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腘绳肌与股四头肌强化治疗对膝关节骨关节炎管理效果的比较研究

Comparative study of hamstring and quadriceps strengthening treatments in the management of knee osteoarthritis.

作者信息

Al-Johani Ahmed H, Kachanathu Shaji John, Ramadan Hafez Ashraf, Al-Ahaideb Abdulaziz, Algarni Abdulrahman D, Meshari Alroumi Abdulmohesn, Alanezi Aqeel M

机构信息

Rehabilitation Medical Hospital, Kingdom of Saudi Arabia.

College of Applied Medical Sciences, King Saud University, Kingdom of Saudi Arabia.

出版信息

J Phys Ther Sci. 2014 Jun;26(6):817-20. doi: 10.1589/jpts.26.817. Epub 2014 Jun 30.

Abstract

[Purpose] Osteoarthritis (OA) of the knee is the most common form of joint disease. It is one of the major causes of impaired function that reduces quality of life (QOL) worldwide. The purpose of this study was to compare exercise treatments for hamstring and quadriceps strength in the management of knee osteoarthritis. [Subjects and Methods] Forty patients with OA knee, aged 50-65 years were divided into 2 groups. The first group (57.65±4.78 years) received hot packs and performed strengthening exercises for the quadriceps and hamstring, and stretching exercises for the hamstring. The second group (58.15±5.11 years) received hot packs and performed strengthening exercises for only the quadriceps, and stretching exercise for the hamstring. Outcome measures were the WOMAC (Western Ontario and McMaster Universities OA index questionnaire), Visual Analogue Scale (VAS) assessment of pain, the Fifty-Foot Walk Test (FWS), and Handheld dynamometry. [Results] There was a significant difference between the groups. The first group showed a more significant result than the second group. [Conclusion] Strengthening of the hamstrings in addition to strengthening of the quadriceps was shown to be beneficial for improving subjective knee pain, range of motion and decreasing the limitation of functional performance of patients with knee osteoarthritis.

摘要

[目的] 膝关节骨关节炎(OA)是最常见的关节疾病形式。它是导致全球范围内功能受损、生活质量(QOL)下降的主要原因之一。本研究的目的是比较在膝关节骨关节炎管理中针对腘绳肌和股四头肌力量的运动治疗方法。[对象与方法] 40例年龄在50 - 65岁的膝关节OA患者被分为两组。第一组(57.65±4.78岁)接受热敷,并进行股四头肌和腘绳肌的强化锻炼以及腘绳肌的拉伸锻炼。第二组(58.15±5.11岁)接受热敷,仅进行股四头肌的强化锻炼以及腘绳肌的拉伸锻炼。结果指标包括WOMAC(西安大略和麦克马斯特大学OA指数问卷)、疼痛的视觉模拟量表(VAS)评估、五十英尺步行测试(FWS)以及手持测力计测量。[结果] 两组之间存在显著差异。第一组的结果比第二组更显著。[结论] 除了强化股四头肌外,强化腘绳肌对改善膝关节骨关节炎患者的主观膝关节疼痛、活动范围以及减少功能表现受限有益。

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