规律运动计划对老年人膝骨关节炎疼痛的影响

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摘要

背景与目的膝关节骨性关节炎(KO)是老年人疼痛、功能下降和残疾的最常见原因之一。运动是治疗KO引起的疼痛的方法之一。本研究旨在确定家庭锻炼计划对减轻老年KO患者疼痛的有效性。材料与方法本随机对照临床试验于2021年3月进行,为期3个月,采用方便抽样方法选择70名老年KO患者,随机分为运动组和对照组。该锻炼计划最初是作为试验在诊所进行的,每天两次,持续4周。然后,每天在家中进行两次,持续4周。在运动前后,采用膝关节损伤和骨关节炎结局评分(kos)疼痛亚量表对患者进行评估。收集的数据在SPSS软件18版中进行分析,采用独立t检验、配对t检验、卡方检验和Fisher确切检验。显著性水平设为0.05。结果两组患者在人口学、临床指标及干预前平均疼痛评分方面差异无统计学意义(P=0.587)。干预后,运动组疼痛强度显著降低(P= 0.009)。结论居家锻炼可有效减轻老年KO患者的疼痛。建议将其作为一种简单且具有成本效益的干预措施,与其他治疗方法一起用于KO患者的康复。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Effect of Regular Exercise Program on the Pain of the Elderly in Knee Osteoarthritis
Background & Aims Knee osteoarthritis (KO) is one of the most common causes of pain, reduced function and disability in the elderly. Exercise is one of the methods suggested to manage the pain caused by KO. This study aims to determine the effectiveness of a home workout program on reducing pain in the elderly with KO. Materials & Methods In this randomized controlled clinical trial conducted in March 2021 for three months, 70 older adults with KO were selected using a convenience sampling method and randomly assigned to exercise and control groups. The workout program was first implemented twice a day for 4 weeks in the clinic as a trial. Then, it was performed twice a day at home for another 4 weeks. Before and after the exercise, the patients were evaluated by the pain subscale of the Knee Injury and Osteoarthritis Outcome Score (KOOS). The collected data were analyzed in SPSS software, version 18 using independent t, paired t test, chi-square test, and Fisher’s exact test. The significance level was set at 0.05. Results There was no statistically significant difference between the two groups in terms of demographic and clinical variables and in the mean pain score before the intervention (P=0.587). After the intervention, a significant reduction in pain intensity was reported in the exercise group (P= 0.009). Conclusion The home workout program is effective in reducing the pain of the elderly with KO. It is recommended to use it as a simple and cost-effective intervention to rehabilitate patients with KO along with other treatment methods.
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