运动贴敷与运动对不同程度膝关节骨性关节炎患者功能损害的影响

IF 0.6 4区 医学 Q4 ENGINEERING, BIOMEDICAL Isokinetics and Exercise Science Pub Date : 2023-09-15 DOI:10.3233/ies-230028
Waleed S. Mahmoud
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引用次数: 0

摘要

背景:肌内效贴敷(KT)用于治疗肌肉骨骼问题。KT优化并减少了对软组织的机械应力。然而,对于不同严重程度的膝关节骨性关节炎(OA), KT和传统运动的益处仍然存在争议。目的:本研究旨在探讨张力性KT和传统物理治疗对不同严重程度膝关节炎的影响。方法:56例60 ~ 75岁的男性膝关节OA患者,根据Kellgren-Lawrence量表的1、2级和3、4级分别分为A、B组。两组均给予张力性KT和传统物理治疗,疗程6周。使用等速测功仪和万向角仪分别记录四头肌伸肌峰值力矩和膝关节屈曲运动范围(ROM)。采用视觉模拟量表(VAS)对疼痛程度进行评分。采用ANCOVA检验进行统计学分析。结果:ANCOVA显示股四头肌伸肌力矩峰值增加(Pre: 51.6±2.8 Nm;后:63.3±4.3 Nm),膝关节屈曲ROM(前:112.8±7.2;后:122.9±4.8),以及疼痛改善(前:5.1±1.07;A组术后:2.8±1.6)(p<0.001)。B组在所有结局指标上均无显著改善(p>0.05)。结论:传统物理疗法结合KT可改善老年男性1级和2级膝关节炎患者的膝关节疼痛、股四头肌力量和膝关节活动度。KT和传统的物理治疗不足以对3级和4级膝关节炎产生显著的效果。
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Effect of kinesio taping and exercise on functional impairment in patients with different degrees of knee osteoarthritis
BACKGROUND: Kinesio Taping (KT) is used for musculoskeletal problems. KT optimizes and reduces mechanical stresses on soft tissues. However, the benefits of KT and traditional exercises for different severities of knee osteoarthritis (OA) remains controversial. OBJECTIVES: This study aimed to investigate the effects of tension KT and traditional physical therapy on different severities of knee OA. METHODS: Fifty-six male patients with knee OA, aged 60–75-y years, were allocated to groups A and B based on grades 1 and 2 and grades 3 and 4 on the Kellgren-Lawrence scale, respectively. Tension KT and traditional physical therapy were administrated to both groups for 6-wks. The extensor peak moment of quadriceps and knee flexion range of motion (ROM) were recorded using an isokinetic dynamometer and universal goniometer, respectively. Visual analog scale (VAS) was used to score pain level. Statistical analysis was performed using the ANCOVA test. RESULTS: ANCOVA revealed an increase in peak extensor moment of quadriceps (Pre: 51.6 ± 2.8 Nm; Post: 63.3 ± 4.3 Nm), knee flexion ROM (Pre: 112.8±∘ 7.2; Post: 122.9±∘ 4.8), and pain improvement (Pre: 5.1 ± 1.07; Post: 2.8 ± 1.6) in group A (p< 0.001). Group B showed insignificant improvements in all outcome measures (p> 0.05). CONCLUSION: KT with traditional physical therapy improved knee pain, quadriceps strength, and knee ROM in older males with knee OA grades 1 and 2. KT and traditional physical therapy were insufficient to produce considerable effects on grades 3 and 4 of knee OA.
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来源期刊
Isokinetics and Exercise Science
Isokinetics and Exercise Science 医学-工程:生物医学
CiteScore
1.20
自引率
14.30%
发文量
37
审稿时长
>12 weeks
期刊介绍: Isokinetics and Exercise Science (IES) is an international journal devoted to the study of theoretical and applied aspects of human muscle performance. Since isokinetic dynamometry constitutes the major tool in this area, the journal takes a particular interest in exploring the considerable potential of this technology. IES publishes studies associated with the methodology of muscle performance especially with respect to the issues of reproducibility and validity of testing, description of normal and pathological mechanical parameters which are derivable from muscle testing, applications in basic research topics such as motor learning paradigms and electromyography. The journal also publishes studies on applications in clinical settings and technical aspects of the various measurement systems employed in human muscle performance research. The journal welcomes submissions in the form of research papers, reviews, case studies and technical reports from professionals in the fields of sports medicine, orthopaedic and neurological rehabilitation and exercise physiology.
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