肌肉与运动在膝关节骨关节炎预防和管理中的作用：内科专家指南

Muscle and exercise in the prevention and management of knee osteoarthritis: an internal medicine specialist's guide.

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, The University of Melbourne, 200 Berkeley Street, Carlton, Victoria 3010, Australia.

出版信息

Med Clin North Am. 2009 Jan;93(1):161-77, xii. doi: 10.1016/j.mcna.2008.08.006.

DOI:10.1016/j.mcna.2008.08.006

PMID:19059027

Abstract

This article outlines the influence of muscle activity on knee-joint loading, describes the deficits in muscle function observed in people with knee osteoarthritis, and summarizes available evidence pertaining to the role of muscle in the development and progression of knee osteoarthritis. The article focuses on whether muscle deficits can be modified in knee osteoarthritis and whether improvements in muscle function lead to improved symptoms and joint structure. This article concludes with a discussion of exercise prescription for muscle rehabilitation in knee osteoarthritis.

摘要

本文概述了肌肉活动对膝关节负荷的影响，描述了在膝关节骨关节炎患者中观察到的肌肉功能缺陷，并总结了有关肌肉在膝关节骨关节炎发生和发展中作用的现有证据。本文重点关注膝关节骨关节炎中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。本文最后讨论了膝关节骨关节炎肌肉康复的运动处方。