循环训练对膝骨关节炎患者的影响:一项系统评价与Meta分析

Effects of Circuit Training on Patients with Knee Osteoarthritis: A Systematic Review and Meta-Analysis.

作者信息

Al-Mhanna Sameer Badri, Mohamed Mahaneem, Mohd Noor Norhayati, Aldhahi Monira I, Afolabi Hafeez Abiola, Mutalub Yahkub Babatunde, Irekeola Ahmad Adebayo, Bello Kizito Eneye, Wan Ghazali Wan Syaheedah

机构信息

Department of Physiology, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian 16150, Kelantan, Malaysia.

Department of Family Medicine, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian 16150, Kelantan, Malaysia.

出版信息

Healthcare (Basel). 2022 Oct 15;10(10):2041. doi: 10.3390/healthcare10102041.

Abstract

The most prevalent joint disease is osteoarthritis (OA), which affects an estimated 240 million individuals worldwide. Knee osteoarthritis (KOA) is one of the top 10 causes of disability worldwide. The aim of this study is to systematically evaluate the effect of circuit training (CT) on patients with KOA. We searched through PubMed, Scopus, ScienceDirect, Cochrane, and Google Scholar up to 12 February 2022. We used random-effects statistical analysis for continuous variables and reported the results as a standardized mean difference (SMD) with 95 percent confidence intervals (CI). Seven trials involving 346 patients were included. A significant improvement in the intervention group was observed for the parameter, pain level (SMD -0.96, 95% CI -1.77 to -0.14; = 0.02; seven trials, 346 participants; high quality evidence), while no significant improvement was found in physical function (SMD 0.03, 95% CI -0.44-0.50; = 0.89; five trials, 294 participants; high-quality evidence), quality of life (SMD -0.25, 95% CI -1.18-0.68; = 0.60; three trials, 205 participants; high-quality evidence), the activity of daily living (SMD 0.81, 95% CI -0.85-2.48; = 0.34; three trials, 223 participants; high-quality evidence), and knee stiffness (SMD -0.65, 95% CI -1.96-0.66; = 0.33; two trials, 71 participants; high-quality evidence). The findings in this meta-analysis suggest that CT could effectively complement the conventional treatment of KOA, particularly in alleviating pain. However, comprehensive data on the guidelines for the CT approach would be needed to adequately examine the effects of CT on quality of life and biochemical markers in patients with KOA.

摘要

最常见的关节疾病是骨关节炎(OA),全球约有2.4亿人受其影响。膝关节骨关节炎(KOA)是全球十大致残原因之一。本研究的目的是系统评价循环训练(CT)对KOA患者的影响。我们检索了截至2022年2月12日的PubMed、Scopus、ScienceDirect、Cochrane和谷歌学术。对于连续变量,我们使用随机效应统计分析,并将结果报告为具有95%置信区间(CI)的标准化平均差(SMD)。纳入了7项涉及346例患者的试验。干预组在疼痛水平参数上有显著改善(SMD -0.96,95%CI -1.77至-0.14;P = 0.02;7项试验,346名参与者;高质量证据),而在身体功能(SMD 0.03,95%CI -0.44 - 0.50;P = 0.89;5项试验,294名参与者;高质量证据)、生活质量(SMD -0.25,95%CI -1.18 - 0.68;P = 0.60;3项试验,205名参与者;高质量证据)、日常生活活动(SMD 0.81,95%CI -0.85 - 2.48;P = 0.34;3项试验,223名参与者;高质量证据)和膝关节僵硬(SMD -0.65,95%CI -1.96 - 0.66;P = 0.33;2项试验,71名参与者;高质量证据)方面未发现显著改善。该荟萃分析的结果表明,CT可以有效地补充KOA的传统治疗,特别是在减轻疼痛方面。然而,需要关于CT方法指南的全面数据,以充分研究CT对KOA患者生活质量和生化标志物的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/390a/9601599/7f7cbdd08c81/healthcare-10-02041-g001.jpg

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