全身振动对膝关节骨关节炎患者下半身力量及平衡的影响

IF 0.1 Q4 ORTHOPEDICS International Journal of Physiotherapy Pub Date : 2020-04-01 DOI:10.15621/ijphy/2020/v7i2/658
A. Aggarwal, P. Paranjape, T. Palekar, Gurjit Singh, T. Rao
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引用次数: 1

摘要

背景:膝骨关节炎在老年人中引起疼痛、功能限制和残疾。近年来,全身振动引起了人们的广泛关注。它目前用于减轻疼痛,改善身体功能以及力量和平衡。方法:选取年龄在50 ~ 70岁之间符合入选标准的34例患者,随机分为两组。基线评估采用VAS量表、WOMAC量表、Berg平衡量表和30秒椅架测试。A组进行全身振动和膝关节强化训练,B组只进行强化训练。治疗每周进行三次,持续四周。评估于第2周和第4周结束时完成。结果:全身振动VAS在休息时较在活动时改善明显(p<0.05)。组内与组间WOMAC评分差异有统计学意义(p<0.05)。结论:全身振动配合强化训练对骨关节炎患者的疼痛、僵硬、身体功能、平衡、下肢力量等方面均有较好的缓解效果。
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EFFECT OF WHOLE BODY VIBRATION ON LOWER BODY STRENGTH AND BALANCE IN OSTEOARTHRITIS KNEE
Background: Knee osteoarthritis causes pain, functional limitation, and disability in the elderly. Whole-body vibration has gained a lot of attention in recent years. It is currently used in alleviating pain and improve physical function along with strength and balance. Methods: 34 individuals aged between 50-70 years fulfilling the inclusion criteria were selected and randomized into two groups. Baseline assessment was done using the VAS scale, WOMAC scale, Berg Balance Scale, and 30seconds chair stand test. Group A received whole-body vibration, and knee strengthening exercises, and group B received only strengthening exercises. The treatment was given thrice in a week for four weeks. The assessment was done by the end of the 2nd and 4th weeks. Results: Whole body vibration had shown greater improvement of VAS on rest (p<0.05) compared to VAS on activity. Also, the WOMAC score was statistically improved between and within the group with p<0.05. Conclusion: Whole body vibration, along with strengthening exercises, showed superior effects in reducing pain, stiffness, physical function, balance, and lower limb strength in osteoarthritis knee patients.
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