Institute for Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark.
J Geriatr Phys Ther. 2009;32(3):111-6. doi: 10.1519/00139143-200932030-00006.
The purpose of this study was to investigate the effect of massage applied to the thigh muscles on joint repositioning error (JRE) in patients suffering from osteoarthritis (OA).We hypothesized that stimulating massage of the muscles around an osteoarthritic knee joint, could improve the neuromuscular function and thereby optimize the positive and minimize the negative performance factors in relation to an exercise program.
In a cross-over design, 19 patients with knee osteoarthritis, mean age of 73.1 years (SD: 9.4; range 56 to 88 years), recruited from the local department of rheumatology, were randomly allocated to either receive massage and a week later, act as controls or vice versa. The applied massage consisted of stimulating massage of the quadriceps femoris, sartorious, gracilus, and hamstrings muscles for 10 min on the affected leg. Participants had their JRE measured before and immediately after the 10 min massage and control sessions. Data were analyzed by using paired t-test.
No significant change in JRE was observed (95% CI: -0.62 degrees to 0.85 degrees, p = 0.738).
Massage has no effect on the immediate joint repositioning error in patients with knee osteoarthritis, ie, if an improved JRE is important for improving the performance factors when exercising, stimulating massage may not be recommendable to use.
本研究旨在探讨按摩大腿肌肉对骨关节炎（OA）患者关节复位误差（JRE）的影响。我们假设，刺激按摩骨关节炎膝关节周围的肌肉可以改善神经肌肉功能，从而优化与运动方案相关的积极因素和最小化消极因素。
采用交叉设计，从当地风湿病科招募了 19 名膝关节骨关节炎患者（平均年龄 73.1 岁，标准差：9.4；范围 56 至 88 岁），随机分配接受按摩和一周后的对照治疗，或反之亦然。应用的按摩包括对患侧腿的股四头肌、缝匠肌、股薄肌和腘绳肌进行 10 分钟的刺激按摩。在 10 分钟的按摩和对照治疗前后测量参与者的 JRE。使用配对 t 检验进行数据分析。
JRE 无显著变化（95%CI：-0.62 度至 0.85 度，p = 0.738）。
按摩对膝骨关节炎患者的即时关节复位误差没有影响，即如果改善 JRE 对改善运动时的表现因素很重要，那么刺激按摩可能不推荐使用。
