Department of Health Promotion and Physical Education, Beijing Institute of Graphic Communication, Beijing, China.
Department of Wushu, Beijing Sport University, Beijing, China.
Geriatr Gerontol Int. 2020 Oct;20(10):899-903. doi: 10.1111/ggi.14007. Epub 2020 Sep 4.
Exercise therapy is a key intervention in the management of knee osteoarthritis (OA). This study aimed to test the 6-month effectiveness of Wu Qin Xi Qigong (WQXQ) exercise versus a conventional physical therapy (control group [CG]) on physical functioning in patients with early knee OA.
This study was a 6-month follow-up from a randomized controlled trial. Participants with knee OA were randomly allocated to the WQXQ or CG. Data from the Berg Balance Scale, Timed Up and Go Test, 6-Minute Walk Test, 30-Second Chair Stand Test, the Western Ontario and McMaster Universities Osteoarthritis Index, knee extension strength and knee flexion strength were collected before and after the 6-month intervention.
Both treatment groups demonstrated large (20%-50%) and clinically relevant reductions in activity limitations, pain and knee instability, which were sustained at 6 months post-treatment. No differences in effectiveness between experimental and control treatment were found on Timed Up and Go Test, 6-Minute Walk Test, knee extension strength and knee flexion strength except for a higher Berg Balance Scale score (P = 0.029) and lower Western Ontario and McMaster Universities Osteoarthritis Index pain score (P = 0.031) in the WQXQ group.
Both WQXQ and conventional physical therapy exercise programs were highly effective in reducing activity limitations and pain, and promoting balance and muscle power. WQXQ was found to be more effective in promoting balance and reducing pain than conventional physical therapy exercise in patients with knee OA. Geriatr Gerontol Int 2020; 20: 899-903.
运动疗法是膝骨关节炎（OA）管理的关键干预措施。本研究旨在测试为期 6 个月的五禽戏（WQXQ）运动与常规物理疗法（对照组[CG]）对早期膝 OA 患者身体机能的疗效。
这是一项为期 6 个月的随机对照试验随访研究。将膝骨关节炎患者随机分配到 WQXQ 或 CG 组。在 6 个月的干预前后，收集 Berg 平衡量表、计时起立行走测试、6 分钟步行测试、30 秒椅子站立测试、西安大略和麦克马斯特大学骨关节炎指数、膝关节伸展力量和膝关节屈曲力量的数据。
两组治疗均表现出较大（20%-50%）和临床相关的活动受限、疼痛和膝关节不稳定程度降低，且在治疗后 6 个月时持续存在。在计时起立行走测试、6 分钟步行测试、膝关节伸展力量和膝关节屈曲力量方面，实验组和对照组之间的治疗效果没有差异，但 WQXQ 组的 Berg 平衡量表评分较高（P = 0.029）和西安大略和麦克马斯特大学骨关节炎指数疼痛评分较低（P = 0.031）。
WQXQ 和常规物理治疗运动方案在减轻活动受限和疼痛、促进平衡和增强肌肉力量方面均非常有效。与常规物理治疗运动相比，WQXQ 更有效地促进平衡和减轻疼痛。
