关节动员和运动模式训练对与关节相关的部疼痛患者的比较:试点随机临床试验
Marcie Harris-Hayes1, Patricia Zorn2, Karen Steger-May3
1Program in Physical Therapy, Department of Orthopaedic Surgery, Washington University School of Medicine, St. Louis, Missouri, USA.
Physical therapy
|August 22, 2023
概括
一项试点研究表明,对于关节相关的沟疼痛 (HRGP) 进行大型随机临床试验是可行的. 联合动员 (JtMob) 和运动模式训练 (MoveTrain) 都改善了患者报告的结果,尽管两组之间没有发现显著差异.
科学领域:
- 整形外科 整形外科 整形外科
- 运动医学 运动医学
- 物理疗法物理治疗
背景情况:
- 与关节相关的关节疼痛 (HRGP) 是年轻成年人常见的疾病.
- 评估随机临床试验 (RCT) 的可行性对于建立HRGP有效治疗方法至关重要.
研究的目的:
- 确定对HRGP进行全面RCT的可行性.
- 预先评估两个干预措施的有效性:联合动员 (JtMob) 和运动模式训练 (MoveTrain).
主要方法:
- 一项试验性随机临床试验 (RCT) 与33名HRGP患者 (18-40岁) 进行,随机 1:1 分配给JtMob或MoveTrain.
- 这两项干预都包括10次监督会议和家庭炼计划.
- 主要结局评估了可行性;次要结局是部残疾和骨关节炎结局得分 (HOOS).
主要成果:
- 尽管COVID-19流行病的破坏,但88%的参与者完成了这项研究.
- 在监督课程 (85%) 和家庭练习 (71-86%) 中都观察到高坚持率.
- 两组JtMob和MoveTrain都在HOOS尺度上显示了显著的组内改善 (≥5分),没有显著的组间差异.
结论:
- 对于HRGP干预来说,一个大规模的RCT似乎是可行的,即使是与流行病相关的挑战.
- 初步数据表明,JtMob和MoveTrain都可能有效地改善HRGP患者报告的疼痛和活动限制.
- 对于未来在流行病期间进行的试验,可能需要修改.
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