Whitchelo Tara, McClelland Jodie A, Webster Kate E
Department of Physiotherapy, Faculty of Health Sciences, La Trobe University , Melbourne , Australia and.
Disabil Rehabil. 2014;36(13):1051-60. doi: 10.3109/09638288.2013.829526. Epub 2013 Oct 4.
People with knee osteoarthritis (OA) report ongoing limitations in climbing stairs, even after total knee arthroplasty (TKA). The aim of this systematic review was to synthesise the available evidence of factors affecting stair climbing ability in patients with knee OA before and after TKA.
A systematic search was conducted of common electronic databases. All English language abstracts where stair-climbing was assessed in patients with either knee OA or at least 6 months after TKA, and a relationship to any physical, psychological or demographic factors was reported.
Thirteen studies were included in the final review, nine investigated a knee OA population, and four investigated a TKA population. For patients with knee OA there was consistent and convincing evidence that greater stair-climbing ability was related to stronger lower limb muscles and less knee pain. For patients with TKA there was much less research, and no conclusions could be reached.
For people with knee OA there is evidence that some physical, demographic and psychosocial factors are related to stair-climbing ability. However, the evidence for similar relationships in the TKA population is scarce and needs more extensive research. Implications for Rehabilitation People with knee osteoarthritis experience difficulty when climbing stairs, and this remains challenging even after knee replacement. For people with knee osteoarthritis, a range of physical, demographic and psychosocial factors contribute to stair-climbing ability, however, evidence for similar relationships in the TKA population is scarce. Rehabilitation that is multi-faceted may be the best approach to improve stair-climbing in people with knee osteoarthritis.
膝关节骨关节炎（OA）患者报告称，即使在全膝关节置换术（TKA）后，爬楼梯仍存在持续的限制。本系统评价的目的是综合现有的证据，以了解影响膝关节OA患者TKA前后爬楼梯能力的因素。
对常见电子数据库进行系统检索。纳入所有评估膝关节OA患者或TKA后至少6个月患者爬楼梯情况，并报告其与任何身体、心理或人口统计学因素关系的英文摘要。
最终综述纳入了13项研究，9项调查膝关节OA人群，4项调查TKA人群。对于膝关节OA患者，有一致且令人信服的证据表明，更强的爬楼梯能力与更强的下肢肌肉和更少的膝关节疼痛有关。对于TKA患者，研究较少，无法得出结论。
对于膝关节OA患者，有证据表明一些身体、人口统计学和社会心理因素与爬楼梯能力有关。然而，TKA人群中类似关系的证据很少，需要更广泛的研究。康复的意义膝关节骨关节炎患者爬楼梯时会遇到困难，即使在膝关节置换后这仍然具有挑战性。对于膝关节骨关节炎患者，一系列身体、人口统计学和社会心理因素会影响爬楼梯能力，然而，TKA人群中类似关系的证据很少。多方面的康复可能是改善膝关节骨关节炎患者爬楼梯能力的最佳方法。
