摘要
骨性关节炎(osteoarthritis,OA)是临床上常见的骨关节退行性疾病,而膝关节骨性关节炎(knee osteoarthritis,KOA)因其疼痛引起老年人日常生活功能障碍,进而增加诸多疾病的患病风险,因此被广泛关注。老年KOA治疗方法包括手术疗法和非手术疗法。在非手术疗法中,运动疗法是目前最受重视的一种干预方法。本文通过查阅国内外文献,发现目前KOA的致病因素包括:年龄、体力活动、内分泌、神经肌肉控制、肥胖等,其中体力活动、失用、肥胖和神经肌肉控制等是可以通过运动疗法改善的。现有的研究结果大多肯定了运动疗法对KOA患者症状和功能改善的作用,肌力训练和有氧训练的组合有利于大部分KOA患者的症状改善,但还应该基于对患者个体情况的评估来选择运动类型。运动疗法的效果很大程度上取决于患者的依从性,因此运动处方的制定要充分考虑患者的个体差异,总体原则可以参考美国运动医学学会或其他类似机构制定的运动处方指南。
Osteoarthritis （ OA） is a common clinical chronic joint degenerative disease. One of the symptoms of knee osteoarthritis （ KOA） - pain will cause dysfunction in the daily life of the elderly,and thereby increases the risk of many diseases, so it has been widely concerned. The treatment of KOA in the elderly includessurgical and nonsurgical treatment. In nonsurgical treatment, exercise therapy is the most important method of interven-tion. This paper reviews the domestic and foreign research and it is found that the pathogenic factors of KOA in-clude age, physical activity, endocrine, neuromuscular control, obesity and the like. Physical activity, disabil-ity, obesity and neuromuscular control can be improved by exercise therapy. Most of the current studies confirm the improvement of symptoms and functions in patients with KOA by exercise therapy. The combination of mus-cle strength training and aerobic training is beneficial to improve symptoms in most KOA patients,but it should be based on the evaluation of individual patients to choose the type of exercise. Exercise therapy depends large-ly on the patients compliance, so the exercise prescription should take full account of individual differences of patients, the overall principle can refer to the American Sports Medicine Association or other similar institutions formulated exercise prescription guidelines.
出处
《成都体育学院学报》
CSSCI
北大核心
2018年第1期110-115,共6页
Journal of Chengdu Sport University
基金
中央高校基本科研业务费专项资金资助项目“功能性力量练习对老年人膝关节骨关节炎康复效果的研究”(2014YB018).
