在不同严重程度的膝关节关节炎患者中,膝关节关节结构和下肢功能上的差异:一个横截面研究
Shubham Tawade1, Rajani Mullerpatan1, Bela Agarwal1
1Department of Musculoskeletal Physiotherapy, MGM School of Physiotherapy, MGM Institute of Health Sciences, Navi Mumbai, Maharashtra, India.
骨关节炎显著影响下肢功能,在男性和女性的膝关节骨关节炎 (OA) 级别3-4中观察到显著下降. 这项研究强调了功能损失的性别差异.
科学领域:
- 骨科和体育医学
- 老年学
- 康复科学
背景情况:
- 骨关节炎 (OA) 是肌肉骨残疾的主要原因,尤其影响膝关节功能.
- 下肢功能逐渐下降是膝关节骨质炎的标志,影响了运动能力和生活质量.
- 关于功能衰退的具体时间和膝关节OA进展的潜在性别差异的证据有限.
研究的目的:
- 研究性别对膝关节骨关节炎患者下肢功能的影响.
- 检查膝关节骨关节炎的增加如何影响下肢功能.
- 鉴定与严重功能恶化的膝关节骨质炎的阶段.
主要方法:
- 招募了115名年龄在40-65岁的参与者 (57名男性,58名女性),他们被诊断为膝盖骨关节炎 (1-4级).
- 通过肌肉力量-耐力 (30秒的深,30秒的椅子-坐-站),关节运动,地面活动和身体活动来评估下肢功能.
- 测量膝关节中间空间宽度 (JSW),以与OA严重程度相关联.
主要成果:
- 在两种性别中,从1-2级到3-4级观察到膝关节空间宽度 (JSW) 的显著减少.
- 肌肉强度,运动能力和身体功能显著下降,特别是从OA等级3-4开始.
- 身体活动水平在OA等级上大幅下降,男性和女性的身体活动水平从3-4等级显著下降.
结论:
- 在中度至重度膝关节OA (3-4级) 中,下肢功能显著下降.
- 男性和女性在较高水平的OA时都会出现显著的功能障碍.
- 这些发现强调了早期干预和性别特定的膝关节骨质炎治疗策略的重要性.
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