Department of Physical Medicine and Rehabilitation, Faculty of Medical Sciences, Kirikkale University, Kirikkale, Turkey.
Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Sanko University, Gaziantep, Turkey.
J Back Musculoskelet Rehabil. 2020;33(6):995-1002. doi: 10.3233/BMR-191712.
Knee osteoarthritis (OA) is a common musculoskeletal problem encountered in the postmenopausal period.
This study aimed to determine the impact of aerobic exercise on functional limitation, exercise tolerance, and performance tests in postmenopausal women with knee OA.
A total of 50 women (aged between 48-78) with grade 2-3 knee OA according to the Kellgren-Lawrence radiographic scale were enrolled. OA-specific physical performance tests (40 m Fast-Paced Walk Test (40mFPWT), 30 s Chair Stand Test (30sCST), Stair Climb Test (9-step SCT)), six-minute walk test (6MWT), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and Visual Analogue Scale (VAS) were performed. Fifty patients were randomized to either the treatment or control groups. The treatment group received an additional aerobic exercise training along with a combined physiotherapy program for six weeks. The aerobic exercise program was carried out by the same physiotherapist every weekday (five days) for six weeks. The control group only received a combined physiotherapy program for six weeks.
The post-treatment comparisons of the two groups yielded similar SCT results (p> 0.05), while VAS scores, the results of all performance tests, WOMAC scores, and the distance covered in 6MWT were significantly higher in the treatment group (p< 0.05).
Consequently, this study provides an insight into the efficacy of the aerobic exercise program applied along with a combined physiotherapy program in postmenopausal women with knee OA.
膝骨关节炎（OA）是绝经后常见的肌肉骨骼问题。
本研究旨在确定有氧运动对绝经后膝骨关节炎女性的功能限制、运动耐量和运动测试的影响。
共纳入 50 名（年龄在 48-78 岁之间）根据 Kellgren-Lawrence 放射学量表分级为 2-3 级的膝骨关节炎女性患者。进行了特定于 OA 的身体表现测试（40m 快步走测试（40mFPWT）、30 秒坐站测试（30sCST）、楼梯攀爬测试（9 步 SCT））、6 分钟步行测试（6MWT）、西部安大略省和麦克马斯特大学骨关节炎指数（WOMAC）和视觉模拟评分（VAS）。50 名患者随机分为治疗组或对照组。治疗组在接受联合物理治疗方案的基础上，额外接受有氧运动训练，共 6 周。有氧运动方案由同一位物理治疗师每周 5 天进行 6 周。对照组仅接受联合物理治疗方案 6 周。
两组治疗后的比较显示 SCT 结果相似（p>0.05），而 VAS 评分、所有表现测试结果、WOMAC 评分以及 6MWT 中覆盖的距离在治疗组显著更高（p<0.05）。
因此，本研究深入了解了有氧运动方案与联合物理治疗方案在绝经后膝骨关节炎女性中的疗效。
