肌肉在膝关节骨关节炎的发生及管理中的作用

Role of muscle in the genesis and management of knee osteoarthritis.

作者信息

Bennell Kim L, Hunt Michael A, Wrigley Tim V, Lim Boon-Whatt, Hinman Rana S

机构信息

Centre for Health, Exercise and Sports Medicine, School of Physiotherapy, Faculty of Medicine, Dentistry, and Health Sciences, The University of Melbourne, Victoria, 3010, Australia.

出版信息

Rheum Dis Clin North Am. 2008 Aug;34(3):731-54. doi: 10.1016/j.rdc.2008.05.005.

DOI:10.1016/j.rdc.2008.05.005

PMID:18687280

Abstract

The muscles of the lower limb play an important role in the genesis and management of knee osteoarthritis (OA). This article outlines the influence of muscle activity on knee joint loading, the deficits in muscle function observed in people who have knee OA, and available evidence pertaining to the role of muscle in the development and progression of knee OA. It also discusses whether muscle deficits can be modified in knee OA and whether improvements in muscle function lead to improved symptoms and joint structure. It concludes with a discussion of exercise prescription for muscle rehabilitation in knee OA.

摘要

下肢肌肉在膝关节骨关节炎（OA）的发生和管理中起着重要作用。本文概述了肌肉活动对膝关节负荷的影响、膝关节OA患者中观察到的肌肉功能缺陷，以及与肌肉在膝关节OA发生和发展中的作用相关的现有证据。它还讨论了膝关节OA患者的肌肉缺陷是否可以改善，以及肌肉功能的改善是否会导致症状和关节结构的改善。最后讨论了膝关节OA肌肉康复的运动处方。