髋关节相关症状持续时间与单腿深蹲时髋关节力学的改变有关

IF 1.4 3区医学 Q4 ENGINEERING, BIOMEDICAL

Clinical Biomechanics Pub Date : 2025-07-21 DOI:10.1016/j.clinbiomech.2025.106630

Holly M. Stanze , Bethany J. Wilcox , Anthony A. Mangino , Michael A. Samaan , Kate N. Jochimsen

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引用次数: 0

摘要

背景：与无症状对照和高度运动恐惧症相比，髋关节相关疼痛（HRP）患者表现出改变的运动模式。短期和长期HRP患者在运动时运动恐惧症、运动和髋关节疼痛方面的潜在差异尚不清楚。本研究的目的是分析HRP患者在单腿深蹲任务中自我报告的髋关节疼痛、运动恐惧症和单腿深蹲任务偏心和同心阶段的总支撑力矩参数是否因髋关节症状持续时间的不同而不同。方法测定25例HRP患者单腿深蹲时受累肢体、髋关节、膝关节和踝关节矢状面力矩。参与者完成了TSK-11，并在深蹲时报告了臀部疼痛。总支撑力矩是通过将深蹲时髋伸肌、膝关节伸肌和踝关节跖屈肌的平均力矩相加来计算的。TSK-11评分、髋关节疼痛和总支撑力矩参数的组间差异采用独立t检验和Mann-Whitney U检验。结果：在深蹲的两个阶段，症状持续时间较长的组表现出较低的平均髋关节伸肌力矩和较低的髋关节对总支撑力矩的贡献。尽管运动恐惧症水平相似，但症状持续时间较长的组在深蹲时髋部疼痛明显加重。解释：在症状持续时间较长的组中观察到的下肢力学改变可能与更严重的髋关节相关疼痛有关，而不是更严重的运动恐惧症。需要进一步的研究来确定运动恐惧症和HRP患者运动模式之间的关系。

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Hip-related symptom duration is associated with alterations in hip mechanics during a single leg squat

Background

Individuals with hip joint-related pain (HRP) exhibit altered movement patterns compared to asymptomatic controls and high kinesiophobia. Potential differences in kinesiophobia, movement, and hip pain during movement between individuals with shorter- and longer-term HRP are not well understood. The purpose of this study was to analyze whether self-reported hip pain during a single leg squat task, kinesiophobia, and total support moment parameters during the eccentric and concentric phases of a single leg squat task differ based on hip symptom duration in individuals with HRP.

Methods

Involved limb hip, knee, and ankle sagittal plane moments during the single leg squat were obtained for 25 individuals with HRP. Participants completed the TSK-11 and reported hip pain during the squat. The total support moment was calculated by summing the average hip extensor, knee extensor and ankle plantarflexor moments during the squat. Between-group differences in TSK-11 scores, hip pain and total support moment parameters were assessed using independent t-tests and Mann-Whitney U tests.

Findings

The longer symptom duration group exhibited lower average hip extensor moments and lower hip joint contributions to the total support moment during both phases of the squat. Despite similar levels of kinesiophobia, the longer symptom duration group reported significantly higher hip pain during the squat.

Interpretation

Alterations in lower-limb mechanics observed in the longer symptom duration group may be associated with more severe hip-related pain as opposed to higher kinesiophobia. Further study is required to determine the association between kinesiophobia and movement patterns in individuals with HRP.

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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.