期/长期的临床效果、股骨髋臼撞击综合征患者应用物理治疗的康复疗效、自我报告量表的适用性、股骨髋臼撞击综合征伴有软骨损伤或盂唇损伤的康复方案和关注它们的康复进程、预防股骨髋臼撞击综合征进展为骨关节炎;⑤文章通过对近10年文献分析可知探究非手术/手术治疗的临床疗效、非手术治疗与手术治疗中长期的疗效对比、股骨髋臼撞击综合征的并发损失以及预后、康复干预手段的随机对照试验及其细节描述是未来此领域可研究的方向。
文摘临界型髋关节发育不良(borderline hip dysplasia,BHD)是从定义到治疗均具争议的概念。传统上将外侧中心边缘角(lateral center-edge angle,LCEA)20°~25°作为BHD的影像学诊断标准。由于BHD患者髋关节畸形的多态性,可能存在髋关节不稳定和/或髋股撞击。但迄今缺乏诊断及鉴别诊断的“金标准”。因此,术前需从症状、体征和影像学三方面全面评估BHD患髋,以明确是否存在髋关节不稳定和/或髋股撞击,以采取合适的治疗手段。
文摘目的研究磁共振双回波稳态(DESS)及T2-mapping序列在髋关节撞击综合征(FAI)关节软骨退变早期的价值。方法选取经过临床确诊的30例早期髋关节撞击综合征患者分别行FS-T2WI、DESS、T2-mapping检查。结果 DESS发现FAI软骨损伤的阳性率显著高于FS-T2WI(10/30 vs 3/30,χ2=4.812,P=0.028),T2-mapping发现FAI软骨损伤的阳性率也显著高于FS-T2WI(11/30 vs 3/30,χ2=5.963,P=0.015),DESS和T2-mapping发现FAI软骨损伤的阳性率差异无统计学意义(χ2=0.073,P=0.787)。结论 DESS序列显示髋关节软骨退变敏感度较高,T2-mapping序列成像对FAI关节软骨早期退变进行直观的定量评估,可以发现软骨早期病变,从而能为临床治疗FAI方案提供重要参考依据。
基金supported by the Washington University Institute of Clinical and Translational Sciences (No. UL1 TR000448) (Schmidt)the National Center for Advancing Translational Sciences (No. TLl TR000449) (Schmidt)+1 种基金the National Center for Medical Rehabilitation Research, National Institute of Child Health and Human Development, and National Institute of Neurological Disorders and Stroke (No. K23 HD067343,K12 HD055931) (Harris-Hayes)the National Center for Medical Rehabilitation Research, National Institute of Child Health and Human Development (No. R15HD059080)
文摘Background:Dynamic knee valgus(DKV)is an abnormal movement pattern visually characterized by excessive medial movement of the lower extremity during weight bearing.Differences in hip and knee kinematic components of DKV may explain the emergence of different pain problems in people who exhibit the same observed movement impairment.Using a secondary analysis of exiting data sets,we sought to determine whether hip and knee frontal and transverse plane angles during a functional task differed between women with patellofemoral pain and women with chronic hip joint pain and the relationship between joint-specific kinematics and pain in these 2 pain populations.Methods:In the original studies,3-dimensional hip and knee kinematics during a single-limb squat were obtained in 20 women with patellofemoral pain and 14 women with chronic hip joint pain who demonstrated visually classified DKV.Pain intensity during the squat was assessed in both groups.For the secondary analysis,kinematic data were compared between pain groups using their respective control groups as a reference.Within each pain group,correlation coefficients were used to determine the relationship between kinematics and pain during the squat.Results:Hip adduction and contralateral pelvic drop were greater in those with chronic hip joint pain compared to those with patellofemoral pain(effect sizes ≥0.40).Greater knee external rotation(r= 0.47,p= 0.04)was correlated with greater knee pain in those with patellofemoral pain,while greater hip adduction(r = 0.53,p = 0.05)and greater hip internal rotation(r = 0.55,p = 0.04)were correlated with greater hip pain in those with chronic hip joint pain.Conclusion:Hip frontal plane motion was greater in those with chronic hip joint pain compared to those with patellofemoral pain.In both groups,greater abnormal movement at the respective joint(e.g.,knee external rotation in the patellofemoral pain group and hip adduction and internal rotation in the chronic hip joint pain group)was associated with greater pain at that joint during a single-limb squat.
