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老年膝骨关节炎女性的姿势控制与生活质量评估

Evaluation of postural control and quality of life in elderly women with knee osteoarthritis.

作者信息

Reis Júlia Guimarães, Gomes Matheus Machado, Neves Thamires Máximo, Petrella Marina, de Oliveira Renê Donizeti Ribeiro, de Abreu Daniela Cristina Carvalho

机构信息

Departamento de Biomecânica, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brasil.

Departamento de Medicina Clínica, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brasil.

出版信息

Rev Bras Reumatol. 2014 May-Jun;54(3):208-12.

Abstract

OBJECTIVE

To assess the balance in dynamic tasks and in the quality of life in elderly women with and without knee osteoarthritis.

METHODS

Elderly women were divided into Group 1 (n = 12), consisting of participants with bilateral knee osteoarthritis (Kellgreen-Lawrence grade 1 and 2), and Group 2 (n = 12), consisting of controls. A force plate (EMG System do Brazil) was used to assess postural sway in dynamic tasks, whereas the quality of life was assessed by using the WHOQOL-Bref questionnaire.

RESULTS

Student's t-test showed no statistical difference during sitting down and standing up from the chair (p > 0.05). However, stair ascent revealed difference in displacement speed (p < 0.05), whereas stair descent showed differences in both displacement speed and amplitude (p < 0.05). In the questionnaire, Group 1 showed values lower than those in the control group regarding physical domain (p < 0.05).

CONCLUSION

Elderly women with knee osteoarthritis seemed to have more difficulty on stair descent task and had perception of worst physical domain. These findings were observed in OA group, even in the early stages of the disease, which shows the importance of even earlier interventions.

摘要

目的

评估患有和未患有膝关节骨关节炎的老年女性在动态任务中的平衡能力以及生活质量。

方法

老年女性被分为两组,第1组(n = 12)由双侧膝关节骨关节炎患者(凯尔格林 - 劳伦斯分级为1级和2级)组成,第2组(n = 12)为对照组。使用测力板(巴西EMG系统)评估动态任务中的姿势摇摆,而生活质量则通过世界卫生组织生活质量简表进行评估。

结果

学生t检验显示,从椅子上坐下和站起时无统计学差异(p>0.05)。然而,上楼梯时在位移速度上存在差异(p<0.05),而下楼梯时在位移速度和幅度上均存在差异(p<0.05)。在问卷中,第1组在身体领域的得分低于对照组(p<0.05)。

结论

患有膝关节骨关节炎的老年女性在下楼梯任务中似乎有更多困难,并且对身体领域的感知较差。这些发现出现在骨关节炎组中,即使在疾病的早期阶段,这表明了更早进行干预的重要性。

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