Yokota Ayako, Maeshima Etsuko, Sasaki Kentaro, Ooi Takafumi, Sainoh Takeshi, Hosokawa Hikaru
Department of Physical Therapy, Kinjo University: 1200 Kasama, Hakusan-shi, Ishikawa 924-8511, Japan.
Graduate School of Sports Sciences, Osaka University of Health and Sport Sciences, Japan.
J Phys Ther Sci. 2023 Jan;35(1):60-65. doi: 10.1589/jpts.35.60. Epub 2023 Jan 1.
[Purpose] The present study aimed to identify the physical functions associated with health-related quality of life in older adults with knee osteoarthritis. [Participants and Methods] A total of 132 participants were included in this study in two groups: the knee osteoarthritis group (n=66) and the control group (n=66). We compared the results of the Medical Outcomes Study 36-Item Short-Form Health Survey with the physical function measures related to health-related quality of life. In the knee osteoarthritis group, we examined the relationship between the degree of knee pain and health-related quality of life. [Results] The knee osteoarthritis group showed a significantly shorter one-leg standing time, lower maximum walking speed, and significantly longer time to complete the Sit-to-Stand-5 and Timed Up and Go tests than the control group. The knee osteoarthritis group had significantly lower 36-Item Short-Form Health Survey scores than the control group on seven subscales and significantly lower scores for physical component summary and role or social component summary. In the knee osteoarthritis group, physical component summary and role or social component summary were correlated with Sit-to-Stand-5, Timed Up and Go, and maximum walking speed. We observed a correlation between physical component summary and knee pain on joint loading. [Conclusion] In older adults with knee osteoarthritis, rehabilitation approaches aimed at achieving a smooth transition from sitting to standing may increase social participation and improve health-related quality of life.
[目的] 本研究旨在确定与膝骨关节炎老年患者健康相关生活质量相关的身体功能。[参与者与方法] 本研究共纳入132名参与者,分为两组:膝骨关节炎组(n = 66)和对照组(n = 66)。我们将医学结局研究36项简式健康调查结果与健康相关生活质量的身体功能指标进行了比较。在膝骨关节炎组中,我们研究了膝关节疼痛程度与健康相关生活质量之间的关系。[结果] 与对照组相比,膝骨关节炎组单腿站立时间显著缩短,最大步行速度较低,完成5次坐立试验和计时起立行走试验的时间显著延长。膝骨关节炎组在七个分量表上的36项简式健康调查得分显著低于对照组,身体成分总结得分和角色或社会成分总结得分也显著较低。在膝骨关节炎组中,身体成分总结和角色或社会成分总结与5次坐立试验、计时起立行走试验及最大步行速度相关。我们观察到身体成分总结与关节负重时的膝关节疼痛之间存在相关性。[结论] 对于膝骨关节炎老年患者,旨在实现从坐到站平稳过渡的康复方法可能会增加社会参与度并改善健康相关生活质量。