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Open Access Article

Orthopedics and Sports Medicine. 2025; 1: (1) ; 13-17 ; DOI: 10.12208/j.osm.20250003.

The evidence for pain in hip osteoarthritis and symptom production during the stance phase of gait
髋关节骨关节炎疼痛的证据和步态站立期症状的产生

作者: Weiyi Zhan *

英国卡迪夫大学医疗保健科学学院 英国

*通讯作者: Weiyi Zhan,单位:英国卡迪夫大学医疗保健科学学院 英国;

发布时间: 2025-05-09 总浏览量: 428

摘要

髋关节骨关节炎(OA)是全球范围内导致残疾的主要原因之一。疼痛是髋关节骨关节炎的典型临床表现,会导致运动障碍,给髋关节OA患者的日常生活带来极大的不便。在患有髋关节OA的患者中,行走功能尤其受到影响。滑膜炎症是引起疼痛的关键因素之一。本文旨在 讨论髋关节骨关节炎疼痛和组织病理与步态支撑期负重之间的关联性证据。负重情况的影响以生物力学术语进行了解释。重点关注髋关节骨关节炎患者关节和组织对负重反应的最相关方面。在以下人群中发现了良好的证据:髋关节骨关节炎的疼痛和组织病理、步态支撑期的生物力学变化和负荷。然而,在步态支撑期,疼痛和负荷之间的关系证据不足。

关键词: 髋关节骨关节炎;疼痛;负荷

Abstract

Hip Osteoarthritis (OA) is one of the leading causes of global disability. Pain is a typical clinical presentation of hip osteoarthritis which would cause motor disability and bring great inconvenience to patients with hip OA in their daily lives. Amongpatients with hip OA, their walking function were particularly affected. Synovial inflammation is one of the key factors causing the pain. This essay aimed to discuss the evidence for the link between pain and tissue pathology of the hip osteoarthritis and loading during the stance phase of gait. The implications of the loading situation were explained in biomechanical terms. Emphasis was placed on the most relevant aspects of the joint and tissue response to the loading among people with hip OA. Good evidence was found between pain and tissue pathology of the hip osteoarthritis, biomechanics changes and loading during the stance phase of gait. However, poor evidence was found between pain and loading during the stance phase of gait.

Key words: Hip osteoarthritis; Pain; Loading

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引用本文

WeiyiZhan, 髋关节骨关节炎疼痛的证据和步态站立期症状的产生[J]. 骨科与运动医学, 2025; 1: (1) : 13-17.