Volume 22 Issue 6
Jun.  2024
Turn off MathJax
Article Contents
Article Navigation >  Chinese Journal of General Practice  > 2024  >  22(6): 931-935
LOU Benjing, CI Wang, QIANGBA Danzeng, YAN Huatao, ZUN Zhu, XIE Lu, BIAN Ba. Study on plantar pressure characteristics of Tibetan knee osteoarthritis patients living at different altitudes[J]. Chinese Journal of General Practice, 2024, 22(6): 931-935. doi: 10.16766/j.cnki.issn.1674-4152.003537
Citation: LOU Benjing, CI Wang, QIANGBA Danzeng, YAN Huatao, ZUN Zhu, XIE Lu, BIAN Ba. Study on plantar pressure characteristics of Tibetan knee osteoarthritis patients living at different altitudes[J]. Chinese Journal of General Practice, 2024, 22(6): 931-935. doi: 10.16766/j.cnki.issn.1674-4152.003537
shu

Study on plantar pressure characteristics of Tibetan knee osteoarthritis patients living at different altitudes

doi: 10.16766/j.cnki.issn.1674-4152.003537
  • 1.

    College of Medicine, Tibet University, Lhasa, Tibet 850000, China

Funds:

 U21A20385

 2021-GSP-S057

  • Received Date: 2023-12-11
    Available Online: 2024-07-22
    Abstract
  •   Objective  To analyze the changes of plantar pressure in patients with different altitudes, and to provide a quantitative basis for the changes of plantar pressure in patients with Tibetan knee osteoarthritis (KOA) living in the plateau.  Methods  Patients with knee osteoarthritis who underwent total knee arthroplasty in the Second People' s Hospital of Tibet Autonomous Region from March to August 2023, were selected according to their long-term residence, and 29 cases were classified according to their long-term residence, 29 cases were 3 000-3 700 m, 38 cases were 3 701-4 500 m, and 27 cases were 4 501-5 500 m. Static standing and dynamic walking analysis was performed using the LorAn plantar pressure test system, and the correlation between different elevation gradients and plantar pressure were analyzed by Spearman method.  Results  There were significant differences in T1, MH and LH between the replaced and non-replaced sides (P < 0.05). Differences in patient static indices, foot-axis angle between replacement and non-replacement sides, pelvic rotation, walking speed, and patient joint scores were statistically significant between elevations (P < 0.05). The static standing and dynamic walking indexes were negatively correlated with altitude (P < 0.05), joint scores were positively correlated with altitude (P < 0.05), plantar pressure peaks in T1 and M4 regions and stress time ratios in M5 region were negatively correlated with altitude (r=-0.287, -0.282, -0.252, P < 0.05), and BMI were positively correlated with mid-foot and post-foot pressure peaks (r=0.330, 0.238, 0.226, P < 0.05).  Conclusion  The change of the peak plantar pressure can be used as an indicator to monitor the occurrence of knee joints in Tibetan people living at different altitudes. Tibetan patients with osteoarthritis of the knee who live at high altitudes have poor balance compared with patients at very high altitudes.

     

    • FullText(HTML)
  • loading
    • References(22)
  • [1]
    GIORGINO R, ALBANO D, FUSCO S, et al. Knee osteoarthritis: epidemiology, pathogenesis, and mesenchymal stem cells: what else is new? An update[J]. Int J Mol Sci, 2023, 24(7): 6405. DOI: 10.3390/ijms24076405.
    [2]
    苏鸿年, 司马靓杰, 杨木强, 等. 富血小板血浆联合透明质酸钠治疗膝骨关节炎的效果观察[J]. 中华全科医学, 2022, 20(9): 1509-1512. 10.16766/j.cnki.issn.1674-4152.002636

    SU H N, SIMA L J, YANG M Q, et al. Effect of platelet-rich plasma combined with sodium hyaluronate in the treatment of knee osteoarthritis[J]. Chinese Journal of General Practice, 2022, 20(9): 1509-1512. 10.16766/j.cnki.issn.1674-4152.002636
    [3]
    LI D, LI S, CHEN Q, et al. The prevalence of symptomatic knee osteoarthritis in relation to age, sex, area, region, and body mass index in China: a systematic review and meta-analysis[J]. Front Med (Lausanne), 2020, 7: 304. DOI: 10.3389/fmed.2020.00304.
    [4]
    周伟, 向阳, 丁增尼玛, 等. 416例藏族人群慢性膝关节疾病的发病特点[J]. 西藏医药, 2021, 42(3): 41-42. https://www.cnki.com.cn/Article/CJFDTOTAL-XZYY202103017.htm

    ZHOU W, XIANG Y, DING Z N M, et al. Incidence characteristics of chronic knee joint disease in 416 Tibetan people[J]. Tibetan Medicine, 2021, 42(3): 41-42. https://www.cnki.com.cn/Article/CJFDTOTAL-XZYY202103017.htm
    [5]
    廖秋菊, 温卫友, 李瑞, 等. 陇上高原地区膝骨性关节炎《国际功能、残疾和健康分类康复组合》应用的初步研究[J]. 中国康复医学杂志, 2021, 36(3): 337-340. doi: 10.3969/j.issn.1001-1242.2021.03.016

    LIAO Q J, WEN W Y, LI R, et al. Preliminary study on the application of the International Classification of Functioning, Disability, and Health Rehabilitation Combination for knee osteoarthritis in high-altitude areas of Gansu Province[J]. Chinese Journal of Rehabilitation Medicine, 2021, 36(3): 337-340. doi: 10.3969/j.issn.1001-1242.2021.03.016
    [6]
    HE Y J, ZHENG X L, WANG D F, et al. Static and dynamic plantar pressure distribution in 94 patients with different stages of unilateral knee osteoarthritis using the Footscan® Platform System: an observational study[J]. Med Sci Monit, 2023, 29: e938485. DOI: 10.12659/MSM.938485.
    [7]
    王欣, 罗文, 黄文泽, 等. 单侧膝骨关节炎临床分期与双足足底压力的相关性[J]. 中国组织工程研究, 2021, 25(27): 4312-4317. doi: 10.12307/2021.188

    WANG X, LUO W, HUANG W Z, et al. Correlation between clinical stage of unilateral knee osteoarthritis and double plantar pressure[J]. Chinese Journal of Tissue Engineering Research, 2021, 25(27): 4312-4317. doi: 10.12307/2021.188
    [8]
    PANYARACHUN P, ANGTHONG C, JINDASAKCHAI P, et al. Abnormal foot pressure in older adults with knee osteoarthritis: a systematic review[J]. Eur Rev Med Pharmacol Sci, 2022, 26(17): 6236-6241.
    [9]
    中华医学会骨科学分会关节外科学组. 骨关节炎诊治指南(2018版)[J]. 中华骨科杂志, 2018, 38(12): 705-715.

    Joint Surgery Group, Branch of Orthopedics, Chinese Medical Association. Guidelines for the Diagnosis and Treatment of Osteoarthritis (2018 Edition)[J]. Chinese Journal of Orthopedics, 2018, 38(12): 705-715.
    [10]
    ALMEHEYAWI R N, BRICCA A, RISKOWSKI J L, et al. Foot characteristics and mechanics in individuals with knee osteoarthritis: systematic review and meta-analysis[J]. J Foot Ankle Res, 2021, 14(1): 24. DOI: 10.1186/s13047-021-00462-y.
    [11]
    黄萍, 钱念东, 齐进, 等. 膝骨关节炎患者膝关节置换术后足底压力研究[J]. 中国运动医学杂志, 2018, 37(3): 197-201. https://www.cnki.com.cn/Article/CJFDTOTAL-YDYX201803003.htm

    HUANG P, QIAN N D, QI J, et al. Plantar Pressure in Patients with Knee Osteoarthritis after Knee Joint Replacement Surgery[J]. Chinese Journal of Sports Medicine, 2018, 37(3): 197-201. https://www.cnki.com.cn/Article/CJFDTOTAL-YDYX201803003.htm
    [12]
    ZHANG Z, WANG L, HU K, et al. Characteristics of plantar loads during walking in patients with knee osteoarthritis[J]. Med Sci Monit, 2017, 23: 5714-5719. doi: 10.12659/MSM.905136
    [13]
    王欣. "足膝同治"法治疗单侧早中期KOA的临床疗效观察[D]. 昆明: 云南中医药大学, 2021.

    WANG X. Clinical efficacy observation of the "foot knee joint treatment" method in the treatment of unilateral early to mid stage KOA[D]. Kunming: Yunnan University of Traditional Chinese Medicine, 2021.
    [14]
    于经伦, 闫红光. 足底压力分析在运动生物力学研究中的应用与进展[C]//第二十届全国运动生物力学学术交流大会论文摘要汇编. 兰州, 2018: 353-355.

    YU J L, YAN H G. Application and Progress of Foot Pressure Analysis in Sports Biomechanics Research[C]//Compilation of Abstracts from the 20th National Sports Biomechanics Academic Exchange Conference. Lanzhou, 2018: 353-355.
    [15]
    ZHANG Z, DAI Y, XU Z, et al. Insole systems for disease diagnosis and rehabilitation: a review[J]. Biosensors (Basel), 2023, 13(8): 833. DOI: 10.3390/bios13080833.
    [16]
    CHAHARMAHALI L, GANDOMI F, YALFANI A, et al. The effect of self-reported knee instability on plantar pressure and postural sways in women with knee osteoarthritis[J]. J Orthop Surg Res, 2021, 16(1): 677. DOI: 10.1186/s13018-021-02823-6.
    [17]
    YAN Y, OU J, SHI H, et al. Plantar pressure and falling risk in older individuals: a cross-sectional study[J]. J Foot Ankle Res, 2023, 16(1): 14. DOI: 10.1186/s13047-023-00612-4.
    [18]
    颜雯婷, 杨倩倩, 任凤, 等. 双侧膝骨关节炎患者足底压力分布及平衡特征研究[J]. 中国康复医学杂志, 2023, 38(5): 696-699. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGKF202305008.htm

    YAN W T, YANG Q Q, REN F, et al. Study on plantar pressure distribution and balance characteristics in patients with bilateral knee osteoarthritis[J]. Chinese Journal of Rehabilitation Medicine, 2023, 38(5): 696-699. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGKF202305008.htm
    [19]
    孙鑫, 娄本敬, 谢露, 等. 高海拔地区人群膝关节骨关节炎危险因素的研究进展[J]. 中国骨与关节杂志, 2023, 12(2): 156-160. https://www.cnki.com.cn/Article/CJFDTOTAL-GZGL202302013.htm

    SUN X, LOU B J, XIE L, et al. Research progress on risk factors of knee osteoarthritis in people at high altitude[J]. Chinese Journal of Bone and Joint, 2023, 12(2): 156-160. https://www.cnki.com.cn/Article/CJFDTOTAL-GZGL202302013.htm
    [20]
    都晨雅, 赵晓光. 体重增加对足底压力分布的量效反应研究[C]//中国体育科学学会运动生物力学分会. 第二十一届全国运动生物力学学术交流大会论文摘要汇编. 宁波: 宁波大学体育学院, 2021: 2.

    DU C Y, ZHAO X G. Dose response study of weight gain on plantar pressure distribution[C]//Sports Biomechanics Branch of the Chinese Society of Sports Sciences. Compilation of abstracts from the 21st National Sports Biomechanics Academic Exchange Conference. School of Physical Education, Ningbo University; Ningbo University Institute of Health, 2021: 2.
    [21]
    格日力. 高原医学[M]. 2版. 北京: 北京大学医学出版社, 2020: 1-2.

    GE R L, Editor in Chief. High Altitude Medicine[M]. 2nd Edition. Beijing: Peking University Medical Press, 2020: 1-2.
    [22]
    王子坚, 闫松华, 李伟, 等. 单侧膝内翻型膝骨关节炎患者足底压力分布特征研究[J]. 北京生物医学工程, 2019, 38(2): 151-158. https://www.cnki.com.cn/Article/CJFDTOTAL-BJSC201902006.htm

    WANG Z J, YAN S H, LI W, et al. Plantar pressure distribution in patients with unilateral varus knee osteoarthritis[J]. Beijing Biomedical Engineering, 2019, 38(2): 151-158. https://www.cnki.com.cn/Article/CJFDTOTAL-BJSC201902006.htm
    • Relative Articles
    • Supplements(0)
    • Cited By
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(12)

    Get Citation
    PDF
    XML

    Article Metrics

    Article views (86) PDF downloads(8) Cited by()
    Proportional views
    Related

    Address：No. 287, Changhuai Road, Bengbu, Anhui Province, 233004, P.R.ChinaphoneNo：0552-3066635； 0552-3051890Email：zhqkyx@163.com

    Copyright © Chinese Journal of General Practice皖ICP备2020018345号-2

    Supported by: Beijing Renhe Information Technology Co., Ltd.    

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return