Importance of Use of Viscosupplementation and Kinesitherapeutical Program at Mild and Moderate Stage of Knee Osteoarthritis  

作　　者：Senka Rendulic Slivar Dusan Peric Sergej M. Ostojic Igor Jukic Danijel Marosevic 

机构地区：[1]Special Hospital Jor Medical Rehabilitation Lipik, Lipik 34551, Croatia [2]Facculty of Sport and Tourism, Metropolitan University of Belgrade, Novi Sad 21000, Serbia [3]Faculty oJKinesiology, University of Zagreb, Zagreb 10000, Croatia

出　　处：《Journal of US-China Medical Science》2011年第3期186-193,共8页美中医学（英文版）

摘　　要：The viscosupplementation and kinesitherapeutical program in the spa on the simple of participants with mild to moderate clinical symptoms of radiologically diagnosed primary osteoarthritis （OA） of the knee Ⅱ -Ⅲgrade according to Kellgren was studied. The aim was to verify influence to main simptoms of knee OA - pain, functionality, range of movement （ROM） of the knee and muscle quadriceps strength. Material and methods： The research has been conducted as a longitudinal ten-day experiment with two groups, 23 subjects of both sexes, average 62 years （±7）, all of them right-handed. All subjects belonged to the category of average physically active persons for their age. The group 1 （n = 12） included physical therapy （kinesitherapy, hydrogymnastic and marble bath） and viscosupplementation： the group iI （n = 11） took only viscosupplementation. Pre- and posttest measured ROM of the knee and maximal isometric strength of muscle quadriceps, functionality and pain. Initial and final results were tested with paried T-tests and differenecs between groups were compared with T-test for independent samples. Results： Final measurements in both groups indicated a significant reduction of pain （p 1= 0.000, P2= 0.000, p 〈 0.01）, improvement in functionality （p1 = 0.000, P2- 0.002： p 〈 0,01） and ROM of the knee （left, p 〈 0.01）; （right, p 〈 0.05）. Increase of muscle strength was significant in the group that practiced （p 〈 0.05）. while the increase of muscle strength was not recorded in the group that took only a supplement （p 〉 0.05）. Conclusion： Use of viscosupplementation and kinesitherapy had a positive effect on decrease of knee OA symptoms of mild and moderate grade. Simultaneous combined use of this treatments achive a better results. Results of this study are suggesting to regularly applying viscosupplementation with kinesitherapy.

关 键 词：Knee osteoarthritis kinesitherapy hidrotherapy viscosupplementation. 

分 类 号：R[医药卫生]