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首页> 美国卫生研究院文献>Journal of Advanced Research >Effectiveness of acupressure versus isometric exercise on pain stiffness and physical function in knee osteoarthritis female patients
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Effectiveness of acupressure versus isometric exercise on pain stiffness and physical function in knee osteoarthritis female patients

机译：穴位按摩与等距锻炼对膝骨关节炎女性患者的疼痛僵硬和身体功能的有效性

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Osteoarthritis (OA) is the most common form of arthritis and a leading cause of disability in older adults. Conservative non-pharmacological strategies, particularly exercise, are recommended by clinical guidelines for its management. The aim of this study was to assess the effectiveness of acupressure versus isometric exercise on pain, stiffness, and physical function in knee OA female patients. This quasi experimental study was conducted at the inpatient and outpatient sections at Al-kasr Al-Aini hospital, Cairo University. It involved three groups of 30 patients each: isometric exercise, acupressure, and control. Data were collected by an interview form and the Western Ontario and McMaster Universities Osteoarthritis index (WOMAC) scale. The study revealed high initial scores of pain, stiffness, and impaired physical functioning. After the intervention, pain decreased in the two intervention groups compared to the control group (p < 0.001), while the scores of stiffness and impaired physical function were significantly lower in the isometric group (p < 0.001) compared to the other two groups. The decrease in the total WOMAC score was sharper in the two study groups compared to the control group. In multiple linear regression, the duration of illness was a positive predictor of WOMAC score, whereas the intervention is associated with a reduction in the score. In conclusion, isometric exercise and acupressure provide an improvement of pain, stiffness, and physical function in patients with knee OA. Since isometric exercise leads to more improvement of stiffness and physical function, while acupressure acts better on pain, a combination of both is recommended. The findings need further confirmation through a randomized clinical trial.
机译：骨关节炎（OA）是关节炎的最常见形式，也是老年人残疾的主要原因。临床指南建议对其进行保守的非药物治疗策略，尤其是锻炼。这项研究的目的是评估指压与等距锻炼对膝OA女性患者疼痛，僵硬和身体功能的有效性。这项准实验研究是在开罗大学Al-kasr Al-Aini医院的住院和门诊部进行的。它包括三组，每组30位患者：等距运动，指压和控制。数据是通过访谈表以及西安大略省麦克马斯特大学骨关节炎指数（WOMAC）量表收集的。该研究显示，疼痛，僵硬和身体机能受损的初始分数很高。干预后，与对照组相比，两个干预组的疼痛均有所减轻（p <0.001），而等距组的僵硬和身体功能受损评分明显低于其他两组（p <0.001）。与对照组相比，两个研究组的总WOMAC得分的下降更为明显。在多元线性回归中，疾病的持续时间是WOMAC评分的阳性预测指标，而干预措施与评分降低有关。总之，等距锻炼和指压可改善膝OA患者的疼痛，僵硬和身体机能。由于等距运动可以使刚度和身体功能得到更大的改善，而穴位按摩可以更好地缓解疼痛，因此建议将两者结合使用。研究结果需要通过随机临床试验进一步证实。

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