ФУНКЦИОНАЛЬНАЯ ХАРАКТЕРИСТИКА ПОЖИЛЫХ ЛИЦ С НАЧАЛЬНЫМИ ПРОЯВЛЕНИЯМИ ОСТЕОАРТРОЗА НИЖНИХ КОНЕЧНОСТЕЙ И ДИНАМИКА СКОРОСТИ ХОДЬБЫ ПРИ ТРЕНИРОВКАХ СИЛОВОЙ ВЫНОСЛИВОСТЬЮ С БИОЛОГИЧЕСКОЙ ОБРАТНОЙ СВЯЗЬЮ
Ключевые слова:
выносливость, сила, биологическая обратная связь, остеоартроз, нижние конечности, пожилые люди
Аннотация
Цель: повышение функциональных возможностей нижних конечностей пожилых лиц с начальными проявлениями остеоартроза тренировками силовой выносливостью с биологической обратной связью. Материалы и методы. Исследование проведено у 42 женщин (65,78 ± 3,83 лет) с начальными проявлениями остеоартроза коленных и (или) тазобедренных суставов: 25 человек в основной группе (1) и 17 – в группе контроля (2). Предварительное обследование лиц групп (1) и (2) включало определение индекса массы тела, динамометрию кисти, заполнение вопросника LEFS. Измерение скорости ходьбы осуществляли дважды: до и после курса занятий (через 5 недель). Курс для пациентов группы (1) состоял из 10 занятий (2 – в неделю) на велотренажере для нижних конечностей с биологической обратной связью при сочетании силовой нагрузки и нагрузки на выносливость. Результаты. Пациентки групп (1) и (2) имели избыточную массу тела, сниженную силу мышц кисти, затруднения при выполнении интенсивных физических нагрузок статического и динамического характера, скорость ходьбы соответствовала нижней границе нормальных значений параметра. После тренировок у лиц группы (1) определено повышение скорости ходьбы, тогда как в группе (2) изменений не обнаружено. Заключение. Тренировки силовой выносливостью с биологической обратной связью у пожилых пациенток с начальными проявлениями остеоартроза улучшают функцию нижних конечностей.
Литература
1. Уайб, В.В. Олимпийское руководство по спортивной медицине. М.: Практика, 2011. 671 c. [Uayb V.V. Olimpiyskoe rukovodstvo po sportivnoy medicine [Olympic Textbook of Medicine in Sport]. Moscow, Practice Publ., 2011. 671 p.]
2. Adelaar R. The Practical Biomechanics of Running. American Journal Sports Medicine, 1986, vol. 14, pp. 497–500. DOI: 10.1177/036354658601400613
3. Bennel A., Dobson F., Hinmann R. Measures of Physical Performance Assessments. Self-Paced Walk Test (SPWT), Stair Climb Test (SCT), Six-Minute Walk Test (SCT), Chair Stand Test (CST), Timed Up&Go (TUG), Sock Test, Lifting and Carry Test (LCT) and Car Test. Arthritis Care & Research, 2011, vol. 63 (11), pp. 350–370. DOI: 10.1002.acr.20538
4. Brennan L., Dorrozoro E., Calfield B. Feedback Design in Targeted Exercise Digital Bio-feedback Systems for Home Rehabilitation: a Scoping Review. Sensors, 2019, vol. 20 (1), p. 181. DOI: 10.3390/s20010181
5. Bosomworth N. Exercise and Knee Osteoarthritis: Benefit or Hazard? Can Fam Physican, 2009, vol. 55, pp. 871–878.
6. Byra J., Czernincki K. The Effectiveness of Virtual Reality in Rehabilitation in Patients with Knee and Hip Osteoarthritis. Journal of Clinical Medicine, 2020, vol. 9 (8), p. 2639. DOI: 10.3390/jcm9082639
7. Dekker J. Exercise and Physical Functioning in Osteoarthritis / Medical, Neuromuscular and Behavioral Perspectives. Springer, 2014, 132 p. DOI: 10.1007/978-1-4614-7215-5_8
8. Dieppe P., Lohmander L. Pathogenesis and Management of Pain in Osteoarthritis. Lancet, 2005, vol. 365 (9463), pp. 965–973. DOI: 10.1016/s0140-6736(05)71086-2
9. Khalaj N., Abu Osman N., Mokhtar A. et al. Effect of Exercise and Gait Retraining on Knee Adduction Moment in People with Knee Osteoarthritis / Proceedings of the Institution of Mechanical Engineers, Part H. Journal of Engineering in Medicine, 2014, vol. 228 (2), pp. 190–199. DOI: 10.1177/0954411914521155
10. Gay C., Guiguet-Auclair C., Mourgues C. Physical Activity Level and Association with Behavioral Factors in Knee Osteoarthritis. Annals of Physical and Rehabilitation Medicine, 2019, vol. 62, pp. 14–20. DOI: 10.1016/j.rehab.2018.09.005
11. Inai N., Takabayashi T., Edama M. Decrease in Walking Speed Increases hip Moment Impulse in the Frontal Plane During the Stance Phase. Peer Journal, 2019, vol. 7, e8110. DOI: 10.7717/peerj.8110
12. Matjjacic Z., Zadravec M., Olensek A. Influence of Tredmill Speed and Perturbation Intensity on Selection of Balancing Strategies During Slow Walking Perturbed in the Frontal Plane. Applied Bionics and Biomechanics, 2019, vol. 2019, pp. 1–14. DOI: 10.1155/2019/1046459
13. Van Dijk G., Veenhof C., Spreeuwenberg P. et al. Prognosis of Limitations in Activities in Osteoarthritis of the Hip or Knee: a Three Year Cohort Study. Arch Physical Medicine Rehabilitation, 2010, vol. 91 (1), p. 586. DOI: 1016/j.apmr.2009.08.147
14. Rovensky J. Gerontorheumatology. Springer, 2017, 377 p. DOI: 10.1007/978-3-319-31169-2_13
15. Cruz-Jentoft A., Baeyens J., Bauer J. et al. Sacropenia: European Consensus on Definition and Diagnosis: Report of the European Working Group on Sacropenia in Older People. Age. Aging., 2010, vol. 39 (4), pp. 412–423. DOI: 10.1093/ageing/afq034
16. Baggaley V., Vernillo G., Martinez A. et al. Step Length and Grade Effects on Energy Absorbtion and Impact Attenuation in Running. European Journal Sport Science, 2019, vol. 24, pp. 1–11. DOI: 10.1080/17461391.2019.1664639
17. Dube J., Rousseau J., Boudreau H. et al. Test-Reltest Reliability of the Grille d´Evaluation de la Sacurite a la Marche (GEM). Gait&Posture, 2005, vol. 21, p. 114. DOI: 10.1016/s0966-6362(05)80373-x
18. Liang J., Lang S., ZhengY. et al. The Effect of Anti-Gravity Treadmill Training for Knee Osteoarthritis Rehabilitation on Joint Pain, Gait and EMG. Medicine, 2019, vol. 98 (18), e15386. DOI: 10.1097/md.0000000000015386
19. Binkley J., Stratford P., Lott S., Riddle D. The Lower Extremity Functional Scale (LEFS): Scale Development, Measurement Properties and Clinical Application. Physical Therapy, 1999, vol. 79 (4), pp. 371–383. DOI: 10.1093/ptj/79.4.371
20. World Health Organization. Physical Activity, 2018. World Health Organization, Geneva. https://www.who.int/news-room/fact-sheets/detail/physical-activity
2. Adelaar R. The Practical Biomechanics of Running. American Journal Sports Medicine, 1986, vol. 14, pp. 497–500. DOI: 10.1177/036354658601400613
3. Bennel A., Dobson F., Hinmann R. Measures of Physical Performance Assessments. Self-Paced Walk Test (SPWT), Stair Climb Test (SCT), Six-Minute Walk Test (SCT), Chair Stand Test (CST), Timed Up&Go (TUG), Sock Test, Lifting and Carry Test (LCT) and Car Test. Arthritis Care & Research, 2011, vol. 63 (11), pp. 350–370. DOI: 10.1002.acr.20538
4. Brennan L., Dorrozoro E., Calfield B. Feedback Design in Targeted Exercise Digital Bio-feedback Systems for Home Rehabilitation: a Scoping Review. Sensors, 2019, vol. 20 (1), p. 181. DOI: 10.3390/s20010181
5. Bosomworth N. Exercise and Knee Osteoarthritis: Benefit or Hazard? Can Fam Physican, 2009, vol. 55, pp. 871–878.
6. Byra J., Czernincki K. The Effectiveness of Virtual Reality in Rehabilitation in Patients with Knee and Hip Osteoarthritis. Journal of Clinical Medicine, 2020, vol. 9 (8), p. 2639. DOI: 10.3390/jcm9082639
7. Dekker J. Exercise and Physical Functioning in Osteoarthritis / Medical, Neuromuscular and Behavioral Perspectives. Springer, 2014, 132 p. DOI: 10.1007/978-1-4614-7215-5_8
8. Dieppe P., Lohmander L. Pathogenesis and Management of Pain in Osteoarthritis. Lancet, 2005, vol. 365 (9463), pp. 965–973. DOI: 10.1016/s0140-6736(05)71086-2
9. Khalaj N., Abu Osman N., Mokhtar A. et al. Effect of Exercise and Gait Retraining on Knee Adduction Moment in People with Knee Osteoarthritis / Proceedings of the Institution of Mechanical Engineers, Part H. Journal of Engineering in Medicine, 2014, vol. 228 (2), pp. 190–199. DOI: 10.1177/0954411914521155
10. Gay C., Guiguet-Auclair C., Mourgues C. Physical Activity Level and Association with Behavioral Factors in Knee Osteoarthritis. Annals of Physical and Rehabilitation Medicine, 2019, vol. 62, pp. 14–20. DOI: 10.1016/j.rehab.2018.09.005
11. Inai N., Takabayashi T., Edama M. Decrease in Walking Speed Increases hip Moment Impulse in the Frontal Plane During the Stance Phase. Peer Journal, 2019, vol. 7, e8110. DOI: 10.7717/peerj.8110
12. Matjjacic Z., Zadravec M., Olensek A. Influence of Tredmill Speed and Perturbation Intensity on Selection of Balancing Strategies During Slow Walking Perturbed in the Frontal Plane. Applied Bionics and Biomechanics, 2019, vol. 2019, pp. 1–14. DOI: 10.1155/2019/1046459
13. Van Dijk G., Veenhof C., Spreeuwenberg P. et al. Prognosis of Limitations in Activities in Osteoarthritis of the Hip or Knee: a Three Year Cohort Study. Arch Physical Medicine Rehabilitation, 2010, vol. 91 (1), p. 586. DOI: 1016/j.apmr.2009.08.147
14. Rovensky J. Gerontorheumatology. Springer, 2017, 377 p. DOI: 10.1007/978-3-319-31169-2_13
15. Cruz-Jentoft A., Baeyens J., Bauer J. et al. Sacropenia: European Consensus on Definition and Diagnosis: Report of the European Working Group on Sacropenia in Older People. Age. Aging., 2010, vol. 39 (4), pp. 412–423. DOI: 10.1093/ageing/afq034
16. Baggaley V., Vernillo G., Martinez A. et al. Step Length and Grade Effects on Energy Absorbtion and Impact Attenuation in Running. European Journal Sport Science, 2019, vol. 24, pp. 1–11. DOI: 10.1080/17461391.2019.1664639
17. Dube J., Rousseau J., Boudreau H. et al. Test-Reltest Reliability of the Grille d´Evaluation de la Sacurite a la Marche (GEM). Gait&Posture, 2005, vol. 21, p. 114. DOI: 10.1016/s0966-6362(05)80373-x
18. Liang J., Lang S., ZhengY. et al. The Effect of Anti-Gravity Treadmill Training for Knee Osteoarthritis Rehabilitation on Joint Pain, Gait and EMG. Medicine, 2019, vol. 98 (18), e15386. DOI: 10.1097/md.0000000000015386
19. Binkley J., Stratford P., Lott S., Riddle D. The Lower Extremity Functional Scale (LEFS): Scale Development, Measurement Properties and Clinical Application. Physical Therapy, 1999, vol. 79 (4), pp. 371–383. DOI: 10.1093/ptj/79.4.371
20. World Health Organization. Physical Activity, 2018. World Health Organization, Geneva. https://www.who.int/news-room/fact-sheets/detail/physical-activity
2. Adelaar R. The Practical Biomechanics of Running. American Journal Sports Medicine, 1986, vol. 14, pp. 497–500. DOI: 10.1177/036354658601400613
3. Bennel A., Dobson F., Hinmann R. Measures of Physical Performance Assessments. Self-Paced Walk Test (SPWT), Stair Climb Test (SCT), Six-Minute Walk Test (SCT), Chair Stand Test (CST), Timed Up&Go (TUG), Sock Test, Lifting and Carry Test (LCT) and Car Test. Arthritis Care & Research, 2011, vol. 63 (11), pp. 350–370. DOI: 10.1002.acr.20538
4. Brennan L., Dorrozoro E., Calfield B. Feedback Design in Targeted Exercise Digital Bio-feedback Systems for Home Rehabilitation: a Scoping Review. Sensors, 2019, vol. 20 (1), p. 181. DOI: 10.3390/s20010181
5. Bosomworth N. Exercise and Knee Osteoarthritis: Benefit or Hazard? Can Fam Physican, 2009, vol. 55, pp. 871–878.
6. Byra J., Czernincki K. The Effectiveness of Virtual Reality in Rehabilitation in Patients with Knee and Hip Osteoarthritis. Journal of Clinical Medicine, 2020, vol. 9 (8), p. 2639. DOI: 10.3390/jcm9082639
7. Dekker J. Exercise and Physical Functioning in Osteoarthritis / Medical, Neuromuscular and Behavioral Perspectives. Springer, 2014, 132 p. DOI: 10.1007/978-1-4614-7215-5_8
8. Dieppe P., Lohmander L. Pathogenesis and Management of Pain in Osteoarthritis. Lancet, 2005, vol. 365 (9463), pp. 965–973. DOI: 10.1016/s0140-6736(05)71086-2
9. Khalaj N., Abu Osman N., Mokhtar A. et al. Effect of Exercise and Gait Retraining on Knee Adduction Moment in People with Knee Osteoarthritis / Proceedings of the Institution of Mechanical Engineers, Part H. Journal of Engineering in Medicine, 2014, vol. 228 (2), pp. 190–199. DOI: 10.1177/0954411914521155
10. Gay C., Guiguet-Auclair C., Mourgues C. Physical Activity Level and Association with Behavioral Factors in Knee Osteoarthritis. Annals of Physical and Rehabilitation Medicine, 2019, vol. 62, pp. 14–20. DOI: 10.1016/j.rehab.2018.09.005
11. Inai N., Takabayashi T., Edama M. Decrease in Walking Speed Increases hip Moment Impulse in the Frontal Plane During the Stance Phase. Peer Journal, 2019, vol. 7, e8110. DOI: 10.7717/peerj.8110
12. Matjjacic Z., Zadravec M., Olensek A. Influence of Tredmill Speed and Perturbation Intensity on Selection of Balancing Strategies During Slow Walking Perturbed in the Frontal Plane. Applied Bionics and Biomechanics, 2019, vol. 2019, pp. 1–14. DOI: 10.1155/2019/1046459
13. Van Dijk G., Veenhof C., Spreeuwenberg P. et al. Prognosis of Limitations in Activities in Osteoarthritis of the Hip or Knee: a Three Year Cohort Study. Arch Physical Medicine Rehabilitation, 2010, vol. 91 (1), p. 586. DOI: 1016/j.apmr.2009.08.147
14. Rovensky J. Gerontorheumatology. Springer, 2017, 377 p. DOI: 10.1007/978-3-319-31169-2_13
15. Cruz-Jentoft A., Baeyens J., Bauer J. et al. Sacropenia: European Consensus on Definition and Diagnosis: Report of the European Working Group on Sacropenia in Older People. Age. Aging., 2010, vol. 39 (4), pp. 412–423. DOI: 10.1093/ageing/afq034
16. Baggaley V., Vernillo G., Martinez A. et al. Step Length and Grade Effects on Energy Absorbtion and Impact Attenuation in Running. European Journal Sport Science, 2019, vol. 24, pp. 1–11. DOI: 10.1080/17461391.2019.1664639
17. Dube J., Rousseau J., Boudreau H. et al. Test-Reltest Reliability of the Grille d´Evaluation de la Sacurite a la Marche (GEM). Gait&Posture, 2005, vol. 21, p. 114. DOI: 10.1016/s0966-6362(05)80373-x
18. Liang J., Lang S., ZhengY. et al. The Effect of Anti-Gravity Treadmill Training for Knee Osteoarthritis Rehabilitation on Joint Pain, Gait and EMG. Medicine, 2019, vol. 98 (18), e15386. DOI: 10.1097/md.0000000000015386
19. Binkley J., Stratford P., Lott S., Riddle D. The Lower Extremity Functional Scale (LEFS): Scale Development, Measurement Properties and Clinical Application. Physical Therapy, 1999, vol. 79 (4), pp. 371–383. DOI: 10.1093/ptj/79.4.371
20. World Health Organization. Physical Activity, 2018. World Health Organization, Geneva. https://www.who.int/news-room/fact-sheets/detail/physical-activity
References
1. Уайб, В.В. Олимпийское руководство по спортивной медицине. М.: Практика, 2011. 671 c. [Uayb V.V. Olimpiyskoe rukovodstvo po sportivnoy medicine [Olympic Textbook of Medicine in Sport]. Moscow, Practice Publ., 2011. 671 p.]2. Adelaar R. The Practical Biomechanics of Running. American Journal Sports Medicine, 1986, vol. 14, pp. 497–500. DOI: 10.1177/036354658601400613
3. Bennel A., Dobson F., Hinmann R. Measures of Physical Performance Assessments. Self-Paced Walk Test (SPWT), Stair Climb Test (SCT), Six-Minute Walk Test (SCT), Chair Stand Test (CST), Timed Up&Go (TUG), Sock Test, Lifting and Carry Test (LCT) and Car Test. Arthritis Care & Research, 2011, vol. 63 (11), pp. 350–370. DOI: 10.1002.acr.20538
4. Brennan L., Dorrozoro E., Calfield B. Feedback Design in Targeted Exercise Digital Bio-feedback Systems for Home Rehabilitation: a Scoping Review. Sensors, 2019, vol. 20 (1), p. 181. DOI: 10.3390/s20010181
5. Bosomworth N. Exercise and Knee Osteoarthritis: Benefit or Hazard? Can Fam Physican, 2009, vol. 55, pp. 871–878.
6. Byra J., Czernincki K. The Effectiveness of Virtual Reality in Rehabilitation in Patients with Knee and Hip Osteoarthritis. Journal of Clinical Medicine, 2020, vol. 9 (8), p. 2639. DOI: 10.3390/jcm9082639
7. Dekker J. Exercise and Physical Functioning in Osteoarthritis / Medical, Neuromuscular and Behavioral Perspectives. Springer, 2014, 132 p. DOI: 10.1007/978-1-4614-7215-5_8
8. Dieppe P., Lohmander L. Pathogenesis and Management of Pain in Osteoarthritis. Lancet, 2005, vol. 365 (9463), pp. 965–973. DOI: 10.1016/s0140-6736(05)71086-2
9. Khalaj N., Abu Osman N., Mokhtar A. et al. Effect of Exercise and Gait Retraining on Knee Adduction Moment in People with Knee Osteoarthritis / Proceedings of the Institution of Mechanical Engineers, Part H. Journal of Engineering in Medicine, 2014, vol. 228 (2), pp. 190–199. DOI: 10.1177/0954411914521155
10. Gay C., Guiguet-Auclair C., Mourgues C. Physical Activity Level and Association with Behavioral Factors in Knee Osteoarthritis. Annals of Physical and Rehabilitation Medicine, 2019, vol. 62, pp. 14–20. DOI: 10.1016/j.rehab.2018.09.005
11. Inai N., Takabayashi T., Edama M. Decrease in Walking Speed Increases hip Moment Impulse in the Frontal Plane During the Stance Phase. Peer Journal, 2019, vol. 7, e8110. DOI: 10.7717/peerj.8110
12. Matjjacic Z., Zadravec M., Olensek A. Influence of Tredmill Speed and Perturbation Intensity on Selection of Balancing Strategies During Slow Walking Perturbed in the Frontal Plane. Applied Bionics and Biomechanics, 2019, vol. 2019, pp. 1–14. DOI: 10.1155/2019/1046459
13. Van Dijk G., Veenhof C., Spreeuwenberg P. et al. Prognosis of Limitations in Activities in Osteoarthritis of the Hip or Knee: a Three Year Cohort Study. Arch Physical Medicine Rehabilitation, 2010, vol. 91 (1), p. 586. DOI: 1016/j.apmr.2009.08.147
14. Rovensky J. Gerontorheumatology. Springer, 2017, 377 p. DOI: 10.1007/978-3-319-31169-2_13
15. Cruz-Jentoft A., Baeyens J., Bauer J. et al. Sacropenia: European Consensus on Definition and Diagnosis: Report of the European Working Group on Sacropenia in Older People. Age. Aging., 2010, vol. 39 (4), pp. 412–423. DOI: 10.1093/ageing/afq034
16. Baggaley V., Vernillo G., Martinez A. et al. Step Length and Grade Effects on Energy Absorbtion and Impact Attenuation in Running. European Journal Sport Science, 2019, vol. 24, pp. 1–11. DOI: 10.1080/17461391.2019.1664639
17. Dube J., Rousseau J., Boudreau H. et al. Test-Reltest Reliability of the Grille d´Evaluation de la Sacurite a la Marche (GEM). Gait&Posture, 2005, vol. 21, p. 114. DOI: 10.1016/s0966-6362(05)80373-x
18. Liang J., Lang S., ZhengY. et al. The Effect of Anti-Gravity Treadmill Training for Knee Osteoarthritis Rehabilitation on Joint Pain, Gait and EMG. Medicine, 2019, vol. 98 (18), e15386. DOI: 10.1097/md.0000000000015386
19. Binkley J., Stratford P., Lott S., Riddle D. The Lower Extremity Functional Scale (LEFS): Scale Development, Measurement Properties and Clinical Application. Physical Therapy, 1999, vol. 79 (4), pp. 371–383. DOI: 10.1093/ptj/79.4.371
20. World Health Organization. Physical Activity, 2018. World Health Organization, Geneva. https://www.who.int/news-room/fact-sheets/detail/physical-activity
Опубликован
2023-06-15
Как цитировать
Гусева, О., & Жукова, Н. (2023). ФУНКЦИОНАЛЬНАЯ ХАРАКТЕРИСТИКА ПОЖИЛЫХ ЛИЦ С НАЧАЛЬНЫМИ ПРОЯВЛЕНИЯМИ ОСТЕОАРТРОЗА НИЖНИХ КОНЕЧНОСТЕЙ И ДИНАМИКА СКОРОСТИ ХОДЬБЫ ПРИ ТРЕНИРОВКАХ СИЛОВОЙ ВЫНОСЛИВОСТЬЮ С БИОЛОГИЧЕСКОЙ ОБРАТНОЙ СВЯЗЬЮ. Человек. Спорт. Медицина, 23(1), 159-164. https://doi.org/10.14529/hsm230121
Выпуск
Раздел
Восстановительная и спортивная медицина
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