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瑞典按摩对成年女性内侧膝骨关节炎患者步态时空参数的影响:一项随机对照试验。

Effects of Swedish massage on gait spatiotemporal parameters in adult women with medial knee osteoarthritis: A randomized controlled trial.

机构信息

Department of Biomechanics, Faculty of Sports Sciences, Shahid Bahonar University of Kerman, Kerman, Iran.

Department of Biomechanics, Faculty of Sports Sciences, Shahid Bahonar University of Kerman, Kerman, Iran.

出版信息

J Bodyw Mov Ther. 2021 Oct;28:521-526. doi: 10.1016/j.jbmt.2021.09.008. Epub 2021 Sep 25.

Abstract

BACKGROUND

Patients with knee osteoarthritis (OA) are always faced with functional limitations in daily activities due to knee pain. They are also at risk of falling because of compensatory kinetics and kinematics changes in walking, which is why they are seeking complementary therapies to deal with their problems.

OBJECTIVE

The present research aimed to evaluate whether Swedish massage is effective in relieving the symptoms of knee OA and improving the gait spatiotemporal parameters of patients with knee OA.

METHODS

Thirty adult women with knee OA participated in this study voluntarily. The intervention group (n = 15) received Swedish massage on their quadriceps for 20-30 min per session (12 sessions). During this period, the control group (n = 15) received their regular treatment. Osteoarthritis symptoms were evaluated by the Western Ontario and McMaster Universities Osteoarthritis Index. The spatiotemporal parameters of gait were also captured by the motion analysis system during barefoot walking.

RESULTS

The intervention group demonstrated significantly more pain relief and improved function compared to the control group. A significant increase was observed in the gait speed, total support time, and single support time (P < 0.05). Moreover, there was a significant decrease in the step width and initial double support time of the patients after receiving Swedish massage (P < 0.05).

CONCLUSION

It can be concluded that Swedish massage may positively affect pain relief and function improvement in patients with knee OA. Also, Swedish massage was found to improve the spatiotemporal parameters in the patients. This may have important clinical implications regarding the rehabilitation of patients with knee OA.

摘要

背景

膝骨关节炎(OA)患者由于膝关节疼痛,在日常活动中经常面临功能受限。他们在行走时由于代偿动力学和运动学的改变而有跌倒的风险,这就是为什么他们寻求补充疗法来解决问题的原因。

目的

本研究旨在评估瑞典按摩是否能有效缓解膝骨关节炎患者的症状,并改善膝骨关节炎患者的步态时空参数。

方法

30 名成年女性膝骨关节炎患者自愿参加本研究。干预组(n=15)接受了为期 12 次、每次 20-30 分钟的股四头肌瑞典按摩。在此期间,对照组(n=15)接受常规治疗。骨关节炎症状采用西安大略和麦克马斯特大学骨关节炎指数评估。步态时空参数也通过运动分析系统在赤脚行走时捕获。

结果

与对照组相比,干预组的疼痛缓解和功能改善更为显著。步态速度、总支撑时间和单支撑时间均显著增加(P<0.05)。此外,接受瑞典按摩后,患者的步幅和初始双支撑时间显著减小(P<0.05)。

结论

瑞典按摩可能对膝骨关节炎患者的疼痛缓解和功能改善产生积极影响。此外,瑞典按摩还发现可以改善患者的时空参数。这对于膝骨关节炎患者的康复可能具有重要的临床意义。

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