Romanowski Mateusz Wojciech, Špiritović Maja, Romanowski Wojciech, Straburzyńska-Lupa Anna
Department of Physiotherapy, Poznan University of Medical Sciences, Poznań, Poland.
Rheumatological Centre, Śrem, Poland.
Evid Based Complement Alternat Med. 2020 Aug 19;2020:1452579. doi: 10.1155/2020/1452579. eCollection 2020.
The purpose of this study was to evaluate the impact of manual therapy on the management of rheumatoid arthritis (RA) patients with knee pain.
This was a small, randomized clinical pilot study. Subjects were 46 patients with diagnosed RA, randomly assigned to the manual therapy group (postisometric relaxation and joint mobilization) or control group (standard exercise). Subjects in each group had 10 sessions of interventions, once a day with one day break after the sixth day. Outcomes included the pain intensity of knee, Knee Society Score, Oxford Knee Score, and Health Assessment Questionnaire.
There were no statistically significant differences between groups, except for the pain intensity of the knee.
This study suggests that manual therapy (postisometric relaxation and joint mobilization) may have clinical benefits for treating knee pain and function in rheumatoid patients. Further extended studies are expected to determine the effectiveness of manual therapy in RA patients with knee pain.
本研究旨在评估手法治疗对类风湿关节炎（RA）膝关节疼痛患者治疗的影响。
这是一项小型随机临床试验研究。受试者为46例确诊为RA的患者，随机分为手法治疗组（等长收缩后放松和关节松动术）或对照组（标准运动）。每组受试者接受10次干预，每天1次，第6天后休息1天。观察指标包括膝关节疼痛强度、膝关节协会评分、牛津膝关节评分和健康评估问卷。
除膝关节疼痛强度外，两组之间无统计学显著差异。
本研究表明，手法治疗（等长收缩后放松和关节松动术）可能对类风湿患者膝关节疼痛和功能的治疗具有临床益处。期望进一步的扩展性研究来确定手法治疗对RA膝关节疼痛患者的有效性。
