对患有关节炎或膝关节关节炎的患者进行亲自和基于应用程序的炼;随机对照试验的二次分析
Lars Martinsen1,2, Nina Østerås3,4, Tuva Moseng3
1Division of Rheumatology and Research, Center for Treatment of Rheumatic and Musculoskeletal Diseases (REMEDY), Diakonhjemmet Hospital, Postboks 23 Vinderen, 0319, Oslo, Norway. lars.martinsen@sunnaas.no.
Rheumatology international
|August 26, 2025
概括
监督的运动治疗比基于应用程序的关节炎 (OA) 治疗方案的坚持更高. 疲劳,教育和自我效能等因素影响了坚持,但结果没有显著联系.
科学领域:
- 整形医学
- 康复医学
- 数字健康
背景情况:
- 运动对于治疗关节炎至关重要.
- 患者对所规定的运动方案的坚持往往是不理想的.
- 比较面对面和数字干预之间的坚持对于优化OA护理至关重要.
研究的目的:
- 在关节/膝关节骨关节炎患者中,以实验和应用程序为基础的干预措施进行比较.
- 为了确定与炼相关的患者特征.
- 探索运动坚持与疾病特异性结果之间的关系.
主要方法:
- 一个随机对照试验,比较监督的物理治疗与基于应用程序的6周运动计划.
- 通过完成的运动次数来衡量坚持.
- 患者特征和疾病特异性结果 (部/膝关节损伤和骨关节炎结局得分) 在基线和6周后期进行了评估.
主要成果:
- 与基于应用程序的运动相比,监督运动显示了显著更高的坚持率 (4.2倍的几率).
- 更高的教育和自我效能与增加的坚持有关.
- 增加的疲劳与较低的运动坚持有关.
结论:
- 亲自监督的运动治疗比基于应用程序的关节/膝关节OA治疗更好.
- 包括疲劳,教育水平和自我效能在内的患者因素显著影响了炼的坚持.
- 在6周后,没有发现坚持水平与疾病特异性结果的改善之间的显著关联.
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