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针对膝关节动力学的运动疗法对膝骨关节炎患者疼痛、功能和步态动力学的影响:一项随机临床试验。

Effects of an Exercise Therapy Targeting Knee Kinetics on Pain, Function, and Gait Kinetics in Patients With Knee Osteoarthritis: A Randomized Clinical Trial.

机构信息

Ahvaz Jundishapur University of Medical Sciences.

University of Alberta.

出版信息

Adapt Phys Activ Q. 2021 Mar 30;38(3):377-395. doi: 10.1123/apaq.2020-0144. Print 2021 Jul 1.


DOI:10.1123/apaq.2020-0144
PMID:33785660
Abstract

In this study, the effects of an exercise therapy comprising yoga exercises and medial-thrust gait (YogaMT) on lower-extremity kinetics, pain, and function in patients with medial knee osteoarthritis were investigated. Fifty-nine patients were randomly allocated to three treatment groups: (a) the YogaMT group practiced yoga exercises and medial thrust gait, (b) the knee-strengthening group performed quadriceps- and hamstring-strengthening exercises, and (c) the treadmill walking group practiced normal treadmill walking in 12 supervised sessions. The adduction and flexion moments of the hip, knee, and ankle; pain intensity; and 2-min walking test were assessed before and after treatment and at 1-month follow-up. The YogaMT group experienced a significant reduction in knee adduction moment. All groups showed significant improvement in pain and function. The YogaMT may reduce medial knee load in patients with knee osteoarthritis in the short term. A larger clinical trial is required to investigate the long-term outcomes of this intervention.

摘要

本研究旨在探讨包含瑜伽练习和内收推力步态(YogaMT)的运动疗法对内侧膝关节骨关节炎患者下肢动力学、疼痛和功能的影响。59 名患者被随机分配到三个治疗组:(a)瑜伽 MT 组进行瑜伽练习和内收推力步态,(b)膝关节强化组进行股四头肌和腘绳肌强化练习,(c)跑步机步行组在 12 次监督治疗中进行正常跑步机步行。在治疗前、治疗后和 1 个月随访时评估髋关节、膝关节和踝关节的内收和屈曲力矩;疼痛强度;以及 2 分钟步行测试。瑜伽 MT 组的膝关节内收力矩显著降低。所有组的疼痛和功能均有显著改善。瑜伽 MT 可能会在短期内减轻膝关节骨关节炎患者的膝关节内侧负荷。需要更大的临床试验来研究这种干预措施的长期效果。

相似文献

[1]
Effects of an Exercise Therapy Targeting Knee Kinetics on Pain, Function, and Gait Kinetics in Patients With Knee Osteoarthritis: A Randomized Clinical Trial.

Adapt Phys Activ Q. 2021-7-1

[2]
Comparison of neuromuscular and quadriceps strengthening exercise in the treatment of varus malaligned knees with medial knee osteoarthritis: a randomised controlled trial protocol.

BMC Musculoskelet Disord. 2011-12-5

[3]
Clinical and biomechanical changes following a 4-month toe-out gait modification program for people with medial knee osteoarthritis: a randomized controlled trial.

Osteoarthritis Cartilage. 2018-4-27

[4]
Does knee malalignment mediate the effects of quadriceps strengthening on knee adduction moment, pain, and function in medial knee osteoarthritis? A randomized controlled trial.

Arthritis Rheum. 2008-7-15

[5]
Lateral trunk lean and medializing the knee as gait strategies for knee osteoarthritis.

Gait Posture. 2017-1

[6]
Neuromuscular versus quadriceps strengthening exercise in patients with medial knee osteoarthritis and varus malalignment: a randomized controlled trial.

Arthritis Rheumatol. 2014-4

[7]
Effect of a home program of hip abductor exercises on knee joint loading, strength, function, and pain in people with knee osteoarthritis: a clinical trial.

Phys Ther. 2010-4-8

[8]
Efficacy of a biomechanically-based yoga exercise program in knee osteoarthritis: A randomized controlled trial.

PLoS One. 2018-4-17

[9]
Hip strengthening reduces symptoms but not knee load in people with medial knee osteoarthritis and varus malalignment: a randomised controlled trial.

Osteoarthritis Cartilage. 2010-2-6

[10]
Individual selection of gait retraining strategies is essential to optimally reduce medial knee load during gait.

Clin Biomech (Bristol). 2014-8

引用本文的文献

[1]
Efficacy of aerobic exercises for knee osteoarthritis: a network meta analysis of randomized clinical trials.

J Orthop Surg Res. 2025-6-2

[2]
Biomechanical changes in lower extremity in individuals with knee osteoarthritis in the past decade: A scoping review.

Heliyon. 2024-6-7

[3]
Key characteristics of effective yoga interventions for managing osteoarthritis: a systematic review and meta-analysis.

Rheumatol Int. 2024-9

[4]
Exploring the modification factors of exercise therapy on biomechanical load in patients with knee osteoarthritis: a systematic review and meta-analysis.

Clin Rheumatol. 2023-7

[5]
Physical therapy as a promising treatment for osteoarthritis: A narrative review.

Front Physiol. 2022-10-14

[6]
Case Report: Rehabilitation After Platelet-Rich Growth Factors' Intra-Articular Injections for Knee Osteoarthritis: Two Case Reports of a Home-Based Protocol.

Front Pharmacol. 2021-8-23

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