摘要
This integrative review is to identify the factors associated with balance function in patients with knee osteoarthritis and explore the relationship between these factors and balance function.Osteoarthritis commonly occurs in elderly people.Patients with knee osteoarthritis have balance impairment,and maintaining knee stability is important for such patients to prevent accidental injuries caused by falling.Therefore,it is important to clarify the factors related to balance function in patients with knee osteo-arthritis.The PubMed,Science Direct,CINAHL,Ovid,ProQuest,CNKI,WanFang databases were searched,and relevant articles published up to December 2015 were included.Twenty articles were included in the analysis.Age,gender,dominant limb,foot length,knee alignment,diurnal variation,and meniscus tears were the non-modifiable factors,whereas body mass index,knee pain,muscle strength,joint range of motion,severity,and cognitive loading were the modifiable factors.Knee sleeve and custom-molded insoles showed protective effects against knee osteoarthritis.
该整合性综述的目的是为了确定与膝关节骨性关节炎患者平衡功能相关的影响因素,并探讨这些因素与平衡功能之间的关系。骨关节炎是老年人常见的疾病,而患膝关节骨性关节炎的患者通常伴有平衡障碍,使得膝关节骨性关节炎的患者更易跌倒。维持膝关节稳定对于膝关节骨性关节炎患者非常重要,可以防止因跌倒引起的意外伤害。因此,澄清与膝关节骨性关节炎患者平衡功能有关的因素非常重要。通过检索数据库PubMed,Science Direct,CINAHL,Ovid,ProQuest,CNKI和万方数据库,最终纳入了20篇文章进行分析。年龄、性别、优势腿、脚长、膝关节力线、昼夜变化和半月板撕裂是与膝关节骨性关节炎患者平衡功能有关的不可改变因素,而体质指数(BMI)、膝盖疼痛、肌肉力量、关节运动范围、疾病严重程度和认知负荷是与膝关节骨性关节炎患者平衡功能有关的可改变因素。护膝和定制鞋垫对膝关节骨性关节炎有保护作用。
