Biomechanical analysis of indicators of movements in the joints of the lower extremity in patients with coxarthrosis as a method of functional diagnosis


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Abstract

Biomechanical parameters of the movements of patients with different stages of idiopathic, posttraumatic coxarthrosis and
with avascular necrosis were studied. Low limb movements were recorded with electromagnetic system. Angular amplitudes,
angular velocities and parameters of joint stiffness and joint flexibility were calculated using movement recordings and
previously developed biomechanical model. It was shown that these parameters adequately describe the stage of hip joint
injury. As for patients with early stages of coxarthrosis, these parameters describe the differences between the limb under
suspicion and the intact limb. The proposed biomechanical parameters can be used as the numerical assessments of a
functional state of the low limb under coxarthrosis: for a diagnostics, including early one, for an assessment of the results of  operative interventions, for an assessment of the effectiveness of rehabilitation procedures

About the authors

Vladimir Vasilyevich Guriev

Moscow state medico-stomatological University

Author for correspondence.
Email: drguriev@mail.ru

 PhD, associate Professor
of traumatology, orthopedics and military field surgery

Russian Federation, Moscow, Dolgorukovskaya St., 4

Vasily Iosifovich Zorya

Moscow state medico-stomatological University

Email: drguriev@mail.ru

 doctor of medical Sciences, Professor, honored science worker of the Russian Federation, head of chair of traumatology, orthopedics and
military field surgery

Russian Federation, Moscow, Dolgorukovskaya St., 4

Elena Vladimirovna Biryukova

Institute of higher nervous activity and neurophysiology of RAS

Email: drguriev@mail.ru

 candidate of physico-mathematical Sciences, senior
researcher, laboratory of mathematical
neurophysiology training

Russian Federation, 5A Butlerova str, Moscow 117485

Roman Alexandrovich Prokopenko

Institute of higher nervous activity and neurophysiology of RAS

Email: drguriev@mail.ru

candidate of physico-mathematical Sciences, Junior researcher of the laboratory of mathematical
neurophysiology training

Russian Federation, 5A Butlerova str, Moscow 117485

Alexander Alekseevich Frolov

Institute of higher nervous activity and neurophysiology of RAS

Email: drguriev@mail.ru

 d.b.N., head  laboratory of mathematical neuroscience training

Russian Federation, 5A Butlerova str, Moscow 117485

References

  1. Алексеева Л.И. Факторы риска при остеоартрозе. Научно-практическая ревматология 2000; 2: 36-45.
  2. Бирюкова Е.В., Фролов А.А., Гринягин И.В., Коршунов В.Ф., Романов С.Ю., Смирнитская И.А. Биомеханический анализ движений пальцев как метод функциональной диагностики. Вестник травматологии и ортопедии им. Н.Н.Приорова 2010; 2: 70-77.
  3. Золотарев А.В. Рентгеновская компьютерная томография в диагностике заболеваний тазобедренного сустава. Автореф. дис. ... канд. мед. наук. Петрозаводск 1996; 19.
  4. Коваленко В.Н., Борткевич О.П. Остеоартроз. Практическое руководство. Киев: Морион 2003.
  5. Ремизов Н.В. Лучевая диагностика дегенеративно-дистрофических заболеваний тазобедренного сустава и ее
  6. роль в планировании и контроле результатов эндопротезирования. Автореф. дис. ... канд. мед. наук. М. 2004;
  7. ,13.
  8. Сазонова Н.В., Щуров В.А. Динамометрические показатели мышц нижних конечностей у больных остеоартрозом. Вестник травматологии и ортопедии им.
  9. Н.Н.Приорова 2008; 4: 40-43.
  10. Скворцов Д.В. Диагностика двигательной патологии инструментальными методами: анализ походки, стабилометрия. М.: Научно-медицинская фирма МБН 2007.
  11. Biryukova E.V., Roschin V.Y., Frolov A.A., Ioffe M.E., Massion J., Dufosse M. Forearm postural control during unloading: anticipatory changes in elbow stiffness. Exp. Brain Res. 1999; 124; 1: 107-117.
  12. Biryukova E.V., Roby-Brami A., Frolov A.A., Mokhtari M. Kinematics of human arm reconstructed from Spatial Tracking System recordings. J. of Biomechanics 2000; 33;8: 985-995.
  13. Frolov A.A., Dufosse M., Rizek S., Kaladjan A. On the possibility of linear modeling of the human arm neuromuscular apparatus. Biol. Cybern. 2000; 82; 6: 499-515.
  14. Landry S.C., Kelly A., McKean K.A., Hubley-Kozey C.L., Stanish W.D., Deluzio K.J. Knee biomechanics of moderate OA patients measured during gait at a self-selected and fast walking speed. J. Biomechanics 2007; 40; 8: 1754-1761.
  15. Miki H., Sugano N., Hagio K., Nishi T., Kawakami H., Kakimoto A., Nakamura N., Yoshikawa H. Recovery of walking speed and symmetrical movement of the pelvis and lower extremity joints after unilateral THA. J. Biomechanics 2004; 37; 4: 443-455.
  16. Prokopenko R.A., Frolov A.A., Biryukova E.V., Roby-Brami A. Assessment of the accuracy of a human arm model with seven degrees of freedom. J. Biomechanics 2001; 34; 2: 177-185.
  17. Tilbury J.B., Van Eetvelt P.W.J.,. Garibaldi J.M, Curnow J.S.H., Ifeactor E.C. Reciever operation characteristic analysis for intelligent medical systems – a new approach for finding confidence intervals. IEEE transactions on Biomedical Enginering 2000; 47; 7: 952-963.
  18. Wu W.-L., Huang P.-J., Lin C.-J., Chen W.-Y., Huang K.-F., Cheng Y.-M. Lower extremity kinematics and kinetics during level walking and stair climbing in subjects with triple arthrodesis or subtalar fusion. Gait & Posture 2005;21; 3: 263-270.

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Copyright (c) Guriev V.V., Zorya V.I., Biryukova E.V., Prokopenko R.A., Frolov A.A.

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