肌肉减少症和髋关节骨关节炎:有针对性的电和生物物理肌肉刺激应用的可能作用

R. Marks
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摘要

背景:髋关节骨性关节炎是一种痛苦的长期进行性致残疾病,主要发生在相当数量的老年人中,可能会受到肌肉萎缩的不利影响,称为肌肉减少症。目的:这篇小型综述探讨了电或磁肌肉刺激对减轻老年诊断为早期或晚期髋关节骨关节炎的老年人中可能与年龄或疾病相关或两者兼而有之的肌肉减少性肌肉质量下降的可能效用。方法:同行评议的髋关节骨性关节炎文献讨论肌肉减少症,以及任何证据表明,电或磁肌肉刺激,用于促进肌肉质量的增加,是有关改善这种情况的寻求和检查。结果:许多报告显示,髋骨关节炎仍然是一种高度衰弱的疾病,需要对抗,是一种周围肌肉可能萎缩的情况。虽然大多数人指出运动和营养是对抗肌肉减少症的合适肌肉干预措施,但不能排除电刺激的有利作用。结论:这可能是一个错失的机会,意味着通过电刺激在髋关节骨关节炎进展的各个阶段保留肌肉对促进功能是有益的,即使即将进行手术,也应该进一步研究。
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Sarcopenia and hip osteoarthritis: possible role for targeted electrical and biophysical muscle stimulation applications
Background: Hip osteoarthritis- a painful oftentimes longstanding progressively disabling condition that occurs predominantly among sizeable numbers of older adults may be detrimentally impacted by an atrophic muscle condition known as sarcopenia. Aim: This mini review examines the possible utility of electrical or magnetic muscle stimulation for mitigating sarcopenic muscle mass declines that may be age or disease associated or both among older adults diagnosed as having early or late stage hip osteoarthritis. Methods: Peer reviewed literature on hip osteoarthritis discussing sarcopenia, as well as any evidence that electrical or magnetic muscle stimulation as applied to foster muscle mass increments are relevant to ameliorating this condition were sought and examined. Results: Many reports show hip osteoarthritis remains a highly debilitating disease to counteract and is a condition where the surrounding muscles may be atrophic. While most point to exercise and nutrition as suitable muscle interventions for countering sarcopenia, a favorable role for electrical stimulation cannot be ruled out. Conclusions: There is a possible missed opportunity that implies muscle preservation at the hip through electrical stimulation will be beneficial for fostering function at all stages of hip joint osteoarthritis progression, even if surgery is forthcoming, and should be studied further.
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