主办单位:成都体育学院
ISSN 1001-9154 CN 51-1097/G8

成都体育学院学报 ›› 2018, Vol. 44 ›› Issue (1): 110-115.

• 运动人体科学 • 上一篇    下一篇

老年人膝关节骨性关节炎的运动康复:机制、方法与进展

侯世伦, 张新, 王安利, 高颀   

  1. 北京体育大学,运动医学与康复学院,北京,100084
  • 收稿日期:2017-04-02 出版日期:2018-01-15 发布日期:2018-01-23
  • 作者简介:侯世伦,博士,副教授,研究方向:运动伤害防护及运动损伤康复,E-mail:969925118@qq.com。
  • 基金资助:
    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)。

Rehabilitation of Knee Osteoarthritis(KOA) in the Elderly: Mechanism, Methods and Progress

HOU Shilun, ZHANG Xin, WANG Anli, GAO Qi   

  1. Beijing Sports University, Sports Medical and Rehabilitation College, Beijing, 100084
  • Received:2017-04-02 Online:2018-01-15 Published:2018-01-23

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。

关键词: 老年人, 膝关节骨性关节炎(KOA), 运动康复, 运动疗法

Abstract: 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 intervention. This paper reviews the domestic and foreign research and it is found that the pathogenic factors of KOA include age, physical activity, endocrine, neuromuscular control, obesity and the like. Physical activity, disability, 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 muscle 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 largely on the patient's 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.

Key words: the elderly, knee osteoarthritis(KOA), sport rehabilitation, exercise therapy

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