■单侧骨关节炎(OA)会影响单膝盖,并呈现一种独特的情况,即个体在受影响的膝盖和未受影响的膝盖之间会出现不同程度的症状。
■本研究旨在调查单侧膝关节OA患者有症状和无症状膝关节之间肌肉紧绷的差异,同时探索疼痛之间的相互作用,功能,肌肉紧绷。
■在这项横断面研究中,30名膝关节OA患者接受了腿筋评估(主动膝关节伸展,直腿抬高),髂胫带(Ober试验),和股四头肌紧密度(改良托马斯试验)。使用视觉模拟量表(VAS)测量疼痛强度,和功能限制通过西安大略省和麦克马斯特大学骨关节炎指数(WOMAC)进行评估.
■在参与者\'疼痛和AKE之间观察到负相关(p=0.004,r=-0.515),ASLR(p=0.27,r=-0.403),Ober(p=0.010,r=-0.461)值。然而,与改良Thomas值无显著相关性(p=0.204,r=-0.239)。参与者的WOMAC分数和AKE之间也存在负相关(p=0.019,r=-0.427),OBER(p=0.004,r=-0.510),和修正托马斯(p=0.022,r=-0.416)值,而ASLR(p=0.286,r=-0.202)值无显著相关性。AKE之间的比较,奥伯,和改良的Thomas值在无症状的四肢中显示出较高的值(AKE:p=0.025,Ober:p=0.021,改良的Thomas:p=0.030)。
■这项研究强调了肌肉紧绷在单侧膝关节OA患者的症状性四肢中的重要性。结果表明,增加的肌肉紧绷会使疼痛恶化并限制运动。对于治疗OA的医疗保健提供者来说,专注于提高肌肉的灵活性是至关重要的,减轻疼痛,增强整体功能。
UNASSIGNED: Unilateral osteoarthritis (OA) affects single knees and presents a unique scenario where individuals experience varying degrees of symptoms between their affected and unaffected knees.
UNASSIGNED: This study aims to investigate differences in muscle tightness between symptomatic and asymptomatic knees in individuals with unilateral knee OA while exploring the interplay among pain, functionality, and muscle tightness.
UNASSIGNED: In this cross-sectional study, thirty knee OA patients underwent assessments for hamstring (Active Knee Extension, Straight Leg Raise), iliotibial band (Ober Test), and quadriceps tightness (Modified Thomas Test). Pain intensity was measured using the Visual Analog Scale (VAS), and functional limitations were evaluated via the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC).
UNASSIGNED: A negative correlation was observed between participants\' pain and AKE (p= 0.004, r=-0.515), ASLR (p= 0.27, r=-0.403), Ober (p= 0.010, r=-0.461) values. However, no significant correlation was found with the Modified Thomas value (p= 0.204, r=-0.239). There was also a negative correlation between participants\' WOMAC scores and AKE (p= 0.019, r=-0.427), OBER (p= 0.004, r=-0.510), and Modified Thomas (p= 0.022, r=-0.416) values, while ASLR (p= 0.286, r=-0.202) values showed no significant correlation. Comparisons between AKE, Ober, and Modified Thomas values showed higher values in asymptomatic extremities (AKE: p= 0.025, Ober: p= 0.021, Modified Thomas: p= 0.030).
UNASSIGNED: This study emphasizes the significance of muscle tightness in the symptomatic extremities of individuals with unilateral knee OA. The results indicate that increased muscle tightness makes pain worse and limits movement. It\'s crucial for healthcare providers treating OA to focus on improving muscle flexibility, reducing pain, and enhancing overall function.