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论文摘要

低强度不同频率全身震动治疗对兔膝骨关节炎的影响

Effects of Low-magnitude Whole Body Vibration (WBV) on Knee Osteoarthritis in Rabbits

作者:王俊博, 刘思佳, 陈红英等

Author:WANG Junbo, LIU Sijia, CHEN Hongying. et al

收稿日期:          年卷(期)页码:2017,48(4):537-542

期刊名称:四川大学学报(医学版)

Journal Name:JOURNAL OF SICHUAN UNIVERSITY (MEDICAL SCIENCE EDITION)

关键字:膝骨关节炎 关节软骨 全身震动 骨微结构 骨/软骨转换

Key words:Knee osteoarthritis Cartilage Whole body vibration Trabecular bone microarchitecture Bone/cartilage turnover

基金项目:

中文摘要

目的研究不同频率低强度全身震动治疗(WBV)对于兔膝骨关节炎软骨下骨微结构、软骨降解、骨/软骨转换以及关节功能的影响。方法成年新西兰兔96只,随机分为膝关节前交叉韧带切断术组(ACLT组,16只)和WBV+ACLT组(80只)。各组行左侧ACLT,制备膝骨关节炎模型。术后2个月,ACLT组不行WBV治疗,WBV+ACLT组分别以频率5 Hz、10 Hz、20 Hz、30 Hz、40 Hz进行WBV治疗(每亚组16只),震动幅度2~4 mm,40 min/d,5 d/周,持续治疗8周。治疗8周后采用负重不对称法检测关节疼痛度;尾静脉血液及尿液采集检测骨/软管转换标记物血清软骨寡聚基质蛋白(COMP),骨转换标记物1型/2型胶原羧基末端肽(CTX-Ⅰ、CTX-Ⅱ),运用Micro-CT仪扫描各组模型左侧膝关节,并分析软骨体积和骨微结构;关节软骨采用大体形态学和组织学评分分析。结果治疗8周,与ACLT组相比, 10 Hz (PPPPPPPP

英文摘要

Objective To determine the effects of low-magnitude whole body vibration (WBV) on the structure and function of subchondral trabecular bones, cartilage degradation, bone/cartilage turnover, and osteoarthritis (OA) joint function. Methods Knee osteoarthritis model was established in 96 rabbits through left anterior cruciate ligament transaction (ACLT). The rabbits were randomly divided into six groups: ACLT control group, WBV+ACLT group (five subgroups, each comprising 16 rabbits receiving 5 Hz, 10 Hz, 20 Hz, 30 Hz and 40 Hz WBV, respectively, with 2-4 mm amplitude for 40 min/d and 5 d/week over a period of 8 weeks). Joint function was tested via weight-bearing asymmetry. The microarchitecture of subchondral trabecular bones was examined using vivo micro-computed tomography (micro-CT). Cartilage samples from knee joints were taken for gross morphology and histology examinations. Serum samples were taken to detect cartilage oligomeric matrix protein (COMP), C-terminal telopeptide of type Ⅰ collagen (CTX)-Ⅰ and urine CTX-Ⅱ. Results Knee joint pain decreased with 10 Hz (PPPPP

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