在功能性任务中有下肢肌肉骨骼损伤史的个体的下肢能量吸收：一项范围审查

IF 1.4 3区医学 Q4 ENGINEERING, BIOMEDICAL

Clinical Biomechanics Pub Date : 2025-02-13 DOI:10.1016/j.clinbiomech.2025.106463

Tsung-Yeh Chou , Colin M.S. Mulligan , Yu-Lun Huang

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引用次数: 0

摘要

背景：最近有证据表明，利用能量吸收作为一种替代方法来评估与下肢损伤风险相关的生物力学特征。综述的目的是总结在功能性任务中使用能量分析的个体下肢损伤史的文献。方法于2023年8月进行文献检索，涉及pubmed、SPORTDiscus、Scopus和Web of Science四个数据库。进行了手动搜索以确定其他文章。在纳入的17项研究中，我们确定了11篇和6篇文章调查了前交叉韧带重建和慢性踝关节不稳定病史的个体在跳跃相关任务中下肢能量吸收的接受性。与未受累肢体或参照组相比，接受前交叉韧带重建的个体受累膝关节的能量吸收减少，同时受累髋关节的能量吸收增加。慢性踝关节不稳定患者的结果各不相同。大多数研究表明，与对照组相比，慢性踝关节不稳定患者表现出一种代偿性运动模式，以减轻踝关节负荷，同时增加膝关节吸收的能量。相反，一项研究表明，患有慢性踝关节不稳定的个体可能更多地依赖踝关节来吸收能量。我们的研究结果表明，前交叉韧带重建和慢性踝关节不稳定的个体在着陆时都表现出独特的代偿策略。这种策略的特点是增加近端关节的能量消耗，补偿远端关节的减少以消耗更少的能量。

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Lower extremity energy absorption in individuals with lower extremity musculoskeletal injury history during functional tasks: A scoping review

Background

Recent evidence has utilized energetic absorption as an alternative method to evaluate biomechanical profiles associated with lower extremity injury risk. The aim of scoping review is to summarize the literatures that utilized energetic analysis in individuals with lower extremity injury history during functional tasks.

Methods

A literature search, conducted in August 2023, involved four databases—PubMed, SPORTDiscus, Scopus, and Web of Science. A manual search was performed to identify additional articles.

Findings

Among the 17 included studies, we identified 11 and 6 articles investigated lower extremity energetic absorption in individuals with anterior cruciate ligament reconstruction and chronic ankle instability history during jump-related tasks, receptively. Individuals with anterior cruciate ligament reconstruction displayed a reduction of energetic absorption in the involved knee, coupled with increased energetic absorption in the involved hip, as compared to the uninvolved limb or the reference group. The findings in those with chronic ankle instability were varied. Most studies suggested that individuals with chronic ankle instability displayed a compensatory movement pattern to off-load their ankle joint, while concurrently increasing energy absorbed at the knee joint compared to the reference group. Conversely, one study suggested that individuals with chronic ankle instability might rely more on their ankle joint for energy absorption.

Interpretation

Our findings indicated that both individuals with anterior cruciate ligament reconstruction and chronic ankle instability displayed a distinctive compensatory strategy during landing. This strategy is characterized by increasing energy dissipation on the proximal joints, compensating for a reduction on the distal joint to dissipate less energy.

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来源期刊

Clinical Biomechanics 医学-工程：生物医学

CiteScore

3.30

自引率

5.60%

发文量

189

审稿时长

12.3 weeks

期刊介绍： Clinical Biomechanics is an international multidisciplinary journal of biomechanics with a focus on medical and clinical applications of new knowledge in the field. The science of biomechanics helps explain the causes of cell, tissue, organ and body system disorders, and supports clinicians in the diagnosis, prognosis and evaluation of treatment methods and technologies. Clinical Biomechanics aims to strengthen the links between laboratory and clinic by publishing cutting-edge biomechanics research which helps to explain the causes of injury and disease, and which provides evidence contributing to improved clinical management. A rigorous peer review system is employed and every attempt is made to process and publish top-quality papers promptly. Clinical Biomechanics explores all facets of body system, organ, tissue and cell biomechanics, with an emphasis on medical and clinical applications of the basic science aspects. The role of basic science is therefore recognized in a medical or clinical context. The readership of the journal closely reflects its multi-disciplinary contents, being a balance of scientists, engineers and clinicians. The contents are in the form of research papers, brief reports, review papers and correspondence, whilst special interest issues and supplements are published from time to time. Disciplines covered include biomechanics and mechanobiology at all scales, bioengineering and use of tissue engineering and biomaterials for clinical applications, biophysics, as well as biomechanical aspects of medical robotics, ergonomics, physical and occupational therapeutics and rehabilitation.