| 摘要註: |
背景：退化性膝關節炎是全世界最常見的關節慢性疾病，患者能透過運動達到成效，但目前仍無單一精確的運動介入內容，可以被一致的認可並採用。目的：本研究擬定一套簡單且居家可行的運動介入模式，期望能透過實證研究能讓退化性膝關節炎患者達到症狀、健康體適能與生活品質改善的目的。方法：隨機選取57位年齡45歲以上患有輕至中度的退化性膝關節炎患者，並隨機分成兩組，實驗組每週三天接受運動，共12週，內容有伸展運動、有氧運動、平衡訓練、敏捷度訓練等；對照組維持一般生活型態。以膝關節症狀量表、健康體適能及SF-36生活品質量表作為成效指標，統計方法有:描述性統計、成對樣本t檢定、獨立樣本t檢定及共變數分析等，本研究統計顯著性訂為<0.05。結果：12週運動介入後，實驗組在(1)收縮壓、舒張壓、脈搏、身體質量指數、肌力/肌耐力、心肺耐力與動態平衡敏捷度；(2)WOMAC膝關節症狀量表方面在疼痛、僵硬與身體活動困難度；(3)SF-36生活品質量表在「生理功能」與「因生理功能角色受限」達統計上顯著性差異(P<0.05)。比較兩組的進步情形，在身體質量指數、肌力/肌耐力、心肺耐力、動態平衡敏捷度與膝關節疼痛、僵硬與身體活動改善方面，實驗組進步程度明顯優於對照組(P<0.05)，但在生活品質方面只有「生理功能」、「一般健康」與整體總分改善顯著優於對照組。結論：退化性膝關節炎病人介入12週伸展運動、有氧運動、平衡訓練與敏捷度訓練等整合性運動後，有助於改善膝關節炎症狀、肌力/肌耐力、心肺耐力與動態平衡敏捷度與病人的整體生活品質。 Background: Osteoarthritis of the knee is the most common joint's chronic disease in the world. Although patients' state of health can be improved by taking exercise therapy according to literatures, there is still no single exercise intervention can be unanimously approved and adopted by now. Purpose: This study developed a simple and practical exercise intervention that can be easily achieved at home for those who suffer from osteoarthritis of the knee. Hoping to find out a way to improve their physical fitness and quality of life through actual case studies. Method: We included 57 patients, who had mild to moderate osteoarthritis of the knee and the ages were older than 45, and divided them into two groups randomly. Experimental group took the exercise intervention 3 days a week for 12 weeks, including stretching exercises, aerobic exercise, balance training, agility training, etc. While the control group maintained their general lifestyle without any intervention. The collected data was analyzed by SPSS statistics software of version 23.0. The results of Western Ontario and McMaster Universities Arthritis Index (WOMAC) and 36-item short form general health survey measures (SF-36) estimated from experimental subjects are used as performance indicators, they would be tested by descriptive statistics, such as paired t-test、independent t-test and covariance analysis. The significant alpha level in this study is 0.05. Result: After taking 12 weeks of exercise intervention, there were significant statistically differences (P<0.05) in aspects like systolic blood pressure, diastolic blood pressure, pulse, body mass index, muscle endurance, cardiovascular endurance, dynamic, agility, the physiological function of patients and limitation role playing due to physical health, in experimental group. Great improvements were also found in knee joint pain, stiffness and physical activity of the patients according to WOMAC. Furthermore, the result of SF-36 showed that, the patients' physiological function and general health between experimental group and control group were significantly different (P<0.05). Compared with control group, the improvements of experimental group were much significantly in aspects like BMI, muscle endurance, cardiovascular endurance, dynamic balance and agility, knee joint pain, stiffness and physical activity (P<0.05). The advantages in experimental group on life quality we only found in aspects like physiological function and general health.Conclusion: By taking 12 weeks of exercise intervention that can help the patients who have osteoarthritis of the knee to improve their symptoms of the disease, muscle endurance, cardiopulmonary endurance, dynamic balance and agility and quality of life. |