核心锻炼对膝骨关节炎患者膝疼痛、残疾、本体感知和股四头肌力量的影响:一项随机对照试验

Adel Motawea Elsayed Zedan, Mohammed Moustafa Aldosouki Hegazy, Ahmad Hamdi Azzam, Mohammed Shawki Abdelsalam

 

Adel Motawea Elsayed Zedan, Mohammed Moustafa Aldosouki Hegazy, Ahmad Hamdi Azzam, Mohammed Shawki Abdelsalam – Effects of core exercises on knee pain, disability, proprioception, and quadriceps strength in patients with knee osteoarthritis: A randomized controlled trial . Fizjoterapia Polska 2023; 23(4); 98-102

DOI: https://doi.org/10.56984/8ZG20A27A

摘要
目的。这项前后测试对照研究调查了核心锻炼对膝骨关节炎(KOA)患者膝疼痛、残疾、本体感知和股四头肌力量的影响。
材料和方法。从开罗大学医院招募了80名年龄在40-65岁之间、患有轻至中度KOA的患者。他们被随机分为两组;A组接受核心锻炼和常规锻炼,B组仅接受常规锻炼。每周进行3次训练,持续4周。患者在治疗前后进行膝疼痛(使用视觉模拟量表)、残疾(使用总体步态功能)、本体感知(使用倾斜仪)和股四头肌力量(使用动力计)的评估。
结果。治疗后两组之间没有显著差异(p值 > 0.05)。在治疗后,A组的股四头肌力量、疼痛和残疾均有显著改善(p值 < 0.05)。
结论。在KOA中,将核心锻炼添加到常规锻炼中显示出在减轻疼痛和残疾方面比仅进行常规锻炼更具趋势性的显著性。另一方面,无论是否进行核心锻炼,常规锻炼都可以改善股四头肌力量,而不是本体感知。因此,进一步对更大样本的研究具有潜在前景。
关键词
核心锻炼,膝疼痛和功能,膝骨关节炎,膝本体感知,肌肉力量
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Validity and Reliability of Smartphone Application in Measuring Knee Range of Motion in Patients with Patellofemoral Pain Syndrome

Labib Mousa Ghali, Enas Fawzy Youssef, Ahmad Hamdi Azzam, Samah Saad Zahran

Labib Mousa Ghali, Enas Fawzy Youssef, Ahmad Hamdi Azzam, Samah Saad Zahran – Validity and Reliability of Smartphone Application in Measuring Knee Range of Motion in Patients with Patellofemoral Pain Syndrome. Fizjoterapia Polska 2020; 20(5); 144-149

Abstract

Background. Limitation in knee range of motion (ROM) is frequently compromised in patients with patellofemoral pain syndrome (PFPS). Smartphones have become the most widely used device and begun to enter the field of musculoskeletal evaluation. Objective. to investigate the concurrent validity and reliability of the smartphone “Goniometer Records” application in assessing knee ROM in patients with PFPS. Methods. thirty-six PFPS patients (age: 22.82 ± 1.76 years, male:28, female:8) were participated. Knee ROM was measured simultaneously by the smartphone “Goniometer Records” application and by the bubble inclinometer. These measurements were repeated by the same experienced examiner on the same day to measure intra-rater reliability, and by another experienced examiner on the same day to measure inter-rater reliability and after one-week to measure test-retest reliability Results. There was a strong positive correlation to confirm concurrent validity between the smartphone application and the bubble inclinometer (r = 0.97-0.98; p = 0.0001. Intra-rater, inter-rater and test-retest reliabilities of smartphone application suggested excellent reliability for knee flexion and extension (ICC = 0.988-0.997), (ICC = 0.985-0.994), (ICC = 0.984-0.994) respectively. Conclusion. Smartphone application is a valid and reliable alternative for bubble inclinometer in measuring active knee ROM in patients with PFPS.

Key words:
reliability, validity, ROM, patellofemoral pain syndrome, smartphone
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