Ha Gi-Chul, Yoon Jae-Ryang, Yoo Cheol-Gyu, Kang Seol-Jung, Ko Kwang-Jun
Department of Physical Education, Korea National Sport University, Seoul, Korea.
Department of Physical Education, Changwon National University, Changwon, Korea.
J Exerc Rehabil. 2018 Oct 31;14(5):870-876. doi: 10.12965/jer.1836308.154. eCollection 2018 Oct.
The purpose of this study is to investigate the risk factors of metabolic syndrome, cardiorespiratory fitness, knee isokinetic function, and osteoarthritis index inpatients with knee osteoarthritis women. Subjects were divided into the exercise group (n=9, aged 60.89±5.06), and the control groups (n=8, aged 61.25±1.91). Aquatic exercise was performed for 12 weeks, 3 times a week, 60 min a day. The changes of metabolic syndrome risk factors, cardiorespiratory fitness, knee isokinetic function, and WOMAC index (Western Ontario and McMaster University osteoarthritis index) were measured and analyzed at pre- and postexercise program for verifying exercise effectiveness. As a result, fasting blood glucose (<0.05), glycosylated hemoglobin (<0.01), and triglyceride (<0.05) were significantly decreased in the risk factors of metabolic syndrome. The maximum oxygen uptake in cardiorespiratory fitness was not significantly different. The left and right extensor muscles of knee isokinetic function increased significantly (<0.01, <0.01, respectively). There was no significant difference in flexor muscles. Osteoarthritis index was significantly improved in stiffness (<0.01) and physical function (<0.05). In conclusion, aquatic exercise can be regarded as an effective exercise program for managing metabolic syndrome risk factors, increasing muscle function, and improving osteoarthritis index in patients with osteoarthritis of the knee.
本研究旨在调查膝骨关节炎女性患者的代谢综合征、心肺适能、膝关节等速功能和骨关节炎指数的危险因素。将受试者分为运动组（n = 9，年龄60.89±5.06）和对照组（n = 8，年龄61.25±1.91）。进行为期12周的水上运动，每周3次，每次60分钟。在运动计划前后测量并分析代谢综合征危险因素、心肺适能、膝关节等速功能和WOMAC指数（西安大略和麦克马斯特大学骨关节炎指数）的变化，以验证运动效果。结果显示，代谢综合征危险因素中的空腹血糖（<0.05）、糖化血红蛋白（<0.01）和甘油三酯（<0.05）显著降低。心肺适能中的最大摄氧量无显著差异。膝关节等速功能的左右伸肌显著增加（分别为<0.01，<0.01）。屈肌无显著差异。骨关节炎指数在僵硬方面（<0.01）和身体功能方面（<0.05）显著改善。总之，水上运动可被视为一种有效的运动方案，用于管理膝骨关节炎患者的代谢综合征危险因素、增强肌肉功能和改善骨关节炎指数。
