跳到主要內容

臺灣博碩士論文加值系統

(44.200.86.95) 您好!臺灣時間:2024/05/30 03:15
字體大小: 字級放大   字級縮小   預設字形  
回查詢結果 :::

詳目顯示

: 
twitterline
研究生:閆傳心
研究生(外文):Chuan-Hsin Yen
論文名稱:不同嚴重程度膝關節炎患者在關節鏡軟骨再生手術後步態的變化
論文名稱(外文):Changes in the Gait Pattern in Patients of Different Severity Levels in Knee Osteoarthritis after Received Arthroscopic Cartilage Regeneration Facilitating Procedure
指導教授:陳俊忠陳俊忠引用關係
指導教授(外文):Jing-Jong Chen
學位類別:碩士
校院名稱:國立陽明大學
系所名稱:物理治療暨輔助科技學系
學門:醫藥衛生學門
學類:復健醫學學類
論文種類:學術論文
論文出版年:2018
畢業學年度:107
語文別:中文
論文頁數:71
中文關鍵詞:退化性膝關節炎膝關節鏡手術步態足壓
外文關鍵詞:knee osteoarthritisknee joint arthroscopygait patternfoot pressure
相關次數:
  • 被引用被引用:0
  • 點閱點閱:596
  • 評分評分:
  • 下載下載:17
  • 收藏至我的研究室書目清單書目收藏:1
背景與目的:膝關節骨性關節炎 (Knee Osteoarthritis,Knee OA) 可能對膝關節產生一定的生化作用,改變患者的下肢生物力學。了解疾病嚴重程度與足壓分佈之間的關係非常重要。膝關節鏡軟骨再生手術 (Arthroscopic Cartilage Regeneration Facilitating Procedure,ACRFP) 修補與去除造成膝關節內受損或導致發炎的組織提供膝關節有較好的環境,已證實對膝關節炎患者帶來正面影響。因此本研究目的除了探討不同嚴重程度膝關節炎患者的內側與外側動態足壓分佈,進一步會討論ACRFP對不同嚴重程度患者的動態足底壓力變化影響。
方法:這是一個探索型研究,研究已獲得新北市慈濟醫院人體試驗委員會的批准,在台北慈濟醫院進行,共收入62位準備接受ACRFP手術的患者 (Kellgren Lawrence KL Grade I & II : 27; Grade III : 20; Grade IV : 15),當中有24位患者(KL Grade I & II : 14; Grade Ⅲ: 5; Grade IV : 5)在術後六個月完成三次完整追蹤紀錄(術前、術後3個月和6個月)。我們以膝關節損傷和骨關節炎結果評分(KOOS)評量患者膝關節症狀以及Linear Platform (DIASU Health Technologies) 測量動態足底壓力分佈。每一個足壓腳印會被分成以下三個區域,前足、中足、後足。我們以相依樣本t檢定和Wilcoxon sign-rank test分析膝關節炎患者上述三個足部區域的內外側壓力,統計顯著水準定在0.05。
結果:從62位膝關節炎患者足壓分佈觀察到僅有中度患者(KL Grade III)之較差側和嚴重患者(KL Grade IV)之雙側出現,後足外側壓力顯著大於內側壓力,我們推論退化性膝關節炎會影響患者行走時脛骨旋轉機制,導致後足可能出現過度外翻的表現。在ACRFP介入後,有14名膝關節炎患者 (14/24) 足底內側壓力呈現增加趨勢,推測可能可以減少內側膝關節腔室的負荷。ACRFP改善所有患者膝關節症狀,但在術後6個月,中度和嚴重組的膝關節症狀卻有增加的趨勢,然而目前針對ACRFP術後復健僅建議患者術後執行壓腿、抱膝、抬腿三項復健運動,或許應該將步態訓練放進ACRFP術後復健中以讓 ACRFP 效果得以持續。
結論:膝關節炎會在行走期間影響脛骨旋轉,進而影響後足生物力學。在接受ACRFP後,膝關節炎患者足底壓力分佈的變化趨向整體內側壓力增加的趨勢,其有可能是降低內側膝關節腔室的表現。
臨床意義:膝關節炎會在行走期間影響脛骨旋轉,導致後足可能出現過度外翻的表現。將步態訓練加進ACRFP術後復健的衛教,有助於延長和增加ACRFP對膝關節炎患者的效益。
Background and purpose: Osteoarthritis of the knee may cause biochemical changes in the knee joint, and subsequently influences the lower extremity biomechanics. Knowing the relationship between the disease severity and foot pressure distribution would be helpful designing shoe insert or performing knee surgeries. One of these surgical procedures was Arthroscopic Cartilage Regeneration Facilitating Procedure (ACRFP), which aimed to provide a preferable environment for cartilage regenerating had shown to give a positive impact for patients with knee OA. Therefore, the study purpose was to investigate the medial and lateral dynamic foot pressure distribution in patients with different severity levels of knee OA, then to explore the influences of the ACRFP on their foot pressure distribution.
Methods: This was an exploratory study done at Taipei Tzu Chi Hospital. 62 patients waiting for arthroscopic procedure were recruited (Kellgren Lawrence KL grade I& II:27; Grade III:20; Grade IV:15). In the post-operation 6 month, 24 patients (KL grade I& II:14; Grade III:5; Grade IV:5) completed the three-time assessments (pre-operation, post-operation 3 and 6 month). The Knee injury and Osteoarthritis Outcome Score (KOOS) was used to measure knee joint symptoms and the dynamic foot pressure measurement was performed with Linear Platform (DIASU Health Technologies). Each foot pressure was divided into the following three sections, the forefoot, midfoot and hindfoot, respectively. Paired-t test and wilcoxon signed-rank test were used to compare the difference between medial and lateral half of each foot section. The level of significance was set at 0.05.
Results: The pressure of the lateral side of the hindfoot was significantly higher than the medial KL Grade III and IV was found, we inferred that knee OA would affect tibia rotation during walking, and this may subsequently cause the hindfoot over eversion. After the ACRFP, 14 patients (14/24) tended to shift the foot pressure medially, subsequently reducing the loading of the medial knee joint. ACRFP improved knee joint symptoms in all patients but the improvement was decreased in the moderate and severe groups at 6 month post-operatively. Although the ACRFP post-operative rehabilitation includes quadriceps strengthen, knee press and knee flexion, it could be more beneficial to add gait training to reduce medial joint load for these patients.
Conclusion: Knee OA would affect tibia rotation during walking, and this may subsequently affect the hindfoot biomechanics. After receiving ACRFP, patients in the more severer levels the foot pressure distribution tended to shift the foot pressure distribution toward a increasement in the medial side of the foot, in which loading of the medial knee joint might be reduced.
Clinical Relevance: Knee OA would affect tibia rotation during walking, and this might subsequently affect the hindfoot biomechanics. The gait training could be beneficial to knee OA patients after receiving the ACRFP as part of the post-operative rehabilitation program.
誌謝.................................................i
中文摘要.............................................ii
英文摘要.............................................iv
目錄.................................................vi
表目錄...............................................viii
圖目錄...............................................ix
第一章 緒論..........................................1
第一節 研究背景與動機................................1
第二節 研究目的......................................2
第三節 重要性........................................2
第二章 文獻回顧.......................................3
第一節 退化性膝關節炎與其相關危險因子..................3
第二節 退化性膝關節炎復健治療原則......................5
第三節 加速膝關節炎惡化的病理因子和關節鏡手術簡介........8
第四節 文獻回顧之綜合探討與研究目的.....................11
第三章 研究方法......................................13
第一節 研究設計.....................................13
第二節 研究材料與研究方法............................13
第三節 資料處理與分析方法............................17
第四節 前驅研究.....................................17
第四章 研究結果......................................19
第一節 不同嚴重程度膝關節炎之受試者基本資料.............19
第二節 不同嚴重程度膝關節炎患者動態足壓分佈比較.........19
第三節 接受膝關節鏡軟骨再生手術ACRFP之受試者基本資料....19
第四節 ACRFP對不同嚴重程度膝關節炎患者膝關節症狀影響....20
第五節 ACRFP對不同嚴重程度膝關節炎患者足壓分佈影響......20
第六節 ACRFP對內側與外側動態足壓變化的影響..............20
第五章 討論...........................................22
第一節 退化性膝關節炎會影響行走時的後足生物力學.........22
第二節 接受ACRFP的患者行走時足內側壓力有增加的趨勢......24
第三節 ACRFP術後復健探討.............................25
第四節 研究限制與未來研究方向.........................26
第六章 結論..........................................27
參考文獻............................................28
附錄................................................53
表一:不同嚴重程度膝關節炎受試者基本資料...............35
表二:輕度膝關節炎受試者動態足壓分佈...................36
表三:中度膝關節炎受試者動態足壓分佈...................37
表四:嚴重膝關節炎受試者動態足壓分佈...................38
表五:接受ACRFP的不同嚴重程度膝關節炎受試者基本資料......39
表六:輕度膝關節炎患者(N=14)接受ACRFP後KOOS的變化......40
表七:中度膝關節炎患者(N=5)接受ACRFP後KOOS的變化.......41
表八:嚴重膝關節炎患者(N=5)接受ACRFP後KOOS的變化.......42
表九:ACRFP對輕度膝關節炎患者動態足壓分佈影響............43
表十:ACRFP對中度膝關節炎患者動態足壓分佈影響............44
表十一:ACRFP對嚴重膝關節炎患者動態足壓分佈影響..........45
圖1:研究流程..........................................47
圖2:足底壓力平台Linear PlatformsR(DIASU Health Technologies)示意圖...................................48
圖3:足壓軟體MilletrixR(DIASU Health Technologies, Rome, Italy)擷取試驗步態承重期之雙腳足底壓力資料..............49
圖4:不同嚴重程度膝關節炎患者術前與ACRFP術後3個月的內側與外側動態足壓變化百分比.....................................50
圖5:不同嚴重程度膝關節炎患者ACRFP術後3個月與術後6個月的內側與外側動態足壓變化百分比.................................51
圖6:不同嚴重程度膝關節炎患者術前與ACRFP術後6個月的內側與外側動態足壓變化百分比.....................................52
1. Butler RJ, Marchesi S, Royer T, Davis IS. The effect of a subject-specific amount of lateral wedge on knee mechanics in patients with medial knee osteoarthritis. J Orthop Res. 2007;25:1121-7.
2. Hinman RS, Bowles KA, Payne C, Bennell KL. Effect of length on laterally-wedged insoles in knee osteoarthritis. Arthritis Rheum. 2008;59:144-7.
3. Andriacchi TP, Mündermann A. The role of ambulatory mechanics in the initiation and progression of knee osteoarthritis. Curr Opin Rheumatol. 2006;18:514-8.
4. Lyu SR. Arthroscopic medial release for medial compartment osteoarthritis of the knee: the result of a single surgeon series with a minimum follow-up of four years. J Bone Joint Surg Br. 2008;90:1186-92.
5. Lyu SR, Hsu CC, Lin CW. Arthroscopic cartilage regeneration facilitating procedure for osteoarthritic knee. BMC Musculoskelet Disord. 2012;13:226.
6. Orlin MN, McPoil TG. Plantar pressure assessment. Phys Ther. 2000;80:399-409.
7. Kellgren JH, Lawrence JS. Radiological assessment of osteoarthrosis. Ann Rheum Dis 1957;16:494-502.
8. Suri P, Morgenroth DC, Hunter DJ. Epidemiology of osteoarthritis and associated comorbidities. PM&R 2012;4:S10-9.
9. Lane NE, Brandt K, Hawker G, et al. OARSI-FDA initiative: Defining the disease state of osteoarthritis. Osteoarthritis Cartilage. 2011;19(5):478-82.
10. Cattano NM, Barbe MF, Massicotte VS, et al. Joint trauma initiates knee osteoarthritis through biochemical and biomechanical processes and interactions. OA Musculoskeletal Medicine. 2013;1(1):3.
11. Blagojevic M, Jinks C, Jeffery A, Jordan KP. Risk factors for onset of osteoarthritis of the knee in older adult: A systematic review and meta-analysis. Osteoarthritis Cartilage 2010;18:24-33.
12. Belo JN, Berger MY, Reijman M, Kose BW, et al. Prognostic factors of progression of osteoarthritis of the knee: A systematic review of observational studies. Arthritis Rheum 2007;57:13-26.
13. Reijman M, Pols HA, Bergink AP, et al. Body mass index associated with onset and progression of osteoarthritis of the knee but not of the hip: The Rotterdam Study. Ann Rheum Dis 2007;66:158-162.
14. Messier SP, Loeser RF, Miller GD, et al. Exercise and dietary weight loss in overweight and obese older adults with knee osteoarthritis: The Arthritis, Diet, and Activity Promotion Trial. Arthritis Rheum 2004;50:1501-1510.
15. Roos H, Adalberth T, Dahlberg L, Lohmander LS. Osteoarthritis of the knee after injury to the anterior cruciate ligament or meniscus: the influence of time and age. Osteoarthritis Cartilage 1995;3:261-267.
16. Lohmander LS, Ostenberg A, Englund M, Roos H. High prevalence of knee osteoarthritis, pain, and functional limitations in female soccer players twelve years after anterior cruciate ligament injury. Arthritis Rheum 2004;50:3145-3152.
17. Roos H, Lauren M, Adalberth T, Roos EM, Jonsson K, Lohmander LS. Knee osteoarthritis after meniscectomy: prevalence of radiographic changes after twenty-one years, compared with matched control. Arthritis Rheum 1998;41:687-693.
18. Hunter DJ, Eckstein F. Exercise and osteoarthritis. J Anat 2009;214:197-207.
19. Tanamas S, Hanna FS, Cicuttini FM, Wluka AE, Berry P, Urquhart DM. Does knee malalignment increase the risk of development and progression of knee osteoarthritis? A systematic review. Arthritis Rheum 2009;61:459-467.
20. Miyazaki T, Wada M, Kawahara H, Sato M, Baba H, Shimada S. Dynamic load at baseline can predict radiographic disease progression in medial compartment knee osteoarthritis. Ann Rheum Dis 2002;61:617-622.
21. Chang A, Hayes K, Dunlop D, et al. Thrust during ambulation and the progression of knee osteoarthritis. Arthritis Rheum 2004;50:3897-3903.
22. Sharma L, Hurwitz DE, Thonar EJ, et al. Knee adduction moment, serum hyaluronan level, and disease severity in medial tibiofemoral osteoarthritis. Arthritis Rheum 1998;41:1233-1240.
23. Murphy L, Schwartz TA, Helmick CG, et al. Lifetime risk of symptomatic knee osteoarthritis. Arthritis Rheum. 2008;59:1207-1213.
24. Farrokhi S, Voycheck CA, Tashman S, Fitzgerald GK. A biomechanical perspective on physical therapy management of knee osteoarthritis. J Orthop Sports Phys Ther. 2013;43:600-19.
25. Deyle GD, Allison SC, Matekel RL, et al. Physical therapy treatment effectiveness for osteoarthritis of the knee: a randomized comparison of supervised clinical exercise and manual therapy procedures versus a home exercise program. Phys Ther. 2005;85:1301-1317.
26. Deyle GD, Henderson NE, Garbar MB, Matekel RL, et al. Is manual physical therapy distinct from physical therapy clinical practice? Phys Ther. 2002;82:287-288.
27. Fisher NM, Gresham GE, Abrams M, et al. Quantitative effects of physical therapy on muscular and functional performance in subjects with osteoarthritis of the knees. Arch Phys Med Rehabil. 1993;74:840-847.
28. Mancuso CA, Ranawat CS, Esdaile JM, et al. Indications for total hip and total knee arthroplasties. Results of orthopaedic surveys. J Arthroplasty. 1996;11:34-46.
29. Felson DT. Osteoarthritis as a disease of mechanism. Osteoarthritis Cartilage 2013;21:10-15.
30. Andriacchi TP. Dynamic of knee malalignment. Orthop Clin North Am. 1994;25:395-403.
31. Ledingham J, Regan M, Jones A, Doherty M. Radiographic patterns and associations of osteoarthritis of the knee in patients referred to hospital. Ann Rheum Dis, 1993;52:520-526.
32. McAlindon TE, Snow S, Cooper C, Dieppe PA. Radiographic patterns of osteoarthritis of the knee joint in the community: the importance of the patellofemoral joint. Ann Rheum Dis. 1992;51:844-849.
33. Hunt MA, Birmingham TB, Giffin JR, Jenkyn TR. Associations among knee adduction moment, frontal plane ground reaction force, and lever arm during walking in patients with knee osteoarthritis. J Biomech. 2006;39:2213-2220.
34. Hurwitz DE, Ryals AB, Case JP, Block JA, Andriacchi TP. The knee adduction moment during gait in subjects with knee osteoarthritis is more closely correlated with static alignment than radiographic disease severity, toe out angle and pain. J Orthop Res. 2002;20:101-107.
35. Mündermann A, Dyrby CO, Andriacchi TP. Secondary gait changes in patients with medial compartment knee osteoarthritis: increased load at the ankle, knee, and hip during walking. Arthritis Rheum. 2005;52:2835-2844.
36. Baliunas AJ, Hurwitz DE, Ryals AB, et al. Increased knee joint loads during walking are present in subjects with knee osteoarthritis. Osteoarthritis Cartilage. 2002;10:573-579.
37. Amin S, Luepongsak N, McGibbon CA, et al. Knee adduction moment and development of chronic knee pain in elders. Arthritis Rheum. 2004;51:371-376.
38. Throp LE, Sumner DR, Wimmer MA, Block JA. Relationship between pain and medial knee joint loading in mild radiographic knee osteoarthritis. Arthritis Rheum.2007;57:1254-1260.
39. Bennell KL, Hunt MA, Wrigley TV, et al. Hip strengthening reduces symptoms but not knee load in people with medial knee osteoarthritis and varus malalignment: a randomized controlled trial. Osteoarthritis Cartilage. 2010;18:621-628.
40. Foroughi N, Smith RM, Lange AK, et al. Lower limb muscle strengthening does not change frontal plane moments in women with knee osteoarthritis: a randomized control trial. Clin Biomech (Bristol, Avon). 2011;26:167-174.
41. Sled EA, Khoja L, Deluzio KJ, et al. Effect of a home program of hip abductor exercises on knee joint loading, strength, function, and pain in people with knee osteoarthritis: a clinical trial. Phys Ther. 2010;90:895-904.
42. Mündermann A, Dyrby CO, Hurwitz DE, et al. Potential strategies to reduce medial compartment loading in patients with knee osteoarthritis of varying severity: reduced walking speed. Arthritis Rheum.2004;50:1172-1178.
43. Bennell KL, Kyriakides M, Metcalf B, et al. Neuromuscular versus quadriceps strengthening exercise in patients with medial knee osteoarthritis and varus malalignment: a randomized controlled trial. Arthritis Rheumatol. 2014;66:950-9.
44. Kemp G, Crossley KM, Wrigley TV, et al. Reducing joint loading in medial knee osteoarthritis: shoes and canes. Arthritis Rheum. 2008;59:609-614.
45. Lyu SR, Ogata K, Hoshiko I. Effects of a cane on floor reaction force and center of force during gait. Clin Orthop Relat Res. 2000;313-319.
46. Simic M, Wrigley TV, Hinman RS, et al. Altering foot progression angle in people with medial knee osteoarthritis: the effects of varying toe-in and toe-out angles are mediated by pain and malalignment. Osteoarthritis Cartilage. 2013;21:1272-80.
47. Schwachmeyer V, Kutzner I, Bornschein J, et al. Medial and lateral foot loading and its effect on knee joint loading. Clin Biomech. 2015;30:860-6.
48. Barrios JA, Crossley KM, Davis IS. Gait retraining to reduce the knee adduction moment through real-time visual feedback of dynamic knee alignment. Biomech. 2010;43:2208-13.
49. Schache AG, Fregly BJ, Crossley KM, et al. The effect of gait modification on the external knee adduction moment is reference frame dependent. Clin Biomech. 2008;23:601-8.
50. Simic M, Hinman RS, Wrigley TV, et al. Gait modification strategies for altering medial knee joint load: a systematic review. Arthritis Care Res 2011;63:405-26.
51. Ferrigno C, Wimmer MA, Trombley RM, et al. A reduction in the knee joint adduction moment with medial thrust gait is associated with a medial shift in center of plantar pressure. Med Eng Phys. 2016; 38(7):615-621.
52. Chang A, Hurwitz D, Dunlop D, et al. The relationship between toe-out angle and progression of medial tibiofemoral osteoarthritis. Ann Rheum Dis. 2007;66(10):1271-5.
53. Kakihana W, Akai M, Nakazawa K, et al. Effects of laterally wedged insoles on knee subtalar joint moment. Arch Phys Med Rehabil. 2005;86:1456-71.
54. Soames RW. Foot pressure patterns during gait. J Biomed Eng. 1985;7:120-126.
55. Sneyers CJL, Lysens R, Feys H, et al. Influence of malalignment of feet on the plantar
pressure pattern in running. Foot Ankle Int. 1995;16:624-632.
56. Duckworth T, Betts RP, Franks CI, et al. The measurement of pressures under the foot. Foot Ankle. 1982;3:130-141.
57. Orlin MN, McPoil TG. Plantar pressure assessment. Phys Ther. 2000;80:399-409.
58. Duckworth T, Boulton AJ, Betts RP, et al. Plantar pressure measurements and the prevention of ulceration in the diabetic foot. J Bone Joint Surg Br. 1985;67:79-85.
59. Leitch KM, Brimingham TB, Jones IC, et al. In-shoe plantar pressure measurements for patients with knee osteoarthritis: Reliability and effects of lateral heel wedges. Gait and Posture. 2011;34:391-396.
60. Shibakawa A, Aoki H, Masuko-Hongo K, et al. Presence of pannus-like tissue on osteoarthritis cartilage and its histological character. Osteoarthritis Cartilage 2003;11:133-140.
61. Yuan GH, Tanaka M, Masuko-Hongo K, et al. Characterization of cells from pannus-like tissue over articular cartilage of advanced osteoarthritis. Osteoarthritis Cartilage. 2014;12:38-45.
62. Lyu SR, Hsu CC. Medial plica and degeneration of the medial femoral condyle. Arthroscopy. 2006;22:17-26.
63. Lyu SR, Tzeng JE, Kuo CY, Jian AR, Liu DS. Mechanical strength of mediopatellar plica-The influence of its fiber content. Clin Biomech (Bristol. Avon) 2006;21:860-3.
64. Lyu SR, Chiang JK, Tseng CE. Medial plica in patients with knee osteoarthritis: a histomorphological study. Knee Surg Sports Traumatol Arthrosc. 2010;18:769-76.
65. Dandy DJ. Anatomy of the medial suprapatellar plica and medial synovial shelf. Arthroscopy.1990;6:79-85.
66. Dupont JY. Synovial plicae of the knee: controversies and review. Clin. Sports Med.1997;16:87-122.
67. Farkas C, Gaspar L, Jonas Z. The pathological plica in the knee. Acta Chir Hung. 1997;36:83-5.
68. Tindel NL, Nisonson B. The plica syndrome. Orthop. Clin. North Am. 1992;23:613-8.
69. Dorchak JD, Barrack RL, Kneis JS, et al. Arthroscopic treatment of symptomatic synovial plica of the knee long-term follow-up. Am J. Sports Med.
70. Lyu SR. Relationship of medial plica and medial femoral condyle during flexion. Clin Biomech (Bristol. Avon). 2007;22:1013-6.
71. Liu DS, Zhuang ZW, Lyu SR. Relationship between medial plica and medial femoral condyle-a three-dimensional dynamic finite element model. Clin Biomech (Bristol Avon). 2013;28:1000-5.
72. Flanagan JP,Trakru S, Meyer M, Mullaji AB, Krappel F. Arthroscopic excision of symptomatic medial plica. A study of 118 knees with 1-4 year follow-up. Acta Orthop Scand. 1994;65(4):408-11.
73. Lyu SR, Chiang CY, Cherng JY, Huang YC, Li CH, Lin YJ, Chang CM, Chau LK. Role of medial abrasion phenomenon in the pathogenesis of knee osteoarthritis. Med Hypotheses.2015;85(2):207-11.
74. Collins NJ, Prinsen CA, Christensen R, Bartels EM, Terwee CB, Roos EM. Knee Injury and Osteoarthritis Outcome Score (KOOS): systematic review and meta-analysis of measurement properties. Osteoarthr Cartil. 2016;24(8);1317-29.
75. Roos EM, Roose HP, Lohmander LS, et al. Knee injury and osteoarthritis score (KOOS)—development of a self-administered outcome measure. J Orthop Sports Phys Ther. 1998;28(2):88-96.
76. Chan CW, Rudins A. Foot Biomechanics During Walking and Running. Mayo Clin Proc. 1994;69:448-461.
77. Mann RA, Baxter DE, Lutter LD. Running symposium. Foot Ankle 1981;1:190-224.
78. Mann RA, Hagy J. Biomechanics of walking, running, and sprinting. Am J Sport Med 1980;8:345-350.
79. American Academy of Orthopaedic Surgeons, editor. Atlas of Orthotics: Biomechanical Principles and Surgeons, editor. Atlas of Orthotics: Biomechanical Principles and Application. St. Louis: Mosby, 1975:257-266.
80. Yagi T, Sasaki T. Tibial torsion in patients with medial-type osteoarthritis knee. Clin Orthop Relat Res 1986:177-182.
81. Chandler JT, Moskal JT. Evaluation of knee and hindfoot alignment before and after total knee arthroplasty: a prospective analysis. J Arthroplasty. 2004;19:211-216.
82. Keenan M, Peabody T, Gronley J, Perry J. Valgus deformities of the feet and characteristics of gait in patients who have rheumatoid arthritis. J Bone Joint Surg Am. 1991;73:237-247.
83. Mullaji A, Shetty G. Persistent hindfoot valgus causes lateral deviation of weightbearing axis after total knee arthroplasty. Clin Orthop Relat Res. 2011;469:1154-1160.
84. Norton AA, Callaghan JJ, Amendola A, et al. Correlation of knee and hindfoot deformities in advanced knee OA: compensatory hindfoot alignment and what it occurs. Clin Orthop Relat Res. 2015;473:166-74.
85. Levinger P, Menz HB, Morrow AD, et al. Dynamic foot function changes follow total knee replacement surgery. Knee 2012;19:880-885.
86. Lindgren U, Seireg A. The influence of mediolateral deformity, tibial torsion, and foot position on femoraotibial load. Prediction of a musculoskeletal compartment model. Arch Orthop Trauma Surg. 1989;108:22-26.
87. Levinger P, Menz HB, Morrow AD, et al. Relationship between foot function and medial knee joint loading in people with medial compartment knee osteoarthritis. J Foot Ankle Res. 2013;6:33.
88. Lidtke RH, Muehleman C, Kwasny M, et al. Foot center of pressure and medial knee osteoarthritis. J Am Podiatr Med Assoc. 2010;100:178-84.
89. Shimizu T, Samaan MA, Tanaka MS, Pedoia V, et al. Abnormal Biomechanics at 6 months are associated with cartilage degeneration at 3 years after anterior cruciate ligament reconstruction. Arthroscopy. 2019:35(2):511-520.
連結至畢業學校之論文網頁點我開啟連結
註: 此連結為研究生畢業學校所提供,不一定有電子全文可供下載,若連結有誤,請點選上方之〝勘誤回報〞功能,我們會盡快修正,謝謝!
QRCODE
 
 
 
 
 
                                                                                                                                                                                                                                                                                                                                                                                                               
第一頁 上一頁 下一頁 最後一頁 top
無相關期刊