等速肌力训练对改善膝骨关节炎肌肉功能的Meta分析

杜建平; 任薇; 夏能能; 许学猛

文章摘要

杜建平,任薇,夏能能,许学猛.等速肌力训练对改善膝骨关节炎肌肉功能的Meta分析[J].中国康复,2020,35(11):594-599

等速肌力训练对改善膝骨关节炎肌肉功能的Meta分析

Meta-analysis of isokinetic muscle strength training for improving muscle function in knee osteoarthritis

DOI：

中文关键词: 等速肌力训练膝骨关节炎肌肉功能 Meta分析

英文关键词: isokinetic muscle strength training knee ostoarthritis（KOA） muscle function Meta-analysis

基金项目:广东省省级科技计划项目“广东省中医药科技协同创新中心”基金（2018B020207009）

作者	单位
杜建平	广东省第二中医院（广东省中医药工程技术研究院），广东省中医药研究开发重点实验室，广州510095
任薇	广东省第二中医院（广东省中医药工程技术研究院），广东省中医药研究开发重点实验室，广州510095
夏能能	广东省第二中医院（广东省中医药工程技术研究院），广东省中医药研究开发重点实验室，广州510095
许学猛	广东省第二中医院（广东省中医药工程技术研究院），广东省中医药研究开发重点实验室，广州510095

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中文摘要:

目的：系统评价等速肌力训练对改善膝骨关节炎肌肉功能的临床疗效。方法：计算机检索2008年8月至今CNKI、维普、万方、PubMed等数据库，搜集等速肌力训练改善膝骨关节炎肌肉功能的随机对照试验。对纳入文献进行筛选，资料提取，质量评价和风险评估后，采用RevMan 5.3软件进行Meta分析。结果：共纳入研究10项，样本量718例，等速肌力训练在改善膝关节功能评分（Lysholm Knee Scoring Scale, LKSS）(MD=9.41,95%CI［5.63,13.19］,Z=4.88,P＜0.05)，伸肌群峰力矩PT(MD=20.31,95%CI［8.48,32.15］,Z=3.36,P＜0.05)、屈肌群峰力矩PT(MD=14.32,95%CI［3.37,25.27］，Z=2.56,P=0.01)、VAS评分(MD=-0.64,95%CI［-1.20,-0.08］，Z=2.24,P=0.02)、伸肌群TW(MD=86.63,95%CI［42.48,130.77］，Z=3.85,P＜0.05)、屈肌群TW(MD=57.85,95%CI［38.07,77.63］,Z=5.73,P＜0.05)等反映肌肉功能的直观指标方面均优于对照组。结论：等速肌力训练在一定程度上可以改善患者肌肉功能。但因纳入文献数量有限，上述确切结论仍需开展大样本高质量的RCT加以验证。

英文摘要:

Objective: To investigate the clinical effect of isokinetic muscle strength training on improving muscle function in knee osteoarthritis. Methods: The CNKI, VIP, Wanfang and PubMed databases were searched by computer from August 2008 till now, and randomized control trials (RCTs) on isokinetic muscle strength training which could improve muscle function in KOA were selected. After screening, data extraction, quality evaluation and risk assessment, meta analysis was carried out with RevMan 5.3 software. Results: A total of 10 studies were included, and there were 718 cases. Isokokinetic muscle training could improve muscle function better than the control group, such as LKSS score (MD = 9.41, 95% CI ［5.63, 13.19］, Z=4.88, Z=4.88, P<0.05), LKSS score (MD = 9.41, 95% CI ［5.63, 13.19］, Z=4.88, Z=4.88, P<0.05), extensor peak torque (MD = 20.31, 95% CI ［8.48, 32.48, 32.15］, Z=3.36, P<0.05, P<0.05), flexor peak torque (MD = 14.32, 95% CI 95% CI ［3.32, 95%］ CI ［3.37 64, 95%］ CI ［-1.20, -0 8］, Z=2.24, P=0.02), extensor total work (MD = 86.63, 95% CI ［42.48, 130.77］, Z=3.85, P<0.05), flexor total work (MD = 57.85, 95% CI ［38.07, 77.63］, Z=5.73, P<0.05). Conclusion: Isokinetic muscle strength training can improve the muscle function to a certain extent. However, due to the limited number of literatures included, the exact conclusions still need to be verified by RCTs with large samples and high quality.

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