Liu Congying, Wan Qiaoqin, Zhou Weijiao, Feng Xiaolin, Shang Shaomei
School of Nursing, Peking University, PR China.
Int J Nurs Sci. 2017 Sep 8;4(4):402-409. doi: 10.1016/j.ijnss.2017.09.002. eCollection 2017 Oct 10.
This integrative review is to identify the factors associated with balance function in patients with knee osteoarthritis and explore the relationship between these factors and balance function. Osteoarthritis commonly occurs in elderly people. Patients with knee osteoarthritis have balance impairment, and maintaining knee stability is important for such patients to prevent accidental injuries caused by falling. Therefore, it is important to clarify the factors related to balance function in patients with knee osteoarthritis. The PubMed, Science Direct, CINAHL, Ovid, ProQuest, CNKI, WanFang databases were searched, and relevant articles published up to December 2015 were included. Twenty articles were included in the analysis. Age, gender, dominant limb, foot length, knee alignment, diurnal variation, and meniscus tears were the non-modifiable factors, whereas body mass index, knee pain, muscle strength, joint range of motion, severity, and cognitive loading were the modifiable factors. Knee sleeve and custom-molded insoles showed protective effects against knee osteoarthritis.
本系统综述旨在确定与膝关节骨关节炎患者平衡功能相关的因素，并探讨这些因素与平衡功能之间的关系。骨关节炎常见于老年人。膝关节骨关节炎患者存在平衡功能障碍，维持膝关节稳定性对于此类患者预防跌倒所致意外伤害至关重要。因此，明确膝关节骨关节炎患者平衡功能相关因素具有重要意义。检索了PubMed、Science Direct、CINAHL、Ovid、ProQuest、中国知网、万方数据库，并纳入截至2015年12月发表的相关文章。共20篇文章纳入分析。年龄、性别、优势肢体、足长、膝关节对线、日变化和半月板撕裂为不可改变因素，而体重指数、膝关节疼痛、肌肉力量、关节活动范围、严重程度和认知负荷为可改变因素。膝关节护具和定制鞋垫对膝关节骨关节炎具有保护作用。
