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基于家庭的治疗性运动计划对膝骨关节炎患者的可行性

Feasibility of a Home-Based Therapeutic Exercise Program in Individuals With Knee Osteoarthritis.

作者信息

Silva Cristina, Amaro António, Pinho António, Gonçalves Rui S, Rodrigues Mário, Ribeiro Fernando

机构信息

Clínica De Oiã, Hospital Da Luz Clínica De Oiã, Aveiro, Portugal.

University of Aveiro, School of Health Sciences, Aveiro, Portugal.

出版信息

Arch Rheumatol. 2018 Jan 15;33(3):295-301. doi: 10.5606/ArchRheumatol.2018.6633. eCollection 2018 Sep.

Abstract

OBJECTIVES

This study aims to evaluate the feasibility and potential benefits of a four-week home-based therapeutic exercise program for individuals with osteoarthritis (OA) of the knee.

PATIENTS AND METHODS

Feasibility outcomes, namely the recruitment rate, retention rate, exercise adherence and adverse events, as well as pain, knee muscle strength, range of motion, functional mobility, physical function, and postural sway were assessed on 15 individuals (4 males, 11 females; mean age 62.8±2.5 years; range 55 to 83 years) with knee OA before and after a four-week home-based therapeutic exercise program.

RESULTS

The main results indicated that this program was feasible, as indicated by recruitment, adherence, and safety outcomes. The retention rate was 80% and the overall exercise adherence for those completing the program was 93%. The exercise program improved significantly pain intensity (visual analog scale: 5.8±2.8 to 3.8±2.4 cm, p=0.006), functional mobility, muscle strength, and physical function (Knee injury and OA Outcome Score-Physical Function Short-form: 53.8±21.0 to 41.3±13.9 points, p=0.011).

CONCLUSION

This home-based therapeutic exercise program is feasible for individuals with OA of the knee and seems to improve pain intensity, functional mobility, muscle strength, and physical function.

摘要

目的

本研究旨在评估一项为期四周的居家治疗性运动计划对膝骨关节炎(OA)患者的可行性和潜在益处。

患者与方法

对15名膝骨关节炎患者(4名男性,11名女性;平均年龄62.8±2.5岁;年龄范围55至83岁)在为期四周的居家治疗性运动计划前后,评估可行性结果,即招募率、保留率、运动依从性和不良事件,以及疼痛、膝关节肌肉力量、活动范围、功能活动能力、身体功能和姿势摆动。

结果

主要结果表明,该计划是可行的,招募、依从性和安全性结果均能证明。保留率为80%,完成该计划者的总体运动依从性为93%。运动计划显著改善了疼痛强度(视觉模拟评分:从5.8±2.8厘米降至3.8±2.4厘米,p = 0.006)、功能活动能力、肌肉力量和身体功能(膝关节损伤和骨关节炎结果评分-身体功能简表:从53.8±21.0分降至41.3±13.9分,p = 0.011)。

结论

这项居家治疗性运动计划对膝骨关节炎患者是可行的,并且似乎能改善疼痛强度、功能活动能力、肌肉力量和身体功能。

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Physical therapy in persons with osteoarthritis.骨关节炎患者的物理治疗。
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