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抗阻训练对膝骨关节炎患者步态速度和膝关节内收力矩的影响：系统评价和荟萃分析。

Effects of resistance training on gait velocity and knee adduction moment in knee osteoarthritis patients: a systematic review and meta-analysis.

机构信息

Exercise and Sports Science Programme, School of Health Sciences, Universiti Sains Malaysia, 16150, Kota Bharu, Kelantan, Malaysia.

Klinik Kesihatan Putrajaya Presint 9, Kementerian Kesihatan Malaysia, 62300, Putrajaya, Wilayah Persekutuan Putrajaya, Malaysia.

出版信息

Sci Rep. 2021 Aug 9;11(1):16104. doi: 10.1038/s41598-021-95426-4.

DOI:10.1038/s41598-021-95426-4
PMID:34373507
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8352951/
Abstract

The systematic review aimed to analyze the effects of resistance training in knee osteoarthritis (OA) rehabilitation from a biomechanical perspective. A meta-analysis was performed to determine the potential benefits of resistance training on patients with knee OA. Relevant studies based on the inclusion and exclusion criteria were selected from CENTRAL, PubMed, Scopus, and Web of Science databases inception to August 2020. Outcome measures included gait velocity and knee adduction moment (KAM). The mean differences of the data with a 95% confidence interval were analyzed using STATA 15.1 software The search identified eight studies that satisfied all the inclusion criteria, in which 164 patients were involved in gait velocity studies and another 122 patients were part of KAM studies. Analysis of the pooled data showed that resistance training significantly improved the gait velocity in patients with knee OA (p < 0.01, z = 2.73), ES (95% CI) = 0.03 (0.01, 0.06) m/s. However, resistance training had no significant effect on improving KAM in patients with knee OA (p = 0.98, z = 0.03), ES (95% CI) = 0.00 (- 0.16, 0.16) percentage of body weight × height (%BW × Ht). Therefore, resistance training may enhance gait velocity but not KAM in knee OA patients. The protocol was registered at PROSPERO (registration number: CRD42020204897).

摘要

本系统评价旨在从生物力学角度分析抗阻训练对膝骨关节炎（OA）康复的影响。进行荟萃分析以确定抗阻训练对膝骨关节炎患者的潜在益处。从 CENTRAL、PubMed、Scopus 和 Web of Science 数据库的创建到 2020 年 8 月，基于纳入和排除标准选择了相关研究。结局指标包括步态速度和膝关节内收力矩（KAM）。使用 STATA 15.1 软件分析数据的均数差值和 95%置信区间。搜索确定了八项符合所有纳入标准的研究，其中 164 例患者参与了步态速度研究，另外 122 例患者参与了 KAM 研究。汇总数据分析显示，抗阻训练显著改善膝骨关节炎患者的步态速度（p<0.01，z=2.73），ES（95%CI）=0.03（0.01，0.06）m/s。然而，抗阻训练对改善膝骨关节炎患者的 KAM 没有显著影响（p=0.98，z=0.03），ES（95%CI）=0.00（-0.16，0.16）体重×身高的百分比（%BW×Ht）。因此，抗阻训练可能会提高膝骨关节炎患者的步态速度，但不会提高 KAM。该方案已在 PROSPERO 注册（注册号：CRD42020204897）。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/185b/8352951/f6b88c26e668/41598_2021_95426_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/185b/8352951/9494b202da54/41598_2021_95426_Fig1_HTML.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/185b/8352951/28753c0b95aa/41598_2021_95426_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/185b/8352951/f6b88c26e668/41598_2021_95426_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/185b/8352951/9494b202da54/41598_2021_95426_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/185b/8352951/0e672861c784/41598_2021_95426_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/185b/8352951/06979c6eb63c/41598_2021_95426_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/185b/8352951/a8275a147838/41598_2021_95426_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/185b/8352951/90d009cbfd65/41598_2021_95426_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/185b/8352951/28753c0b95aa/41598_2021_95426_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/185b/8352951/f6b88c26e668/41598_2021_95426_Fig7_HTML.jpg

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本文引用的文献

[1]
Effects of Blood Flow Restriction Training on Muscle Strength and Pain in Patients With Knee Injuries: A Meta-Analysis.

Am J Phys Med Rehabil. 2021-4-1

[2]
Stroke Lesion Impact on Lower Limb Function.

Front Hum Neurosci. 2021-2-1

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Osteoarthritis Cartilage. 2020-3

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Association between the promoter region of serotonin transporter polymorphisms and recurrent aphthous stomatitis: A meta-analysis.

Arch Oral Biol. 2019-9-17

[5]
Benefits of Pilates in Parkinson's Disease: A Systematic Review and Meta-Analysis.

Medicina (Kaunas). 2019-8-13

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Effects of walking speed on gait biomechanics in healthy participants: a systematic review and meta-analysis.

Syst Rev. 2019-6-27

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Comparison between eccentric and concentric resistance exercise training without equipment for changes in muscle strength and functional fitness of older adults.

Eur J Appl Physiol. 2019-5-4

[8]
Sagittal plane walking biomechanics in individuals with knee osteoarthritis after quadriceps strengthening.

Osteoarthritis Cartilage. 2019-1-18

[9]
Quadriceps-strengthening exercise and quadriceps and knee biomechanics during walking in knee osteoarthritis: A two-centre randomized controlled trial.

Clin Biomech (Bristol). 2018-11

[10]
Immediate and short-term effects of gait retraining on the knee joint moments and symptoms in patients with early tibiofemoral joint osteoarthritis: a randomized controlled trial.

Osteoarthritis Cartilage. 2018-8-3

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