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本体感觉训练与传统运动对早期膝关节骨关节炎患者姿势摆动的有效性——一项随机对照试验方案

Effectiveness of proprioceptive training versus conventional exercises on postural sway in patients with early knee osteoarthritis - A randomized controlled trial protocol.

作者信息

John Prabhakar Ashish, Joshua Abraham M, Prabhu Srikanth, Dattakumar Kamat Yogeesh

机构信息

Department of Physiotherapy, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, India.

Department of Computer Science & Engineering, Manipal Institute of Technology, Manipal Academy of Higher Education, Manipal, India.

出版信息

Int J Surg Protoc. 2020 Sep 28;24:6-11. doi: 10.1016/j.isjp.2020.09.002. eCollection 2020.


DOI:10.1016/j.isjp.2020.09.002
PMID:33089033
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7558027/
Abstract

INTRODUCTION: In recent times, 'early osteoarthritis' (EOA) has achieved recognition as a disease entity. The importance of defining EOA is in the fact that a variety of joint preservation treatments are available. Development of the sense of proprioception is a known vital element of most exercise rehabilitation programmes. Postural sways have been found to be prevalent in arthritic patients. It follows therefore that correction of early postural aberrations should help patients with EOA. The current study aims to determine the effectiveness of such proprioceptive training versus conventional exercises in patients with EOA. METHOD: This study is a randomized controlled trial. A total of 100 participants between the age of 20-45 years will be recruited. Participants will be randomly assigned to conventional or interventional group. Participants in both the groups will receive 12 session of treatment over a period of four weeks. Outcome measure considered are center of pressure excursion, joint position sense, hand held dynamometer, visual analog scale and knee injury and osteoarthritis Outcome Score for functional outcome. RESULTS: Data collected will be analyzed by mean, SD and 2 factor ANOVA for repeated measure, followed by Bonferroni post hoc analysis. Data will be analyzed using SPSS package version 17.0, p < 0.05 will be considered as significant. CONCLUSION: The authors hope to determine whether proprioceptive training improves outcome better than conventional exercise therapy and hope to contribute to an improved targeted treatment for patients with Early osteoarthritis.

摘要

引言:近年来,“早期骨关节炎”(EOA)已被确认为一种疾病实体。定义EOA的重要性在于有多种关节保留治疗方法可供选择。本体感觉的发展是大多数运动康复计划中已知的关键要素。已发现姿势摇摆在关节炎患者中很普遍。因此,纠正早期姿势异常应该对EOA患者有帮助。本研究旨在确定这种本体感觉训练与传统运动对EOA患者的有效性。 方法:本研究是一项随机对照试验。将招募总共100名年龄在20至45岁之间的参与者。参与者将被随机分配到传统组或干预组。两组参与者将在四周内接受12次治疗。所考虑的结果指标包括压力中心偏移、关节位置觉、握力计、视觉模拟量表以及用于功能结果的膝关节损伤和骨关节炎结果评分。 结果:收集到的数据将通过均值、标准差和重复测量的双因素方差分析进行分析,随后进行Bonferroni事后分析。数据将使用SPSS 17.0软件包进行分析,p < 0.05将被视为具有统计学意义。 结论:作者希望确定本体感觉训练是否比传统运动疗法能更好地改善结果,并希望为早期骨关节炎患者改进靶向治疗做出贡献。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/167c/7558027/55f27896ff0c/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/167c/7558027/55f27896ff0c/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/167c/7558027/55f27896ff0c/gr1.jpg

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引用本文的文献

[1]
Impact of Proprioceptive Exercises on Pain, Balance, and Fall Risk in the Elderly With Knee Osteoarthritis: A Randomized Clinical Trial.

Cureus. 2024-10-5

[2]
Effectiveness of balance training on pain and functional outcomes in knee osteoarthritis: A systematic review and meta-analysis.

F1000Res. 2022

[3]
Comparison of Single and Combined Treatment with Exercise Therapy and Collagen Supplementation on Early Knee Arthritis among Athletes-A Quasi-Randomized Trial.

Int J Environ Res Public Health. 2023-11-21

[4]
Proprioception and Mechanoreceptors in Osteoarthritis: A Systematic Literature Review.

J Clin Med. 2023-10-19

[5]
Effect of moderate exercise on osteoarthritis.

EFORT Open Rev. 2023-3-14

[6]
Benefits and Mechanisms of Exercise Training for Knee Osteoarthritis.

Front Physiol. 2021-12-16

[7]
Patellofemoral joint degeneration: A review of current management.

J Clin Orthop Trauma. 2021-11-13

本文引用的文献

[1]
Knee Joint Loading in Healthy Adults During Functional Exercises: Implications for Rehabilitation Guidelines.

J Orthop Sports Phys Ther. 2018-1-6

[2]
Postural Sway, Balance Confidence, and Fear of Falling in Women With Knee Osteoarthritis in Comparison to Matched Controls.

PM R. 2017-8

[3]
Early knee osteoarthritis.

RMD Open. 2015-8-15

[4]
Assessment of Lower Limb Muscle Strength and Power Using Hand-Held and Fixed Dynamometry: A Reliability and Validity Study.

PLoS One. 2015-10-28

[5]
Effects of proprioceptive circuit exercise on knee joint pain and muscle function in patients with knee osteoarthritis.

J Phys Ther Sci. 2015-8

[6]
Treatment and Prevention of (Early) Osteoarthritis Using Articular Cartilage Repair-Fact or Fiction? A Systematic Review.

Cartilage. 2013-7

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Am Fam Physician. 2014-6-1

[8]
Balance and gait adaptations in patients with early knee osteoarthritis.

Gait Posture. 2014-4

[9]
The proprioceptive senses: their roles in signaling body shape, body position and movement, and muscle force.

Physiol Rev. 2012-10

[10]
Proprioception, laxity, muscle strength and activity limitations in early symptomatic knee osteoarthritis: results from the CHECK cohort.

J Rehabil Med. 2012-10

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