Marzieh Mortezanejad, Aliyeh Daryabor, Zahra Ebrahimabadi, Abbas Rahimi, Mohammad Yousefi, Fatemeh Ehsani, Ali Maleki
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引用次数: 0
摘要
背景和目的：与健康对照组相比，慢性踝关节不稳定（CAI）患者的步态启动（GI）在压力中心（COP）和肌肉测量方面存在差异。一些研究报告称，这些变化出现在用受影响的腿开始步态启动时，而另一些研究则指出，这些变化出现在用未受影响的腿开始步态启动时。本系统综述旨在了解 CAI 患者、健康对照组以及 CAI 患者的患肢和非患肢之间的运动和肌肉差异：方法：使用 "人群"、"暴露"、"参照物 "和 "结果 "指标对 PubMed、Science Direct、Web of Science、Google Scholar 和 Scopus 数据库（1990-2023 年）进行了检索。研究遵循了 PRISMA 指南。结果测量指标为胃肠道手术中 COP 追踪第 1、2 和 3 阶段的内外侧和前后方向 COP 位移的峰值和速率以及结果平面，以及每个阶段的持续时间。其他测量指标包括 CAI 患者、健康对照组以及 CAI 患者患肢和非患肢之间胫骨前肌和比目鱼肌活动的开始时间。研究的质量评估是根据流行病学观察性研究加强报告清单进行的：最终评估纳入了五项研究。纳入研究的结果表明，与健康对照组相比，CAI 患者在第一和第二阶段花费的时间较少，第一阶段 COP 向外侧位移的峰值也较短，无论 GI 使用的是患肢还是非患肢：结论：CAI 患者可能采取了一种调整 COP 位移峰值的策略，以控制单腿站立时的内部摇摆。总之，对于 CAI 患者两条腿之间的差异没有全面的结论。
Kinetic changes of gait initiation in individuals with chronic ankle instability: A systematic review
Background and Aims
Gait initiation (GI) in individuals with chronic ankle instability (CAI) has shown differences in the center of pressure (COP) and muscular measures compared to healthy controls. Some studies reported that these alterations appeared when GI was with the affected leg, while others indicated that they occurred when GI was with the non-affected leg. This systematic review aimed to understand kinetic and muscular differences between individuals with CAI, healthy controls, and the affected and non-affected legs of individuals with CAI.
Methods
PubMed, Science Direct, Web of Science, Google Scholar, and Scopus databases (1990–2023) were searched using the Population, Exposure, Comparator, and Outcome measure. The PRISMA guidelines were followed. The outcome measures were the peak and rate of COP displacement in the medial-lateral and anterior-posterior directions, and resultant plane during phases 1, 2, and 3 of COP trace during GI and the duration of each phase. The other measures included the onset time of the tibialis anterior and soleus muscle activity between individuals with CAI, healthy controls, and the affected and non-affected legs of the individuals with CAI. The studies' quality assessment was conducted based on the Strengthening the Reporting of Observational Studies in Epidemiology checklist.
Results
Five studies were included in the final evaluation. The results of included studies showed, individuals with CAI spent less time during phases 1 and 2, as well as a shorter peak of COP displacement in the lateral direction during phase 1 compared to healthy controls, regardless of whether the GI was with the affected or non-affected leg.
Conclusion
Individuals with CAI have probably adopted a strategy involving adjusting the peak of COP displacement to manage internal sway while in a single-leg stance. Overall, there was no comprehensive conclusion about differences between the two legs in individuals with CAI.
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