水中运动对髋骨性关节炎治疗的影响——系统综述和Meta分析

Effect of Aquatic Exercise on Hip Osteoarthritis: Systematic Review and Meta Analysis

目的通过系统的文献检索与分析,探究水中运动对髋骨性关节炎患者治疗的效果。方法在Cochrane、EBSCO、Embase、OVID、PEDro、Pubmed、Web of Science搜索关于水中运动对髋关节炎影响的随机对照实验,将文献导入endnoteX9,用PEDro量表对纳入的文献进行质量评价,采用RevMan5.3软件进行Meta分析。结果1)水中运动对肌力和计时站起-走测试成绩的提高显著高于对照组(p<0.05);2)对照组无运动干预结果显示:水中运动对髋关节疼痛的缓解和WOMAC(function)评分改善显著优于对照组(p<0.05);3)对照组有运动干预结果显示:对照组对髋关节疼痛的缓解和改善躯体功能优于水中运动但无显著差异(p≥0.05)。结论水中运动可改善髋骨性关节炎患者疼痛、肌力和功能,可作为髋骨性关节炎患者治疗方法的选择之一。

Objective To explore the therapeutic effect of aquatic exercise on patients with hip osteoarthritis through systematic literature search and analysis.Methods The randomized controlled trials on the effect of aquatic exercise on hip arthritis were searched from Cochrane,EBSCO,Embase,OVID,PEDro,Pubmed and Web of Science.The literature were imported into endnoteX9,and the quality of the included literature was evaluated by the PEDro scale and Meta analysis was analyzed by RevMan5.3 software.Results 1)The improvement of muscle strength and up-and-go test in aquatic exercise was significantly higher than that of the control group(p<0.05).2)If there was no exercise intervention in the control group showed that aquatic exercise is better than the control group in relieving hip pain and improving WOMAC(function)score(p<0.05).3)If there was exercise intervention in the control group showed that the control group was better than that of the aquatic exercise group in relieving pain and improving physical function,but there was no significant difference(p≥0.05).Conclusion Aquatic exercise can improve pain,muscle strength and function in patients with hip osteoarthritis.It can be one of the treatment options for patients with hip osteoarthritis.