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基于 Kellgren & Lawrence 膝关节骨关节炎分级系统的体力活动方案分类:系统评价。

Classification of Physical Activity Programs Based on the Kellgren & Lawrence Scale for Knee Osteoarthritis: A Systematic Review.

机构信息

Department of Biomedical and Dental Sciences and Morphological and Functional Imaging, University of Messina, Messina, Italy.

Sport and Exercise Sciences Research Unit, Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy.

出版信息

Musculoskeletal Care. 2024 Dec;22(4):e70019. doi: 10.1002/msc.70019.

DOI:10.1002/msc.70019
PMID:39592397
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11598803/
Abstract

INTRODUCTION

Knee osteoarthritis is a common orthopaedic disease, is the leading cause of disability in the elderly, and can lead to pain, loss of function, and reduced quality of life. This research aims to determine how PA programs can be effectively classified and customised to align with the stages of knee OA according to the KL classification.

OBJECTIVE

The research aims to fill the gap in understanding the relationship between the type and intensity of PA and the stages of OA as defined by the KL classification.

MATERIALS AND METHODS

A systematic search was performed using PubMed, Web of Science, and Scopus databases. This review included different types of studies published after January 1, 2013.

RESULTS

Two thousand one hundred and thirty-six were picked up and only nine articles met the inclusion criteria. The beneficial effects of exercise were found in the function of the joints, pain, and quality of life. Aerobic, isometric, and resistance training showed positive effects and presented improvements in physical function, quality of life, and pain.

CONCLUSION

The exercise programs appear to be both safe and effective in subjects with knee osteoarthritis with regard to quality of life, pain, and knee function.

TRIAL REGISTRATION

PROSPERO registration number: CRD42024550463.

摘要

简介

膝骨关节炎是一种常见的骨科疾病,是老年人残疾的主要原因,可导致疼痛、功能丧失和生活质量下降。本研究旨在根据 KL 分类确定 PA 方案如何能够根据膝骨关节炎的分期进行有效分类和定制。

目的

本研究旨在填补对 PA 的类型和强度与 KL 分类定义的 OA 分期之间关系的理解空白。

材料和方法

使用 PubMed、Web of Science 和 Scopus 数据库进行系统检索。本综述包括自 2013 年 1 月 1 日起发表的不同类型的研究。

结果

共检索到 2136 篇文章,只有 9 篇符合纳入标准。运动具有关节功能、疼痛和生活质量方面的有益效果。有氧运动、等长运动和抗阻运动均显示出积极效果,并改善了身体功能、生活质量和疼痛。

结论

就生活质量、疼痛和膝关节功能而言,运动方案似乎对膝骨关节炎患者既安全又有效。

试验注册

PROSPERO 注册号:CRD42024550463。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/051b/11598803/ec78644b3958/MSC-22-e70019-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/051b/11598803/ec78644b3958/MSC-22-e70019-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/051b/11598803/ec78644b3958/MSC-22-e70019-g001.jpg

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本文引用的文献

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The influence of different sports on cartilage adaptations: A systematic review.不同运动对软骨适应性的影响:一项系统评价。
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2
How Physical Activity Affects Knee Cartilage and a Standard Intervention Procedure for an Exercise Program: A Systematic Review.体育活动如何影响膝关节软骨以及运动计划的标准干预程序:一项系统评价
Healthcare (Basel). 2022 Sep 21;10(10):1821. doi: 10.3390/healthcare10101821.
3
Effectiveness of Isometric Exercise and Counseling on Level of Pain Among Patients With Knee Osteoarthritis.
中国传统健身功法五禽戏对有跌倒史老年女性平衡能力改善的影响:一项随机对照试验
Front Public Health. 2025 Mar 6;13:1503309. doi: 10.3389/fpubh.2025.1503309. eCollection 2025.
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How effective is the addition of specific exercise therapy for patients after anterior cruciate ligament surgery? A systematic review and meta-analysis.前交叉韧带手术后为患者增加特定运动疗法的效果如何?一项系统评价与荟萃分析。
Front Physiol. 2025 Jan 24;16:1501458. doi: 10.3389/fphys.2025.1501458. eCollection 2025.
等长运动及咨询对膝骨关节炎患者疼痛程度的疗效
SAGE Open Nurs. 2021 Apr 27;7:2377960821993515. doi: 10.1177/2377960821993515. eCollection 2021 Jan-Dec.
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The PRISMA 2020 statement: an updated guideline for reporting systematic reviews.PRISMA 2020 声明:系统评价报告的更新指南。
BMJ. 2021 Mar 29;372:n71. doi: 10.1136/bmj.n71.
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Concentric and Eccentric Resistance Training Comparison on Physical Function and Functional Pain Outcomes in Knee Osteoarthritis: A Randomized Controlled Trial.同心和偏心抗阻训练对膝骨关节炎患者身体功能和功能疼痛结局的比较:一项随机对照试验。
Am J Phys Med Rehabil. 2020 Oct;99(10):932-940. doi: 10.1097/PHM.0000000000001450.
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