对于膝关节骨关节炎的自感运动的影响:系统性审查和元分析
Yaoyu Lin1, Debiao Yu2,3,4, Xiaoting Chen1
1College of Rehabilitation Medicine, Fujian University of Traditional Chinese Medicine, Fuzhou, China.
Frontiers in rehabilitation sciences
|July 9, 2025
概括
自主运动改善了膝关节骨关节炎 (KOA) 患者的平衡和整体状况. 短期干预 (≤8周) 显示出最佳效益,特别是在缓解疼痛方面.
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
- 老年学是一门学科.
背景情况:
- 膝关节骨关节炎 (KOA) 管理通常包括自感运动,但其有效性仍有争议.
- 在KOA患者中平衡缺陷很常见,影响功能和生活质量.
研究的目的:
- 系统地评估体感运动对KOA症状和功能结果的影响.
- 具体评估KOA患者对平衡性能的影响.
主要方法:
- 一个系统的审查和对22个随机对照试验 (RCTs) 的元分析,遵循PRISMA指南.
- 主要结局包括平衡 (定时启动和启动测试),WOMAC分数 (总和分级) 和疼痛强度 (NRS,VAS).
- 小组分析考虑了干预持续时间 (≤8周与>8周).
主要成果:
- 适应性运动显著改善了Timed Up和Go测试的表现和整体WOMAC分数.
- 在数值评分尺度疼痛得分方面,有显著的改善.
- 短期干预 (≤8周) 显示出显著的视觉模拟尺度疼痛减轻,而不是更长的持续时间.
结论:
- 自受性运动在改善KOA患者的平衡和整体临床状况方面表现出有效性.
- 低确定性证据表明,最佳效益是通过短期干预期实现的.
- 需要进一步的高质量研究来证实这些发现.
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