心身运动对膝关节骨关节炎的影响:随机对照试验的系统审查和元分析
Hujun Qiao1,2, Xin Hao3, Guoxiang Wang4
1School of Physical Education, Soochow University, Suzhou, 215021, China. qiaohujun123@163.com.
BMC musculoskeletal disorders
|March 22, 2024
概括
像太极拳和这样的心身炼可以显著改善膝关节骨关节炎 (KOA) 患者的疼痛,硬和身体功能. 这些练习还可以增强心理健康和运动能力,提供安全有效的康复选择.
科学领域:
- 类风湿病学 类风湿病学
- 物理医学和康复 康复
- 综合医学是一个整体的医学.
背景情况:
- 膝关节骨关节炎 (KOA) 是一种常见的退行性关节疾病,导致疼痛,硬和身体功能减弱.
- 运动康复是KOA管理的基石,探索了各种模式.
- 精神与身体的炼,包括太极拳,和baduanjin,越来越多地被研究其在慢性疾病中的治疗潜力.
研究的目的:
- 系统地评估心身炼干预措施的疗效,以改善膝关节骨关节炎 (KOA) 患者的治疗结果.
- 综合随机对照试验 (RCT) 的证据,为KOA的运动康复策略提供信息.
- 评估心身炼对KOA患者疼痛,硬,身体功能,心理健康和运动能力的影响.
主要方法:
- 在多个数据库 (CNKI,Wanfang,PubMed/Medline,Cochrane Library,Web of Science,EBSCO,Embase,Scopus,ProQuest) 进行了全面的文献搜索,截至2022年10月25日.
- 随机对照试验 (RCT) 调查太极拳,或baduanjin对KOA被包括在内.
- 使用Cochrane风险偏差工具评估方法质量,使用Review Manager 5.3和Stata 14.0.0分析数据.
主要成果:
- 分析了涉及1122名患者的17个RCT.
- 与对照组相比,心身运动显著减少了疼痛 (SMD = -0.65),硬 (SMD = -0.75) 和改善了身体功能 (SMD = -0.82).
- 在心理健康 (SMD = 0.31) 和抑郁症 (SMD = -0.32) 中也观察到改善,以及增强的运动能力,包括增加6分钟的步行距离和减少时间和时间测试时间.
结论:
- 心身运动对膝关节骨关节炎 (KOA) 患者有显著的益处,改善疼痛,硬,身体功能和精神健康.
- 这些练习被认为是安全有效的KOA康复.
- 由于包含的研究可能存在方法上的局限性,建议进一步进行高质量的研究.
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