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全谱系康复:一个评估膝关节骨关节炎和肌肉骨骼损伤结构化项目的病例系列

Rehabilitation across the Spectrum: A Case Series Evaluating a Structured Program for Knee Osteoarthritis and Musculoskeletal Impairments.

作者信息

Baladaniya Maheshkumar, Baldania Shraddha, Reddy T Kiran Kumar, Choudhary Arbind Kumar, Periasamy Panneerselvam

机构信息

Department of Physical Therapy, Neighborhood Physical Therapy PC, NY, USA.

Department of Physical Therapy, Enjoy Rehab Pt PC, Woodbury, NY, USA.

出版信息

J Pharm Bioallied Sci. 2025 Apr-Jun;17(2):100-102. doi: 10.4103/jpbs.jpbs_897_25. Epub 2025 Jul 23.

DOI:10.4103/jpbs.jpbs_897_25
PMID:40860005
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12373382/
Abstract

Knee osteoarthritis and related musculoskeletal conditions significantly impact mobility and independence in older adults. This prospective case series evaluated a 12-week structured physiotherapy program in five elderly women with diverse knee impairments. The program included six weeks of supervised rehabilitation followed by six weeks of home-based exercises. Key outcomes assessed were pain (VAS), quadriceps strength, active range of motion (AROM), ambulation, and balance (Tinetti score). All participants showed functional improvements across multiple domains, including reduced pain, increased strength, improved mobility, and enhanced balance. These findings support the role of structured physiotherapy in managing geriatric knee conditions.

摘要

膝关节骨关节炎及相关肌肉骨骼疾病对老年人的活动能力和独立性有显著影响。本前瞻性病例系列评估了一项针对五名患有不同膝关节损伤的老年女性的为期12周的结构化物理治疗方案。该方案包括六周的监督康复治疗,随后是六周的居家锻炼。评估的关键结果包括疼痛(视觉模拟评分法)、股四头肌力量、主动活动范围、步行能力和平衡能力(Tinetti评分)。所有参与者在多个领域均表现出功能改善,包括疼痛减轻、力量增强、活动能力改善和平衡能力增强。这些发现支持了结构化物理治疗在管理老年膝关节疾病中的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6da8/12373382/a498f4f3efac/JPBS-17-100-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6da8/12373382/a498f4f3efac/JPBS-17-100-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6da8/12373382/a498f4f3efac/JPBS-17-100-g001.jpg

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本文引用的文献

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Conservative treatment of knee osteoarthritis: A review of the literature.膝关节骨关节炎的保守治疗:文献综述
World J Orthop. 2022 Mar 18;13(3):212-229. doi: 10.5312/wjo.v13.i3.212.
2
OARSI Clinical Trials Recommendations: Knee imaging in clinical trials in osteoarthritis.OARSI 临床试验建议:骨关节炎临床试验中的膝关节影像学检查。
Osteoarthritis Cartilage. 2015 May;23(5):698-715. doi: 10.1016/j.joca.2015.03.012.
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Early knee osteoarthritis is evident one year following anterior cruciate ligament reconstruction: a magnetic resonance imaging evaluation.
前交叉韧带重建术后 1 年即可出现早期膝关节骨关节炎:磁共振成像评估。
Arthritis Rheumatol. 2015 Apr;67(4):946-55. doi: 10.1002/art.39005.
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The global burden of hip and knee osteoarthritis: estimates from the global burden of disease 2010 study.全球髋和膝关节骨关节炎负担:来自 2010 年全球疾病负担研究的估计。
Ann Rheum Dis. 2014 Jul;73(7):1323-30. doi: 10.1136/annrheumdis-2013-204763. Epub 2014 Feb 19.