Irmandade da Santa Casa de Misericórdia de São Paulo, São Paulo, Brazil.
Clinics (Sao Paulo). 2010 Jun;65(8):775-80. doi: 10.1590/s1807-59322010000800006.
Physiotherapy is one of the most important components of therapy for osteoarthritis of the knee. The objective of this prospective case series was to assess the efficiency of a guidance manual for patients with osteoarthritis of the knee in relation to pain, range of movement , muscle strength and function, active goniometry, manual strength test and function.
Thirty-eight adults with osteoarthritis of the knee (>or= 45 years old) who were referred to the physiotherapy service at the university hospital (Santa Casa de Misericórdia de São Paulo) were studied. Patients received guidance for the practice of specific physical exercises and a manual with instructions on how to perform the exercises at home. They were evaluated for pain, range of movement, muscle strength and function. These evaluations were performed before they received the manual and three months later. Patients were seen monthly regarding improvements in their exercising abilities.
The program was effective for improving muscle strength, controlling pain, maintaining range of movement of the knee joint, and reducing functional incapacity.
A review of the literature showed that there are numerous clinical benefits to the regular practice of physical therapy exercises by patients with osteoarthritis of the knee(s) in a program with appropriate guidance. This study shows that this guidance can be attained at home with the use of a proper manual.
Even when performed at home without constant supervision, the use of the printed manual for orientation makes the exercises for osteoarthritis of the knee beneficial.
物理疗法是治疗膝关节骨关节炎的重要治疗方法之一。本前瞻性病例系列研究的目的是评估膝关节骨关节炎患者指导手册在疼痛、活动范围、肌肉力量和功能、主动关节角度测量、手动力量测试和功能方面的效果。
对 38 名（年龄>45 岁）转诊至圣保罗圣十字慈善医院物理治疗服务的膝关节骨关节炎患者进行研究。患者接受特定体育锻炼实践的指导和一份关于在家中进行锻炼的说明手册。他们接受疼痛、活动范围、肌肉力量和功能的评估。这些评估在他们收到手册之前和三个月后进行。患者每月进行一次锻炼能力的改善情况评估。
该方案可有效提高肌肉力量、控制疼痛、保持膝关节活动范围、减轻功能障碍。
文献回顾表明，对于膝关节骨关节炎患者定期进行物理治疗锻炼并接受适当指导，具有许多临床益处。本研究表明，这种指导可以通过在家中使用适当的手册来实现。
即使在没有持续监督的情况下在家中进行，使用印刷手册进行指导也可以使膝关节骨关节炎的锻炼有益。
