Effects of gait and activities of daily living modifications for improving knee joint function in community-dwelling middle-aged and older people: a randomized control study
Effects of gait and activities of daily living modifications for improving knee joint function in community-dwelling middle-aged and older people: a randomized control study
复制标题
改变步态和日常生活活动对改善社区中老年人膝关节功能的影响：一项随机对照研究
DOI：
10.1142/s021895772150007x
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发表时间：
2021
影响因子：
--
通讯作者：
Imai A
中科院分区：
文献类型：
--
作者：
Ota S;Fujita R;Ohko H;Imai A
膝关节骨关节炎在中老年人群中非常普遍，生物力学干预包括步态和日常生活活动（ADL）的改变。本研究调查了在社区居住的中老年人中，与常规运动相比，步态和ADL的改变对改善膝关节功能的影响。50名中老年人被随机分配到对照组和干预组。对照组进行常规的直腿抬高和膝关节活动范围练习，干预组通过减少膝关节内收力矩和增加髋关节肌肉活动来调整步态，并在浴缸中进行活动范围练习。在两组中，该计划都实施了12周。日本膝关节OA测量评分、步行速度和髋关节外展力量在对照组和干预组均有显著改善。干预组与对照组相比，健康相关生活质量（SF-8）有显著改善。步态和ADL的改变达到了与传统膝关节运动相似的效果，并且可能对改善身体功能相关的生活质量更有效。
Knee osteoarthritis is highly prevalent in middle-aged and older people, and biomechanical interventions include modifications of the gait and activities of daily living (ADL). This study investigated the effects of gait and ADL modifications compared with conventional exercise for improving knee function in community-dwelling middle-aged and older people. Fifty middle-aged and older people were randomly allocated to the control () or intervention () groups. The control group performed conventional straight leg raising and knee joint range of motion exercises, and the intervention group modified their gait by decreasing the knee adduction moment and increasing hip muscle activities, and performed range of motion exercises in a bathtub. In both groups, the program was implemented for 12 weeks. The Japan knee OA measure score, walking speed, and hip abduction strength significantly improved in both the control and intervention groups. The health-related quality of life (Short Form 8: SF-8) was significantly improved in the intervention group compared with the control group. Gait and ADL modifications achieved effects similar to those of conventional knee joint exercise, and might be more effective for improving physical function-related quality of life.