■这项研究旨在评估在神经肌肉(NM)运动中增加动机性访谈(MI)和正念(MF)对改善疼痛的影响,函数,balance,膝关节骨性关节炎(KOA)患者的生活质量。
■这项随机临床试验是对60名被随机分配到MI+NM的患者进行的,MF+NM,和NM组。这些小组接受了为期六周的四次培训。与西安大略省和麦克马斯特大学关节炎指数的身体功能定时和去,上下八个楼梯,疼痛与视觉模拟量表,在干预前后评估SF36的生活质量和Biodex的平衡。
■组内比较显示NM+MI,NM+MF,和NM组在六周后所有因素均有显着改善(p<0.05)。然而,群体之间,试验后的比较显示,MI+NM组对疼痛有更显著的影响,函数,和静态平衡比MF+NM组。然而,MF+NM组生活质量改善优于MI+NM和NM组(p<0.05)。
■在体育锻炼中加入心理干预措施,对改善患者症状有更好的效果。此外,MI在改善患者症状方面表现出更有效。对康复的影响在神经肌肉锻炼中增加动机性访谈已证明可以减轻疼痛强度并改善功能,成人膝骨关节炎的平衡和生活质量。在神经肌肉锻炼中加入正念干预已证明可以减轻疼痛强度并改善功能,成人膝骨关节炎的平衡和生活质量。在使用的心理干预措施中,动机性访谈显着显示出改善疼痛的有效性,函数,balance,和骨关节炎患者的生活质量。
UNASSIGNED: This
study aimed to evaluate the effect of motivational interviewing (MI) and mindfulness (MF) added to neuromuscular (NM) exercises on improving pain, function, balance, and quality of life in patients with knee osteoarthritis (KOA).
UNASSIGNED: This randomized clinical
trial was conducted on sixty patients who were randomly assigned to the MI + NM, MF + NM, and NM groups. The groups received four training sessions for six weeks. Physical function with Western Ontario and McMaster Universities Arthritis Index timed up and go, going up and down eight stairs, pain with visual analogue scale, quality of life with SF36, and balance with Biodex were evaluated before and after interventions.
UNASSIGNED: Within-group comparisons showed that NM + MI, NM + MF, and NM groups experienced significant improvement in all factors after six-week (p < 0.05). However, between groups, comparisons in the post-test revealed that the MI + NM group had a more significant effect on pain, function, and static balance than the MF + NM group. Nevertheless, the MF + NM group improved the quality of life better than the MI + NM and NM groups (p < 0.05).
UNASSIGNED: Adding psychological interventions to physical exercises had a better effect on improving the symptoms of patients. Additionally, the MI showed more effectiveness in improving the symptoms of patients.
Adding motivational interviewing to neuromuscular exercises has shown to reduce pain intensity and improved function, balance and quality of life in adults with knee osteoarthritis.Adding mindfulness intervention to neuromuscular exercises has shown to reduce pain intensity and improved function, balance and quality of life in adults with knee osteoarthritis.Among the psychological interventions used, the motivational interviewing significantly showed more effectiveness in improving the pain, function, balance, and quality of life of patients with osteoarthritis.