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EN
Upslope and downslope walking are basic activities necessary for normal daily living in community, and they impose greater joint load on the lower extremities than during level walking. Thus, the purpose of this study was to quantify the resultant and shear forces in the hip and knee joints during slope walking. Methods: Twelve healthy volunteers were evaluated when walking under level and 10° up- and downslope conditions. Three-dimensional gait analysis was conducted using a 7-camera optoelectronic motion analysis system combined with a force plate to measure ground reactive force. Joint forces in the hip and knee joints were estimated using musculoskeletal model simulation. Results: Results showed that the resultant hip force was increased significantly to 117.2% and 126.9%, and the resultant knee force was increased to 133.5% and 144.5% in up- and downslope walking, respectively, compared to that of level walking. Furthermore, increased shear force in the hip and knee joints was noted during both slope walking conditions. Conclusions: This information may be beneficial for therapists advising elderly people or patients with osteoarthrosis on an appropriate gait pattern, gait assistive devices, or orthoses according to their living environment.
EN
Osteoarthritis, one of the most common types of arthritis, is characterized by the development of osteophytes. The main cause of joint degeneration is mechanical loading, but there are also several other factors that influence the development of osteophytes. In order to formulate a mathematical model of bone spurs’ development we have selected the most important factors, such as angiogenesis, micro-damage of the tissue structure and cell signaling. The proposed system of integro-differential equations describes the degenerative changes in the joint. Numerical calculations were implemented into the COMSOL Multiphysics software and the obtained results thus reflect relationships between certain parameters and variables. Additionally, the results correspond with those obtained from medical observations.
3
Content available remote Kompleksnoe lechenie artroza krupnykh sustavov c ispolzovaniem KVCh-terapii
PL
W referacie przedstawiono technologię leczenia choroby zwyrodnieniowej dużych stawów z zastosowaniem refleksoterapii i terapii polem elektromagnetycznym ultrawysokiej częstotliwości. Przytoczono rezultaty leczenia 124 chorych z wykorzystaniem zaproponowanej metody, wykazano efektywność leczenia i osobliwości stosowania metody w różnych grupach pacjentów.
EN
Technology of large joints arthrosis treatment with use microwaves, medicine acupuncture and microwaves is described. The results of treatment of 124 patients with use of this method are presented. Efficiency of treatment, features of usage for different groups of patients is presented.
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