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| 运动疗法有效改善骨性关节炎症状的相关因子 |
| Possible mediators for the positive effects of exercise therapy on symptoms of osteoarthritis |
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| DOI：10.3969/j.issn.1006.7108.2018.01.025 |
| 中文关键词: 骨性关节炎 运动疗法 |
| 英文关键词:Exercise therapy Osteoarthritis |
| 基金项目: |
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| 中文摘要: |
| 骨性关节炎是老年人常见的慢性退行性关节疾病，运动疗法可以有效改善症状，提髙患者生活质量，是目前非药物治疗 的最佳推荐。研究发现，肌力、关节活动度和本体觉等可能是运动疗法发挥作用的介质，提示针对以上介质设计运动方案，利 于优化运动疗法，进而更有效地改善疼痛、关节僵硬等症状。等长肌力训练、等张肌力训练、等速肌力训练以及关节活动度和 平衡感觉的训练，在提髙肌力、关节活动度和本体觉方面各有优缺点，在实施过程中，根据患者的年龄、合并症、主要症状等综 合情况个性化设计运动方案，有选择地针对一个或多个介质进行运动疗法，有利于获得最佳疗效。 |
| 英文摘要: |
| Osteoarthritis is a chronic degenerative joint disease with high morbidity in older people. Physical exercise can effectively relief symptoms in OA patients and improve the quality of life， so it is the most recommended non-pharmacological intervention for OA patients. Studies have identified muscle strength，joint range of motion and proprioception as possible mediators for the positive association between physical exercise and OA symptoms. So optimization of physical exercise protocols aimed at these mediators can help to maximally relieve OA symptoms. Physical exercise such as isometric strength training， isotonic strength training，isokinetic muscle strength training，and training of ROM and equilibrium sense each has advantages and disadvantages. Individualized exercise regimen made after assessment of patient ’ s OA symptoms，age and complications will be helpful for the optimization of exercise plan and the improvement of the treatment effect. |
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