水疗法对膝关节骨性关节炎患者功能能力影响的meta分析

Wita Hana Puspita, D. Tamtomo, Hanung Prasetya
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摘要

背景:膝关节OA会影响老年人的活动能力,引起疼痛和功能障碍。本研究旨在结合前期多项研究结果,分析水疗对膝关节骨性关节炎患者功能能力的影响。对象与方法:本研究采用荟萃分析方法,检索关键词为“膝部骨关节炎”或“膝关节炎”与“水生疗法”或“水疗法”或“水上运动”与“功能能力”或“WOMAC”和“随机对照试验”或“RCT”,检索自PubMed、谷歌学者和科学直接,并使用RevMan 5.3进行处理。结果:符合纳入标准的RCT文献9篇,共573份样本。接受水产治疗的膝关节OA患者的WOMAC平均评分比未接受水产治疗的患者低1.22个单位,效果有统计学意义(SMD = -1.22;95% CI -2.03 ~ -0.41;P = 0.003)。也就是说,水疗法对改善膝关节OA患者的功能能力是有效的。结论:水疗法对提高膝关节骨性关节炎患者的功能有一定的作用。
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Meta-Analysis the Effect of Aquatic Therapy on Functional Ability in Patients with Knee Osteoarthritis
Background: Knee OA can affect mobility in the elderly causing pain and impaired functional ability. This study aims to analyze the effect of aquatic therapy on functional ability in knee osteoarthritis patients based on the results of a number of previous primary studies.. Subject and Method: This study was conducted using a meta-analysis method with articles searched using the search keywords "knee osteoarthritis" OR "osteoarthritis genu" AND "aquatic therapy" OR "hydrotherapy" OR "water exercise" AND "functional ability" OR "WOMAC" AND "Randomized Controlled Trial” OR “RCT” from PubMed, google scholar and science direct and processed using RevMan 5.3. Results: 9 RCT articles that fit into the inclusion criteria, with a total of 573 samples. Knee OA patients receiving aquatic therapy had a mean WOMAC score of 1.22 units lower than those without aquatic therapy, and the effect was statistically significant (SMD = -1.22; 95% CI -2.03 to -0.41; p = 0.003). In other words, aquatic therapy is effective in improving functional ability in knee OA patients. Conclusion: Aquatic therapy has an effect on increasing functional ability in knee osteoarthritis patients.
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