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Educational program promoting regular physical exercise improves functional capacity and daily living physical activity in subjects with knee osteoarthritis

机译:促进定期体育锻炼的教育计划可改善膝部骨关节炎患者的功能能力和日常生活活动

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Physical exercise and educational programs promote several benefits for patients with knee osteoarthritis (OA). However, little is known about the effects of educational programs promoting the regular practice of physical exercise. The purpose of the present study was to assess the effect of an interdisciplinary educational program, emphasizing the recommendation for regular practice of physical exercise, on functional capacity and daily living physical activity in individuals with knee OA. Two hundred and thirty-nine individuals (50 men) with an established diagnosis of knee OA (degree I to IV in the Kelgreen and Lawrence scale) were randomly allocated into a multidisciplinary educational program (EDU; n?=?112) or control group (CON; n?=?127). Functional capacity (sit and reach, 6-min walking test (6MWT), timed up and down stairs test, timed up and go test (TUGT), and five times sit-to-stand test (FTSST)) and daily living physical activity (IPAQ, short version) were measured before, during (6?months) and after 12?months of follow-up. Body mass index reduced significantly (P?
机译:体育锻炼和教育计划为膝骨关节炎(OA)的患者带来了很多好处。但是,对于促进常规体育锻炼的教育计划的效果知之甚少。本研究的目的是评估跨学科教育计划的效果,强调定期进行体育锻炼的建议对膝骨关节炎患者的功能能力和日常生活体育活动的影响。 399名确诊为膝骨关节炎(Kelgreen和Lawrence评分为I至IV级)的人(50名男性)被随机分配到多学科教育计划(EDU; n = 112)中。 (CON;n≥127)。功能能力(坐下和到达,6分钟步行测试(6MWT),上下楼梯定时测试,定时走步测试(TUGT)和五次坐立测试(FTSST))和日常生活活动(IPAQ,简称)在随访前,随访期间(6个月)和12个月后进行了测量。体重指数在6个月后显着降低(P <0.05),而在EDU随访12个月后仍保持降低,但CON则没有。 EDU组在随访6个月后,上下楼梯(19%),TUGT(32.5%)和FTSST(30%)的表现得到改善(P <0.05),在随访12个月后仍得到改善。跟进。 CON的功能能力没有变化,除了定时和上下楼梯的性能在6个月后有所提高(12%,P <0.05)外,但在随访12个月后恢复了与基线相似的水平。在随访过程中,EDU组久坐的人的患病率也有所增加(P 0.05),而久坐的人的患病率也有所降低(P 0.05)。两组随访期间的坐姿和伸展度以及6MWT表现均无明显变化。结果表明,强调定期进行体育锻炼的建议的教育计划可能是提高膝OA患者的功能能力和日常体育活动的有效工具。 NCT 02335034,2014年12月22日。

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