Kim Kyung, Lee Hae-Yong, Lim Sung-Joon
Department of Physical Therapy, Daegu University, Republic of Korea.
Department of Physical Therapy, Youngsan University, Republic of Korea.
J Phys Ther Sci. 2016 Jan;28(1):87-9. doi: 10.1589/jpts.28.87. Epub 2016 Jan 30.
[Purpose] The purpose of this study was to examine the relationship between standing balance increased through muscle-strengthening exercises and pain in knee osteoarthritis patients. [Subjects and Methods] Thirty knee osteoarthritis patients were equally divided into a strengthening exercise group and an unstable exercise group. Before and after the six-week experiment, the visual analogue scale was measured, and bilateral one-leg standing tests were performed. [Results] In both the strengthening exercise group and unstable exercise group, the bilateral one-leg standing time significantly increased after the six-week experiment. Regarding the visual analogue scale, a pain measurement scale, the strengthening exercise group had significantly decreased pain. The unstable exercise group also had decreased pain, but the decrease was not statistically significant. [Conclusion] In knee osteoarthritis patients, exercises using an unstable base of support and knee-extensor strengthening exercises with gradually increased loads had a positive effect on improving balance ability and decreasing pain.
[目的]本研究旨在探讨通过肌肉强化锻炼提高的站立平衡能力与膝关节骨关节炎患者疼痛之间的关系。[对象与方法]30例膝关节骨关节炎患者被平均分为强化锻炼组和不稳定锻炼组。在为期六周的实验前后,测量视觉模拟评分,并进行双侧单腿站立测试。[结果]六周实验后,强化锻炼组和不稳定锻炼组的双侧单腿站立时间均显著增加。在视觉模拟评分(一种疼痛测量量表)方面,强化锻炼组的疼痛显著减轻。不稳定锻炼组的疼痛也有所减轻,但减轻程度无统计学意义。[结论]在膝关节骨关节炎患者中,使用不稳定支撑面的锻炼以及逐渐增加负荷的膝关节伸肌强化锻炼对改善平衡能力和减轻疼痛具有积极作用。