体外冲击波疗法与运动疗法治疗膝骨关节炎的比较：一项初步随机对照试验。

Extracorporeal shockwave therapy vs. kinesiotherapy for osteoarthritis of the knee: A pilot randomized controlled trial.

作者信息

Lizis Paweł, Kobza Wojciech, Manko Grzegorz

机构信息

Department of Education and Health Protection, Holycross College of Kielce, Kielce, Poland.

Physiotherapy Cabinet of Zywiec, Zywiec, Poland.

出版信息

J Back Musculoskelet Rehabil. 2017 Sep 22;30(5):1121-1128. doi: 10.3233/BMR-169781.

DOI:10.3233/BMR-169781

PMID:28946535

Abstract

BACKGROUND

Osteoarthritis (OA) of the knee is a degenerative, painful pathology, needing conservative treatment for symptoms' relief.

OBJECTIVE

Comparing the effects of Extracorporeal shockwave therapy (ESWT) and Kinesiotherapy (KIN) on perceived health and range of motion (ROM) of the affected knee.

METHOD

A pilot randomized controlled trial with concealed allocation, assessor blinding, intention-to-treat analysis. Forty participants, aged 40-75 with OA of the knee were randomized to an ESWT and a KIN groups. The ESWT group completed 5 interventions for 5 weeks, the KIN group completed the same number of interventions. All evaluations were performed at baseline and after the treatment for: perceived health (Western Ontario and McMaster Universities questionnaire - WOMAC), range of motion (ROM).

RESULTS

After the intervention the statistical significant between groups differences favoring the ESWT were found in the WOMAC with regard to pain (p< 0.000), stiffness (p= 0.018), physical function (p< 0.000), total score (p< 0.000), extension and flexion of the affected knee (p= 0.015, p< 0.000) respectively.

CONCLUSIONS

ESWT improves WOMAC and ROM better then KIN on the affected knee in patients with OA of the knee.

摘要

背景

膝关节骨关节炎（OA）是一种退行性疼痛性疾病，需要进行保守治疗以缓解症状。

目的

比较体外冲击波疗法（ESWT）和运动疗法（KIN）对膝关节OA患者的健康感知及患侧膝关节活动范围（ROM）的影响。

方法

一项采用隐蔽分组、评估者盲法及意向性分析的前瞻性随机对照试验。40名年龄在40 - 75岁的膝关节OA患者被随机分为ESWT组和KIN组。ESWT组进行5周共5次干预，KIN组完成相同次数的干预。所有评估在基线期及治疗后进行，评估指标包括：健康感知（西安大略和麦克马斯特大学骨关节炎指数问卷 - WOMAC）、活动范围（ROM）。