力量训练与有氧训练对膝关节骨关节炎患者的疼痛和身体功能进行管理:系统性审查和元分析
Luis Ceballos-Laita1, Silvia Lahuerta-Martín1, Andoni Carrasco-Uribarren2
1Clinical Research in Health Sciences Group, Department of Surgery, Ophthalmology, Otorhinolaryngology and Physiotherapy, Faculty of Health Sciences, University of Valladolid, 42004 Soria, Spain.
Healthcare (Basel, Switzerland)
|January 11, 2024
概括
力量训练 (ST) 和有氧训练 (AT) 对膝关节骨关节炎的疼痛和功能提供了类似的好处. 这次系统性审查发现,ST和AT在改善膝关节OA患者的这些结果方面没有显著差异.
科学领域:
- 整形外科 整形外科 整形外科
- 康复医学 康复医学 康复医学
- 运动医学 运动医学
背景情况:
- 膝关节关节炎 (OA) 是一种普遍的疾病,需要有效的管理策略.
- 力量训练 (ST) 和有氧训练 (AT) 是膝盖OA的主要运动建议.
- 证据支持ST和AT,但对优势的直接比较有限.
研究的目的:
- 为了确定力量训练 (ST) 或有氧训练 (AT) 是否优于改善膝关节骨关节炎患者的疼痛和身体功能.
- 进行系统审查和元分析,比较ST和AT干预措施.
主要方法:
- 系统审查和元分析遵循PRISMA声明.
- 搜索了主要的数据库 (PubMed,PEDro,Scopus,科学网,科克兰图书馆).
- 包括随机对照试验比较ST和AT膝关节OA,评估方法质量和偏差风险.
主要成果:
- 分析了4项涉及426名患者的研究 (6项出版物).
- 在ST和AT之间疼痛改善没有显著差异 (SMD:0.02;95%CI: -0.15,0.19).
- 在ST和AT之间的身体功能改善没有显著差异 (SMD:0.07;95%CI: -0.10,0.24).
结论:
- 力量训练和有氧训练都为膝关节骨关节炎患者提供临床益处.
- 这次元分析没有发现任何证据表明,对于膝关节OA,一种运动方式优于另一种.
- 对这些发现的证据确定性被评为非常低.
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