Aquatic Cycling Improves Knee Pain and Physical Functioning in Patients With Knee Osteoarthritis: A Randomized Controlled Trial
Aquatic Cycling Improves Knee Pain and Physical Functioning in Patients With Knee Osteoarthritis: A Randomized Controlled Trial
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DOI：
10.1016/j.apmr.2019.12.023
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发表时间：
2020-08-01
影响因子：
4.3
通讯作者：
Mesters, Ilse
中科院分区：
文献类型：
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作者：
Rewald, Stefanie;Lenssen, A. F. Ton;Mesters, Ilse
目的：评估为期12周的水上自行车训练计划对改善膝关节骨关节炎（OA）患者膝关节疼痛和身体功能的疗效。设计：双臂、单盲、平行组随机对照试验。设置：马斯特里赫特大学医学中心OA门诊+。参与者：患者（N=111，50- 70岁）单侧轻度至中度膝关节OA。干预：参与者（水上自行车[AC]组，n=55）接受AC训练，每周2次，每次45分钟。每节课都结合了直立坐着骑自行车与鞍外位置和锻炼上半身和下半身。常规护理（UC）组（n=47）继续与UC，并提供了12 AC会议在当地的游泳池后，他们的试验participation.Main结果Measures：膝关节损伤和骨关节炎结果评分（KOOS）对膝关节疼痛和身体功能进行了评估，在基线，干预后，并在24周的后续行动。多水平（混合回归）分析检查effects.Results：平均出席率为AC会议80%。干预后和随访时，膝关节疼痛的平均值+/- SD存在统计学显著差异（UC前测，57.89 +/- 15.26;后测，55.90 +/- 18.04;随访，57.24 +/- 19.16; AC前测，56.96 +/- 12.96;后测，63.55 +/- 15.33;随访，64.35 +/- 17.26;估计值，8.16; SE，3.27; 95%置信区间[CI]，1.67-14.64;效应量[ES]，0.50）和身体功能（UC预测，66.32 +/- 16.28;后测，66.80 +/- 19.04;随访，65.42 +/- 17.98; AC预测，61.89 +/- 17.151;后测，70.14 +/- 17.52;随访，69.00 +/- 16.84;估计值为7.16; SE，3.19; 95%CI，0.83-13.49; ES，0.43），有利于水上group.Conclusions：结果表明，12周的AC训练计划改善自我报告的膝关节疼痛和身体功能的轻度至中度膝关节OA患者相比，UC。(C)2020年美国康复医学大会
Objective: To assess the efficacy of a 12-week aquatic cycling training program for improving knee pain and physical functioning in patients with knee osteoarthritis (OA).Design: Two-arm, single-blind, parallel-group randomized controlled trial.Settings: OA outpatient clinic of the Maastricht University Medical Center+.Participants: Patients (N=111, 50-70y) with unilateral mild-to-moderate knee OA.Interventions: Participants (aquatic cycling [AC] group, n=55) received AC sessions of 45 min each 2 times per week. Each session combined upright seated cycling with out-of-saddle positions and exercises for the upper and lower body. The usual care (UC) group (n=47) continued with UC and was offered 12 AC sessions in a local swimming pool after their trial participation.Main Outcome Measures: The Knee Injury and Osteoarthritis Outcome Score (KOOS) on knee pain and physical function was assessed at baseline, postintervention, and at 24-wk follow-up. Multilevel (mixed regression) analysis examined the effects.Results: Average attendance rate for the AC sessions was 80%. Statistically significant differences at postintervention and follow-up were found for knee pain in mean +/- SD (UC pretest, 57.89 +/- 15.26; posttest, 55.90 +/- 18.04; follow-up, 57.24 +/- 19.16; and AC pretest, 56.96 +/- 12.96; posttest, 63.55 +/- 15.33; follow-up, 64.35 +/- 17.26; estimate, 8.16; SE, 3.27; 95% confidence interval [CI], 1.67-14.64; effect size [ES], 0.50) and physical functioning (UC pretest, 66.32 +/- 16.28; posttest, 66.80 +/- 19.04; follow-up, 65.42 +/- 17.98; and AC pretest, 61.89 +/- 17.151; posttest, 70.14 +/- 17.52; follow-up, 69.00 +/- 16.84; estimate, 7.16; SE, 3.19; 95% CI, 0.83-13.49; ES, 0.43) in favor of the aquatic group.Conclusions: The results suggest that a 12-week AC training program improves self-reported knee pain and physical functioning in patients with mild-to-moderate knee OA compared to UC. (C) 2020 by the American Congress of Rehabilitation Medicine