Tolerance of an aquatic power training program by older adults with symptomatic knee osteoarthritis.
Tolerance of an aquatic power training program by older adults with symptomatic knee osteoarthritis.
复制标题
有症状的膝骨关节炎老年人对水中力量训练计划的耐受性。
DOI：
10.1155/2012/895495
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发表时间：
2012
期刊：
影响因子：
--
通讯作者：
Wallace,Robert
中科院分区：
文献类型：
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作者：
Segal,NeilA;Wallace,Robert
Objective.确定水上力量训练对改善症状性膝关节OA患者下肢肌肉力量、损伤和活动能力的耐受性和可行性。29名年龄50岁及以上、有症状的膝关节OA（ACR临床标准）和活动受限（400米步行时间低于性别和年龄中位数）的成人完成了每周两次、持续6周的45分钟水上力量训练课程。前瞻性结果包括程序的耐受性，以及6周和12周随访时爬楼梯功率、400米步行时间、整体和膝关节特异性疼痛、日常生活活动（ADL）、生活质量（QOL）和下肢功能的变化。29名参与者中有9名需要调整训练强度。治疗后即刻及6周下肢肌力、ADL、QOL及疼痛均有改善（均P < 0.05）。然而，400米步行时间和下肢功能与基线没有差异。6周水上康复计划似乎在患有症状性膝关节OA并伴有活动受限的成人中耐受良好，并可能改善下肢肌力、症状、ADL和QOL。然而，这种干预可能没有足够的特异性或强度来改善身体功能。
Objective. To determine the tolerance and feasibility of aquatic‐based power training for improving lower limb muscle power, impairments, and mobility in adults with symptomatic knee OA.Participants. Twenty‐nine adults, age 50 years and over, with symptomatic knee OA (ACR clinical criteria) and mobility limitation (400‐meter walk time slower than median for sex and decade) completed 45‐minute aquatic power training sessions twice weekly for 6 weeks.Main Outcome Measurements. Prospective outcomes included tolerance of the program, as well as change in stair climb power, 400‐meter walk time, overall and knee‐specific pain, activities of daily living (ADL), quality of life (QOL), and lower limb function at 6‐ and 12‐week follow‐up.Results. The training intensity required modification for 9 of the 29 participants. Lower limb muscle power, ADL, QOL, and overall pain were improved immediately and 6 weeks following completion (allP< 0.05). However, 400‐meter walk times, and lower limb function did not differ from baseline.Conclusions. A 6‐week aquatic rehabilitation program appears to be well tolerated by adults with symptomatic knee OA with mobility limitations and may result in improved lower limb muscle power, symptoms, ADL, and QOL. However, this intervention may have insufficient specificity or intensity for improving physical function.