O'Reilly S C, Muir K R, Doherty M
Rheumatology Unit, City Hospital, Nottingham.
Ann Rheum Dis. 1999 Jan;58(1):15-9. doi: 10.1136/ard.58.1.15.
To assess the effect of a home based exercise programme, designed to improve quadriceps strength, on knee pain and disability.
191 men and women with knee pain aged 40-80 were recruited from the community and randomised to exercise (n = 113) or no intervention (n = 78). The exercise group performed strengthening exercises daily for six months. The primary outcome measure was change in knee pain (Western Ontario McMaster Osteoarthritis index (WOMAC)). Secondary measures included visual analogue scales (VAS) for pain on stairs and walking and WOMAC physical function scores.
WOMAC pain score reduced by 22.5% in the exercise group and by 6.2% in the control group (between group difference p < 0.05, unpaired t test). VAS scores for pain also reduced in the exercise group compared with the control group (p < 0.05). Physical function scores reduced by 17.4% in the exercise group and were unchanged in controls (p < 0.05).
A simple programme of home quadriceps exercises can significantly improve self reported knee pain and function.
评估一项旨在增强股四头肌力量的家庭锻炼计划对膝关节疼痛及功能障碍的影响。
从社区招募了191名年龄在40至80岁之间的膝关节疼痛患者，随机分为锻炼组（n = 113）和无干预组（n = 78）。锻炼组每天进行强化锻炼，为期六个月。主要结局指标为膝关节疼痛的变化（西安大略和麦克马斯特大学骨关节炎指数（WOMAC））。次要指标包括上下楼梯及行走时疼痛的视觉模拟量表（VAS）评分以及WOMAC身体功能评分。
锻炼组的WOMAC疼痛评分降低了22.5%，对照组降低了6.2%（组间差异p < 0.05，独立样本t检验）。与对照组相比，锻炼组的疼痛VAS评分也有所降低（p < 0.05）。锻炼组的身体功能评分降低了17.4%，而对照组无变化（p < 0.05）。
一项简单的家庭股四头肌锻炼计划可显著改善自我报告的膝关节疼痛及功能。
