Kuomerera kukurovedza muviri kunokurudzirwa kunovandudza kushanda kwemuviri, kunoderedza marwadzo kuvarwere veOA
Kuomerera kukurovedza muviri kunokurudzirwa kunovandudza kushanda kwemuviri, kunoderedza marwadzo kuvarwere veOA
Anonim

Varwere vane osteoarthritis (OA) yemabvi kana muhudyu vanoomerera kune zvakakurudzirwa kurovedza muviri kurovedza muviri kumba uye kurovedza muviri mararamiro anowedzera kunatsiridza mukurwadziwa, kushanda kwemuviri, uye maitiro ekuzviona ega maererano neongororo kubva kune vaongorori muNetherlands. Tsvagiridzo inoratidzawo kuti kuchengetedza maitiro ekuita maekisesaizi uye mararamiro ekuita muviri mushure mekuburitswa kwekurapa kwemuviri kunovandudza kushanda kwenguva refu kwekurapa maekisesaizi muvarwere vane mabvi kana hudyu OA. Tsanangudzo yekudzidza inowanika paIndaneti uye ichabudisa muAugust yakadhindwa nyaya yeArthritis Care & Research, bhuku reAmerican College of Rheumatology.

Vanhu vane OA yehudyu kana ibvi vanonzwa kurwadziwa, kuderera kwesimba remhasuru, kuderera kwekufamba kwemajoini, uye kusagadzikana kwemajoini. Maererano neWorld Health Organisation (WHO) OA chimwe chezvirwere gumi zvinoremadza zvakanyanya munyika dzakabudirira. Imwezve WHO inofungidzira kuti 80% yeavo vane OA vane zvavasingakwanisi kufamba, uye 25% havagoni kuita mabasa makuru ezuva nezuva. Kazhinji varwere veOA vanoendeswa kune kurapwa kwemuviri kuitira kuderedza kukanganiswa uye kunatsiridza kushanda kwemuviri kwese kuzadzisa zvido zvehupenyu hwezuva nezuva. Kunyangwe kurapa maekisesaizi kunobatsira kwenguva pfupi, tsvakiridzo yapfuura yakaratidza kuti mushure mekuburitswa kwekurapa maekisesaizi maitiro akanaka ekurapa anoderera nekufamba kwenguva uye pakupedzisira anonyangarika mukufamba kwenguva.

Boka rekuDutch rekutsvagisa rakaita ongororo yekutevera ongororo pavarwere ve150 vane OA yehudyu uye/kana ibvi vaive vachiwana kurapwa. Zvidzidzo zvekudzidza zvakateverwa kwemwedzi ye60 kuti zviongorore kuomerera kune-self-directed exercise (panguva uye mushure mekunge yakatarwa nguva yekurapa kwehutano hwepanyama) pamigumisiro yemurwere yemarwadzo, basa remuviri, uye maitiro ekuzviona. Zvitatu zvitatu zvekunamatira, izvo zvinotsanangurwa semafambiro emudzidzi anoenderana neakabvumiranwa mazano nemurapi wake wepanyama, akayerwa-kuomerera kumitambo yepamba, mabasa epamba, uye kuwedzera kwekuita kwemuviri. Vatsvakurudzi vakashandisa gwaro remibvunzo yekuzvizivisa kuyera kuomerera kwevatori vechikamu pakuita maekisesaizi epamba (semuenzaniso maekisesaizi ekusimbisa tsandanyama) uye kuita (semuenzaniso kufamba kana kuchovha bhasikoro). Ongororo yekutevedza mitemo yakatanga panguva yekutanga, ikazoitwa zvakare pa3, 15, uye 60 mwedzi.

Mhedzisiro yemurwere yekurwadziwa uye kushanda kwemuviri yakayerwa uchishandisa Western Ontario uye McMaster Universities Osteoarthritis Index (WOMAC) mamakisi. Chiyero cheWOMAC chinotangira kubva pazvakanakisa kusvika pakuipisisa, zvichireva kuti zvibodzwa zvakaderera zvinomiririra kurwadziwa kushoma uye kushanda kwemuviri kwakavandudzwa. Kuita kwevatori vechikamu kwemuviri kwakayerwa nenguva (mumasekondi) yaitora kufamba chinhambwe chemamita mashanu nekuvandudzwa kwekuita kwakacherechedzwa nekuderedzwa kwenguva yekupedzisa kufamba.

Mhedzisiro inoratidza pamwedzi we3 yekutevera 57.8% yezvidzidzo zvakanamatira kune zvakakurudzirwa maekisesaizi uye 53.8% kune inokurudzirwa zviitiko. Kuomerera kumitambo yekurovedza muviri kwakabatanidzwa zvakanyanya nekuderera kwemarwadzo (-1.0 points pachiyero kubva ku0 kusvika ku20), uye kuvandudzwa kwekuita kwekuita kwemuviri (-2.3 points pachiyero kubva ku0 kusvika ku68) uye kushanda kwemuviri (-0.29) masekonzi kana zvichienzaniswa neiyo base-line nguva ye4.8 masekonzi ekufamba 5 metres (16 tsoka)). "Zviri nani kuomerera kumitambo yepamba uye kuve wakanyanya kushingaira kwemuviri kunovandudza kushanda kwenguva refu kwekurovedza muviri muvarwere vane OA yehudyu uye / kana ibvi," akadaro munyori wezvidzidzo zvinotungamirira, Martijn Pisters, M.Sc., PT.

Chiyero chepamusoro chepakati kana chakasimba chekuita basa rekuita muviri kwakanyatsobatanidzwa nekuderera kwemarwadzo, kushanda kwemuviri uye kushanda kwemuviri, pamwe chete nemafungiro akanaka ekuzviona. Vanyori vakaona kuti awa imwe pavhiki yakawanda yekushanda kwemuviri pamwero wakadzikama yakaguma nekuvandudzwa kwekuzvimiririra kwekuita kwemuviri we -0.24 pachiyero kubva ku0 kusvika ku 68. Munguva yenguva yekurapa kwepanyama, basa remuviri revarwere rakawedzera. nemaawa 1.5 ekusimbisa muviri zvine mwero kana nesimba pasvondo. Mushure menguva yekurapa, basa remuviri rakaderera ne0.5 uye 1.3 maawa zvichienderana ne15- uye 60-mwedzi yekutevera.

Uyezve, vatsvakurudzi vakacherechedza kuderera kwekuita maitiro ekuteerera pakupera kwekurapa kwepanyama ne 44.1% chete yevarwere uye 30.1% vachiri kudzidzira pa15- uye 60-mwedzi yekutevera, maererano. Saizvozvo, kuomerera kumabasa epamba kwakadzikira pakutevera 15- uye 60-mwedzi nekungove ne29.5% uye 36%, zvichiteerana, yezvidzidzo zviri kutevedzera. "Kutsvakurudza kweramangwana kunofanira kutarisa kuti maitiro ekurovedza muviri anogona sei kukurudzirwa uye kuchengetedzwa munguva refu kuti avandudze migumisiro yevarwere vane OA," akapedzisa Mr. Pisters.

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