膝关节骨关节炎的成年人抵抗训练的剂量反应关系:系统性审查和元分析
Huan Wang1, Baoan Ma1, Guotuan Wang2
1Department of Orthopedics, Tangdu Hospital of Air Force Military Medical University, Xi'ep, China.
Journal of geriatric physical therapy (2001)
|September 29, 2023
概括
抵抗训练 (RT) 显著改善膝关节骨关节炎 (KOA) 症状,功能和肌肉力量. 经过4到8周的RT观察到最优的益处,突出其治疗潜力.
科学领域:
- 整形外科和运动医学
- 康复科学 康复科学 康复科学
- 老年医学 老年医学
背景情况:
- 膝关节骨关节炎 (KOA) 是一种普遍存在的退行性关节疾病,影响全球数百万人.
- 症状包括疼痛,硬和减少身体功能,显著影响生活质量.
- 目前的管理通常涉及药物治疗和非药物干预,有效性各不相同.
研究的目的:
- 评估抵抗训练 (RT) 在改善KOA患者的症状,功能和下肢肌肉力量方面的有效性.
- 在KOA中确定RT干预的最佳剂量反应关系.
主要方法:
- 在主要数据库 (PubMed,MEDLINE,Embase,CENTRAL,Web of Science,ClinicalTrials.gov) 进行了系统的文献搜索,截至2022年1月.
- 包括50岁及以上的KOA患者RT的随机对照试验 (RCT).
- 随机效应元分析和元回归被用来合成数据并探索训练变量的影响,GRADE评估证据确定性.
主要成果:
- 对46项研究 (4289名参与者) 的分析显示,RT对KOA症状和功能的适度影响 (SMDbs = -0.52) 和下肢肌肉强度的显著改善 (SMDbs = 0.53).
- 超回归将培训时间确定为影响RT有效性的关键因素.
- 训练持续时间为4至8周,在症状,功能和肌肉力量方面表现出优异的结果,而在较短或较长时间的训练中表现出优异的结果.
结论:
- 强烈建议耐力训练对于KOA患者来说是为了增强症状,功能和肌肉力量.
- 4到8周的RT干预似乎是最大化KOA管理治疗效益的最佳持续时间.
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