核心与部加强对膝关节骨关节炎成年人膝关节功能的影响:随机对照试验
Vrushali Jadhav1, Shilpshree Palsule1
1Occupational Therapy, Occupational Therapy (OT) Training School and Centre, Seth Gordhandas Sunderdas (GS) Medical College and King Edward Memorial (KEM) Hospital, Mumbai, IND.
Cureus
|July 15, 2025
概括
核心和部强化炼同样可以改善膝关节关节炎的结果. 这两种运动类型,当添加到职业治疗时,可以提高OA患者的膝盖功能,力量和生活质量.
科学领域:
- 整形外科和康复科学 整形外科和康复科学
- 老年医学 老年医学
- 物理疗法物理治疗
背景情况:
- 骨关节炎 (OA) 是导致疼痛和残疾的主要原因,特别是在老年人和妇女中,影响日常活动和生活质量.
- 运动是膝关节OA管理的基石,核心稳定性和部强化炼在与膝关节强化相结合时显示出希望.
- 有限的研究存在,比较核心稳定与部强化干预措施的疗效,用于膝关节OA.
研究的目的:
- 为了比较监督的核心稳定与部强化炼,除了传统的职业疗法,对膝盖OA患者的功能结果的影响.
- 评估膝关节骨关节炎患者在不同的运动干预中改善的运动能力,力量和生活质量.
- 评估对膝关节骨关节炎结局得分 (KOOS) 和功能性能测试的影响.
主要方法:
- 进行了一项涉及34名 (40-60岁) 患有单侧膝关节关节炎 (Kellgren-Lawrence等级1-3) 的患者的研究.
- 患者被分配到核心稳定组 (A组) 或部强化组 (B组),两者都接受传统职业治疗.
- 包括KOOS,30秒椅子站测试和手动肌肉分级在内的结果在基线和2,4,6周时被评估.
主要成果:
- 核心和部强化组在KOOS分数,膝盖/伸缩肌肉力量和30秒椅子站测试表现方面均显示出统计学上显著的改善.
- 在比较核心强化组和部强化组之间的改善时,没有观察到统计学上显著的差异.
- 这两种干预,当与标准职业治疗相结合时,导致测量参数的可比积极变化.
结论:
- 监督的核心稳定和部强化炼在治疗膝关节关节炎方面同样有效.
- 这两种炼方法都显著提高了肌肉力量,减少了疼痛,提高了生活质量,并改善了日常生活活动,正如KOOS分数所反映的那样.
- 这些发现表明,无论是核心还是部强化,都可以与传统治疗一起在膝关节OA的管理中得到有益的纳入.
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