Impact of cane use on pain, function, general health and energy expenditure during gait in patients with knee osteoarthritis: a randomised controlled trial
Impact of cane use on pain, function, general health and energy expenditure during gait in patients with knee osteoarthritis: a randomised controlled trial
复制标题
DOI：
10.1136/ard.2010.140178
复制
发表时间：
2012-02-01
影响因子：
27.4
通讯作者：
Natour, J.
中科院分区：
文献类型：
--
作者：
Jones, A.;Silva, P. G.;Natour, J.
目的探讨膝关节骨性关节炎（OA）患者在步行过程中每日使用拐杖对疼痛、功能、健康状况和能量消耗的影响。方法将64例患者随机分为实验组（EG）和对照组（CG）。实验组每天使用手杖，持续2个月，而对照组在此期间不使用手杖。第一个结局是疼痛，第二个结局是功能（Lequesne和WOMAC）、一般健康状况（SF-36）和能量消耗（6分钟步行测试（6 MWT）期间的气体分析，有和没有手杖）。在基线，30和60 d.Results组进行评估是同质的所有参数在基线。与对照组相比，EG显著改善了疼痛（ES 0.18）、Lequesne功能（ES 0.13）、SF-36的某些领域（角色物理，ES 0.07和身体疼痛，ES 0.08）和6 MWT上的距离（ES 0.16）。在6 MWT结束时，与CG相比，EG显著改善能量消耗（ES 0.21），二氧化碳产生（ES 0.12）和代谢当量（ES 0.15）。结论拐杖可用于减轻膝关节骨性关节炎患者的疼痛，改善功能和生活质量的某些方面。甘蔗的处方应考虑到使用第一个月的能量消耗大幅增加，而由于适应甘蔗的使用，到第二个月结束时，能量消耗不再是一个值得关注的因素。该试验在clinicaltrials.gov（NCT 00698412）上注册。
Objective To assess the impact of daily cane use during gait in relation to pain, function, general health and energy expenditure among patients with knee osteoarthritis.Method Sixty-four patients were randomly assigned to an experimental group (EG) or control group (CG). The EG used a cane every day for 2 months, whereas the CG did not use a cane in this period. The first outcome was pain and the second were function (Lequesne and WOMAC), general health (SF-36) and energy expenditure (gas analysis during the 6-minute walk test (6MWT) with and without a cane). Evaluations were performed at baseline, 30 and 60 days.Results The groups were homogeneous for all parameters at baseline. Compared with the CG, the EG significantly improved pain (ES 0.18), function Lequesne (ES 0.13), some domains of SF-36 (role physical, ES 0.07 and bodily pain, ES 0.08) and distance on the 6MWT with the cane (ES 0.16). At the end of the 6MWT with the cane, the EG significantly improved energy expenditure (ES 0.21), carbon dioxide production (ES 0.12) and metabolic equivalents (ES 0.15) compared with the CG.Conclusion A cane can be used to diminish pain, improve function and some aspects of quality of life in patients with knee osteoarthritis. The prescription of a cane should take into account the substantial increase in energy expenditure in the first month of use, whereas energy expenditure is no longer a factor for concern by the end of the second month due to adaptation to cane use. The trial was registered in clinicaltrials.gov (NCT00698412).