题名

退化性膝關節炎運動復健之策略與模式

DOI

10.6223/qcpe.2404.201012.2001

作者

李淑芳;李麗晶

关键词

退化性膝關節炎 ; 運動復健策略 ; 策略模式

期刊名称

中華體育季刊

卷期/出版年月

24卷4期(2010 / 12 / 01)

页次

1 - 11

内容语文

繁體中文

中文摘要

退化性膝關節炎(Knee Osteoarthritis, OA knee),是全世界最常見的關節慢性疾病,患者能成功透過運動治療達到成效,在預防醫學的觀念上深具意義,也是臨床決策的依據。然而,目前OA knee 的傳統運動復健處方仍然存在很多問題,包括運動復健內容不夠全面,各種運動項目介入的成效不明確;運動復健流失率高,病患醫囑運動治療行為不理想,患者停止復健後未能建立規律運動的習慣等。本文回顧OA knee與運動復健最新及經常引用之電腦檢索系統之文獻,探討目前傳統臨床運動復健問題,了解最新的OA knee治療目標(therapeutic targets)趨勢,同時歸納目前具權威性專家學者有共識之「運動處方」,最後採用流行病學行為模式,擬訂人性化的運動治療之執行策略,嘗試建構慢性OA knee整合性運動復健策略之模式。

主题分类 社會科學 > 體育學
参考文献
  1. 王秀華、李淑芳(2009)。老年人功能性體適能之運動處方。大專體育,101,164-171。
    連結:
  2. 佛教慈濟綜合醫院大林院區(2007)。走路、跑步不再輕鬆自如?1/5 民眾飽受關節退化之苦。2009 年12 月10 日,取自:http://www.tzuchi.com.tw/tzuchi/News_HotNews/Default.aspx?Action=ViewDetail&NewsType=0&NewsCategory=0&AppSiteID=4&IdentityID=415
  3. 鍾承翰(2008)。全人工膝關節置換手術。2009 年1 月9 日,取自uho 生活健康網網址:http://www.uho.com.tw/sick.asp?aid=4596
  4. American College of Rheumatology Subcommittee on Osteoarthritis Guidelines(2000).Recommendations for the medical management of osteoarthritis of the hip and knee.Arthritis & Rheumatism,43(9),1905-1915.
  5. American College of Sports Medicine(2009).ACSM's guidelines for exercise testing and prescription.Philadelphia, PA:Lippincott Williams & Wilkins.
  6. American Geriatrics Society Panel on Exercise and Osteoarthritis(2001).Exercise prescription for older adults with osteoarthritis pain: Consensus practice recommendations.Journal of Geriatrics Society,49,808-823.
  7. Asenlof, P.,Denison, E.,Lindberg, P.(2009).Long-term follow-up of tailored behavioral treatment and exercise based physical therapy in persistent musculoskeletal pain: A randomized controlled trial in primary care.European Journal of Pain,13(10)
  8. Baker, K.(2000).An update on exercise therapy for knee osteoarthritis.Nutrition in Clinical Care,3(4),216-224.
  9. Biddle, S. J. H.,Fuchs, R.(2009).Exercise psychology: A view from Europe.Psychology of Sport and exercise,10(4),410-419.
  10. Black, J.,Gary, J. P.,Cummings, D. M.(2008).Does regular exercise reduce the pain and stiffness of osteoarthritis.Journal of Family Practice,57(7),476-477.
  11. Blagojevic, M.,Jinks, C.,Jeffery, A.,Jordan, K. P.(2010).Risk factors for onset of osteoarthritis of the knee in older adults: A systematic review and meta-analysis.Osteoarthritis and Cartilage,18,24-33.
  12. Chen, D. Y.(2009).Updated therapy in elderly patients with knee osteoarthritis.International Journal of Gerontology,1(1),31-39.
  13. Edmonds, S.(2009).Therapeutic targets for osteoarthritis.Maturitas,63(3),191-194.
  14. Frost, H.,Lamb, S. E.,Robertson, S.(2002).A randomized controlled trial of exercise to improve mobility and function after elective knee arthroplasty. Feasibility, results and methodological difficulties.Clinical Rehabilitation,16,200-209.
  15. Horne, M.,Skelton, D.,Speed, S.,Todd, C.(2010).The influence of primary health care professionals in encouraging exercise and physical activity uptake among White and south Asian older adults: Experiences of young older adults.Patient Education and Counseling,78,97-103.
  16. Ince, S.,Parlikar, U.(2008).Knees and hips: Special health report.Boston, MA:Harvard Medical School.
  17. Jamtvedt, G.,Thuve Dahm, K.,Christie, A.,Moe, R. H.,Haavardsholm, E.,Holm, I.,Hagen, K. B.(2008).Physical therapy interventions for patients with osteoarthritis of the knee: An overview of systematic reviews.Physical Therapy,88(1),123-136.
  18. Jessep, S. A.,Walsh, N. E.,Ratcliffe, J.,Hurley, M. V.(2009).Long-term clinical benefits and costs of an integrated rehabilitation programme compared with outpatient physiotherapy for chronic knee pain.Physiotherapy,95,94-102.
  19. Manek, N. J.,Hart, D.,Spector, T. D.,MacGregor, A. J.(2003).The association of body mass index and osteoarthritis of the knee joint.Arthritis and Rheumatism,48(4),1024-1029.
  20. Mazieres, B.,Thevenon, A.,Coudeyre, E.,Chevalier, X.,Revel, M.,Rannou, F.(2008).Adherence to, and results of, physical therapy programs in patients with hip or knee osteoarthritis: Development of French clinical practice guidelines.Joint Bone Spine,75,589-596.
  21. Millar, A. L.(2003).ACSM action plan for health series: Action plan for arthritis.Champaign, IL:Human Kinetics.
  22. Norton, K.,Norton, L.,Sadgrove, D.(2010).Position statement on physical activity and exercise intensity terminology.Journal of Science and Medicine in Sport,13(5),496-502.
  23. Phillips, E. M.(2010).Special conditions.ACSM's Exercise is Medicine: A clinician's guide to exercise prescription,Philadelphia, PA:
  24. Silva, L. E.,Valim, V.,Pessanha, A. P.,Oliveira, L. M.,Myamoto, S.,Jones, A.,Natour, J.(2008).Hydrotherapy versus conventional land-based exercise for the management of patients with osteoarthritis of the knee: A randomized clinical trial.Physical Therapy,88(1),12-21.
  25. Sullivan, M.,Tanzer, M.,Stanish, W.,Fallaha, M.,Keefe, F. J.,Simmonds, M.,Dunbar, M.(2009).Psychological determinants of problematic outcomes following total knee arthroplasty.Pain,143,123-129.
  26. Weng, M. C.,Lee, C. L.,Chen, C. H.,Hsu, J. J.,Lee, W. D.,Huang, M. H.(2009).Effects of different stretching techniques on the outcomes of isokinetic exercise in patients with knee osteoarthritis.Journal of Medical Science,25(6),306-315.
  27. Yu-Yahiro, J. A.,Resnick, B.,Orwig, D.,Hicks, G.,Magaziner, J.(2009).Design and implementation of a home-based exercise program post-hip fracture: The Baltimore hip studies experience.Physical Medicine and Rehabilitation,1(4),308-318.
  28. 吳岱穎、楊榮森、廖振焜、郭冠良、林光洋(2009)。美國骨科醫學會(AAOS)膝部退化性關節炎的治療指引。臺灣醫學,13(2),181-190。
  29. 李淑芳、劉淑燕(2008)。老年人功能性體適能。臺北市:華杏出版。
  30. 林尹霈(2005)。碩士論文(碩士論文)。臺中市,中國醫藥大學。
  31. 劉守莊、林佩欣、唐翔威(2008)。運動治療對於改善長照機構中老年人身體功能表現的成效之系統性文獻回顧。物理治療,33(5),302-313。
被引用次数
  1. 黃艾君(2015)。探討銀髮族體育運動與健康之策略。慈惠學報,11,53-61。
  2. 黃滄海、周育賢(2015)。僵直性脊椎炎患者之運動策略與效益。中華體育季刊,29(4),311-320。
  3. 李淑芳、王秀華(2012)。退化性膝關節炎患者健康相關生活品質之決定因子。大專體育學刊,14(3),387-398。
  4. 翁淑敏,林瑞青,林琦峯,林佳慧(2018)。提升急性腦中風病人肌力之護理專案。源遠護理,12(1),36-45。