单室膝关节置换术后日常生活活动的生物力学和临床评估：范围综述

IF 1.4 3区医学 Q4 ENGINEERING, BIOMEDICAL

Clinical Biomechanics Pub Date : 2025-05-15 DOI:10.1016/j.clinbiomech.2025.106564

Haithem M'barki , Ahmed Yacine Lardjane , Laura Wallard , Martine Gagnon , Etienne L. Belzile , Katia Turcot

{"title":"单室膝关节置换术后日常生活活动的生物力学和临床评估：范围综述","authors":"Haithem M'barki , Ahmed Yacine Lardjane , Laura Wallard , Martine Gagnon , Etienne L. Belzile , Katia Turcot","doi":"10.1016/j.clinbiomech.2025.106564","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Unicompartmental knee arthroplasty is an effective treatment for isolated medial or lateral knee osteoarthritis. Evaluating knee joint loading during activities of daily living postoperatively can offer valuable insights about the compensatory mechanisms in unicompartmental knee arthroplasty patients. The aim of this scoping review was to summarize and to synthesize the existing literature on the most performed activities of daily living and their associated biomechanical outcomes following unicompartmental knee arthroplasty.</div></div><div><h3>Methods</h3><div>Five databases, including Medline, Embase, CINAHL, Web of Science, and Ergonomics Abstracts were searched based on 3 main concepts: unicompartmental knee arthroplasty, activities of daily living and biomechanical outcomes. Studies were screened based on titles and abstracts, followed by a full text reading conducted by two authors following inclusion and exclusion criteria.</div></div><div><h3>Findings</h3><div>This scoping review included 17 studies that met the inclusion criteria and focusing on activities of daily living. These activities were categorized into three main subgroups 1) Stair negotiation, 2) Higher degree of knee flexion activities (including squat, lunge and sit-to-stand) and 3) other activities of daily living (including balance, incline and decline walking).</div></div><div><h3>Interpretation</h3><div>Stair negotiation was the most evaluated task followed by squatting with a main focus on reporting knee joint kinematics and kinetics. The majority of studies did not report the use of Patient Reported Outcome Measures combined with motion analysis outcomes. Furthermore, most studies focused primarily on medial knee arthroplasty with a fixed-bearing design in short-term follow-up which warrants caution when generalizing these findings to all types of unicompartmental knee arthroplasty.</div></div>","PeriodicalId":50992,"journal":{"name":"Clinical Biomechanics","volume":"126 ","pages":"Article 106564"},"PeriodicalIF":1.4000,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Biomechanical and clinical assessments of activities of daily living following unicompartmental knee arthroplasty: A scoping review\",\"authors\":\"Haithem M'barki , Ahmed Yacine Lardjane , Laura Wallard , Martine Gagnon , Etienne L. Belzile , Katia Turcot\",\"doi\":\"10.1016/j.clinbiomech.2025.106564\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><div>Unicompartmental knee arthroplasty is an effective treatment for isolated medial or lateral knee osteoarthritis. Evaluating knee joint loading during activities of daily living postoperatively can offer valuable insights about the compensatory mechanisms in unicompartmental knee arthroplasty patients. The aim of this scoping review was to summarize and to synthesize the existing literature on the most performed activities of daily living and their associated biomechanical outcomes following unicompartmental knee arthroplasty.</div></div><div><h3>Methods</h3><div>Five databases, including Medline, Embase, CINAHL, Web of Science, and Ergonomics Abstracts were searched based on 3 main concepts: unicompartmental knee arthroplasty, activities of daily living and biomechanical outcomes. Studies were screened based on titles and abstracts, followed by a full text reading conducted by two authors following inclusion and exclusion criteria.</div></div><div><h3>Findings</h3><div>This scoping review included 17 studies that met the inclusion criteria and focusing on activities of daily living. These activities were categorized into three main subgroups 1) Stair negotiation, 2) Higher degree of knee flexion activities (including squat, lunge and sit-to-stand) and 3) other activities of daily living (including balance, incline and decline walking).</div></div><div><h3>Interpretation</h3><div>Stair negotiation was the most evaluated task followed by squatting with a main focus on reporting knee joint kinematics and kinetics. The majority of studies did not report the use of Patient Reported Outcome Measures combined with motion analysis outcomes. Furthermore, most studies focused primarily on medial knee arthroplasty with a fixed-bearing design in short-term follow-up which warrants caution when generalizing these findings to all types of unicompartmental knee arthroplasty.</div></div>\",\"PeriodicalId\":50992,\"journal\":{\"name\":\"Clinical Biomechanics\",\"volume\":\"126 \",\"pages\":\"Article 106564\"},\"PeriodicalIF\":1.4000,\"publicationDate\":\"2025-05-15\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Clinical Biomechanics\",\"FirstCategoryId\":\"5\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0268003325001378\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"ENGINEERING, BIOMEDICAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical Biomechanics","FirstCategoryId":"5","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0268003325001378","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"ENGINEERING, BIOMEDICAL","Score":null,"Total":0}

引用次数: 0

摘要

背景：间室膝关节置换术是治疗孤立性膝内外侧骨关节炎的有效方法。评估术后日常生活活动中的膝关节负荷可以为单室膝关节置换术患者的代偿机制提供有价值的见解。本综述的目的是总结和综合现有的关于单室膝关节置换术后日常生活中最常见的活动及其相关生物力学结果的文献。方法基于单室膝关节置换术、日常生活活动和生物力学结果3个主要概念对Medline、Embase、CINAHL、Web of Science和Ergonomics Abstracts等5个数据库进行检索。研究根据标题和摘要进行筛选，然后由两位作者按照纳入和排除标准进行全文阅读。研究结果：本综述纳入了17项符合纳入标准的研究，重点关注日常生活活动。这些活动分为三个主要的亚组：1)楼梯行走；2)更高程度的膝关节屈曲活动（包括深蹲、弓步和坐立）；3)其他日常生活活动（包括平衡、倾斜和下降行走）。解释楼梯移动是评估最多的任务，其次是深蹲，主要关注膝关节的运动学和动力学。大多数研究没有报告患者报告结果测量结合运动分析结果的使用。此外，大多数研究主要集中在短期随访中采用固定轴承设计的内侧膝关节置换术，因此在将这些发现推广到所有类型的单室膝关节置换术时需要谨慎。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Biomechanical and clinical assessments of activities of daily living following unicompartmental knee arthroplasty: A scoping review

Background

Unicompartmental knee arthroplasty is an effective treatment for isolated medial or lateral knee osteoarthritis. Evaluating knee joint loading during activities of daily living postoperatively can offer valuable insights about the compensatory mechanisms in unicompartmental knee arthroplasty patients. The aim of this scoping review was to summarize and to synthesize the existing literature on the most performed activities of daily living and their associated biomechanical outcomes following unicompartmental knee arthroplasty.

Methods

Five databases, including Medline, Embase, CINAHL, Web of Science, and Ergonomics Abstracts were searched based on 3 main concepts: unicompartmental knee arthroplasty, activities of daily living and biomechanical outcomes. Studies were screened based on titles and abstracts, followed by a full text reading conducted by two authors following inclusion and exclusion criteria.

Findings

This scoping review included 17 studies that met the inclusion criteria and focusing on activities of daily living. These activities were categorized into three main subgroups 1) Stair negotiation, 2) Higher degree of knee flexion activities (including squat, lunge and sit-to-stand) and 3) other activities of daily living (including balance, incline and decline walking).

Interpretation

Stair negotiation was the most evaluated task followed by squatting with a main focus on reporting knee joint kinematics and kinetics. The majority of studies did not report the use of Patient Reported Outcome Measures combined with motion analysis outcomes. Furthermore, most studies focused primarily on medial knee arthroplasty with a fixed-bearing design in short-term follow-up which warrants caution when generalizing these findings to all types of unicompartmental knee arthroplasty.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

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.