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首页> 美国卫生研究院文献>Medical Journal of the Islamic Republic of Iran >Knee osteoarthritis at the early stage: The four-week effect of lateral wedge insole on pain and risk of falls
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Knee osteoarthritis at the early stage: The four-week effect of lateral wedge insole on pain and risk of falls

机译：膝关节骨关节炎的早期：外侧楔形鞋垫对疼痛和跌倒风险的四周影响

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> Background: Knee osteoarthritis (KOA) is associated with a decrease in function, increase in pain and risk of falls. Lateral wedge insole (LWI) is commonly prescribed in KOA to improve pain and function. Our study aimed to 1) evaluate the clinical symptoms and risk of falls in early KOA and compare with controls; 2) evaluate the immediate and four-week effect of LWI. >Methods: A sample of 20 Persian dwelling individuals with early KOA and 19 matched controls were recruited. Pain with Visual Analogue Scale (VAS), Quality of life (QOL) with the knee injury and osteoarthritis outcome score, risk of falls with the Timed Up and Go (TUG) and static One-leg Balance (OLB) tests were assessed. The four-week effect of 5º LWI was considered for individuals with KOA. Independent t-test was done to report the between-group differences, and paired t-test was used to report the four-week effect of LWI. >Results: At baseline, statistically significant higher scores for pain, lower scores for QOL, and higher risk of falls were observed in KOA compared to controls (p< 0.001). A significant statistical decrease was observed in pain, and risk of falls, and an increase in QOL in KOA after four-week effect of LWI compared to baseline (p< 0.001). >Conclusion: People with early KOA showed higher pain and lower level of QOL that were associated with higher risk of falls. LWI may have the potential to improve clinical symptoms and reduce the risk of falls at the early stage of KOA.
机译：>背景：膝骨关节炎（KOA）与功能下降，疼痛增加和跌倒风险相关。在KOA中通常规定使用外侧楔形鞋垫（LWI）以改善疼痛和功能。我们的研究旨在1）评估早期KOA的临床症状和跌倒风险，并与对照组进行比较； 2）评估LWI的即时效果和四周效果。 >方法：招募了20名具有早期KOA的波斯人和19名相匹配的对照组。使用视觉模拟量表（VAS）评估疼痛程度，评估膝关节损伤和骨关节炎结局评分的生活质量（QOL），通过定时起跑（TUG）跌倒的风险和静态单腿平衡（OLB）测试。对于KOA患者，考虑了5ºLWI的4周效果。进行独立的t检验以报告组间差异，配对的t检验用于报告LWI的四周效果。 >结果：在基线时，与对照组相比，在KOA中观察到统计学上显着的疼痛高分，QOL低分和跌倒风险高（p <0.001）。与基线相比，LWI作用四周后，疼痛，跌倒风险以及KOA中的QOL显着降低（p <0.001）。 >结论：早期KOA患者显示出较高的疼痛感和较低的QOL水平，与跌倒风险较高相关。在KOA的早期阶段，LWI可能会改善临床症状并降低跌倒的风险。

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