Minea Mihaela, Ismail Sermina, Petcu Lucian Cristian, Nedelcu Andreea-Dalila, Petcu Adina, Minea Alexandra-Elena, Iliescu Mădălina-Gabriela
Faculty of Medicine, Doctoral School, Ovidius University of Constanta, 1 University Alley, Campus-Corp B, 900470 Constanta, Romania.
Balneal and Rehabilitation Sanatorium of Techirghiol, Victor Climescu Street 34-40, 906100 Techirghiol, Romania.
Medicina (Kaunas). 2025 Aug 27;61(9):1540. doi: 10.3390/medicina61091540.
: Knee osteoarthritis (KOA) is a degenerative joint disorder often associated with altered gait mechanics. This systematic review aims to evaluate the effect of rehabilitation treatment on walking, with a focus on gait speed. : A systematic search was conducted in PubMed, Scopus, Web of Science, Cochrane, and PEDro databases, following the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) methodology. Randomised controlled trials published in English between 2015 and 2025, involving patients with KOA undergoing rehabilitation and using computerised gait measurements, including 3D motion capture, force plates, and instrumented treadmills, were included. A meta-analysis was conducted on the selected studies assessing gait speed, with the risk of bias being evaluated using the Cochrane Risk of Bias 2 tool for RCTs. Out of 2143 articles, 7 studies met the inclusion criteria. These studies showed increased gait speed in patients with KOA following exercise therapy, various walking training programmes, massage, or dietary interventions. The meta-analysis revealed a standardised mean difference (SMD) of 1.807, with a 95% confidence interval (CI) of [1.637, 1.977] ( < 0.001). The interventions were associated with improvements in walking parameters and quality of life, as well as reductions in pain and fall risk. Substantial heterogeneity was noted, likely due to variations in intervention types and study populations. The results suggest an overall improvement in gait speed in the intervention groups compared to the control groups. However, only a limited number of studies have investigated the effects of physiotherapy, bath therapy, or mud therapy on gait mechanics in patients with KOA.
膝骨关节炎（KOA）是一种常与步态力学改变相关的退行性关节疾病。本系统评价旨在评估康复治疗对步行的影响，重点是步速。
按照PRISMA（系统评价和Meta分析的首选报告项目）方法，在PubMed、Scopus、Web of Science、Cochrane和PEDro数据库中进行了系统检索。纳入2015年至2025年间发表的英文随机对照试验，这些试验涉及接受康复治疗的KOA患者，并使用计算机化步态测量，包括三维运动捕捉、测力板和仪器化跑步机。对所选评估步速的研究进行了Meta分析，使用Cochrane随机对照试验偏倚风险2工具评估偏倚风险。在2143篇文章中，有7项研究符合纳入标准。这些研究表明，运动疗法、各种步行训练计划、按摩或饮食干预后，KOA患者的步速增加。Meta分析显示标准化平均差（SMD）为1.807，95%置信区间（CI）为[1.637, 1.977]（P<0.001）。这些干预措施与步行参数和生活质量的改善以及疼痛和跌倒风险的降低相关。注意到存在显著异质性，可能是由于干预类型和研究人群的差异。结果表明，与对照组相比，干预组的步速总体有所改善。然而，只有少数研究调查了物理治疗、浴疗或泥疗对KOA患者步态力学的影响。
