Nội dung được dịch bởi AI, chỉ mang tính chất tham khảo
Ảnh hưởng của bài tập aqua-cycling đến cơn đau và chức năng thể chất so với chăm sóc thông thường ở bệnh nhân viêm khớp gối: giao thức nghiên cứu của một thử nghiệm ngẫu nhiên có kiểm soát
Tóm tắt
Trong thập kỷ qua, tập thể dục dưới nước đã trở nên ngày càng phổ biến. Một trong những xu hướng mới nhất là aqua-cycling, nơi người tham gia ngồi trên xe đạp cố định chống nước và trong khi ngâm mình trong nước đến ngực, kết hợp đạp xe liên tục với các bài tập cho phần trên cơ thể sử dụng lực cản của nước. Vì việc tập thể dục trên xe đạp tĩnh và bài tập dưới nước thường được khuyến nghị cho bệnh nhân viêm khớp gối, việc kết hợp cả hai dường như là một bước đi hiển nhiên, và chương trình tập luyện aqua-cycling cho bệnh nhân viêm khớp gối thực sự đã được phát triển. Giao thức nghiên cứu này cung cấp một mô tả chi tiết về chương trình tập luyện và phương pháp nghiên cứu để so sánh chương trình này với việc điều trị chỉ chăm sóc thông thường. Nghiên cứu là một thử nghiệm ngẫu nhiên có kiểm soát theo nhóm song song, mù một chiều của Trung tâm Y tế Đại học Maastricht+, Hà Lan. Tiêu chí tiêu chuẩn: đau gối từ bốn đến bảy theo thang điểm đánh giá cơn đau 10 điểm; điểm số Kellgren/Lawrence từ một đến ba; khả năng đạp xe; sức khỏe tâm thần tốt; kỹ năng ngôn ngữ đủ; chỉ định điều trị vật lý trị liệu kết hợp với những suy giảm do viêm khớp gối. Tiêu chí loại trừ: bất kỳ chống chỉ định nào đối với bài tập dưới nước; kế hoạch thay khớp gối toàn phần; tiêm corticosteroid <3 tháng và/hoặc tiêm acid hyaluronic <6 tháng; khiếu nại khớp nghiêm trọng (khác ngoài khớp gối); viêm khớp háng rõ rệt về triệu chứng và hình ảnh; bệnh lý khớp viêm; không thể vào và ra khỏi bể bơi một cách an toàn; sợ nước. Người tham gia sẽ nhận hai phiên aqua-cycling cường độ vừa 45 phút mỗi tuần trong thời gian 12 tuần, bên cạnh chăm sóc thông thường hoặc chỉ chăm sóc thông thường. Chăm sóc thông thường bao gồm một kế hoạch can thiệp cá nhân bao gồm khuyến nghị về lối sống, thói quen dùng thuốc và giới thiệu đến một chuyên gia vật lý trị liệu. Người tham gia sẽ được đánh giá tại thời điểm ban đầu, và sau 12 và 24 tuần kể từ thời điểm ban đầu. Kết quả chính là cơn đau gối tự báo cáo và chức năng thể chất. Kết quả thứ cấp bao gồm sức mạnh cơ tập dưới, khả năng chức năng, độ nghiêm trọng của bệnh tự báo cáo, mức độ hoạt động thể chất, chất lượng cuộc sống, tự tin và sự sợ hãi khi vận động. Nhật ký hàng ngày sẽ thu thập thông tin về cơn đau gối, chức năng thể chất, mức độ hoạt động thể chất, thói quen dùng thuốc giảm đau, và vật lý trị liệu (nhóm đối chứng chỉ) hoặc tham gia vào bài tập trong hai khoảng thời gian 30 ngày (trong thời gian can thiệp). Theo chúng tôi được biết, nghiên cứu hiện tại là thử nghiệm ngẫu nhiên có kiểm soát đầu tiên đánh giá ảnh hưởng của aqua-cycling trong giai đoạn tiền phẫu của viêm khớp gối. Thử nghiệm này sẽ chứng minh xem can thiệp aqua-cycling mới được thiết kế, bên cạnh chăm sóc thông thường, có thể giúp cải thiện những suy giảm do viêm khớp gối hay không. Đăng ký thử nghiệm Hà Lan
NTR3766
(21-12-2012).
Từ khóa
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