アブストラクト
| Title | 変形性膝関節症に対する理学療法 |
|---|---|
| Subtitle | 総説 |
| Authors | 飛山義憲 |
| Authors (kana) | |
| Organization | 順天堂大学保健医療学部理学療法学科 |
| Journal | 理学療法京都 |
| Volume | |
| Number | 53 |
| Page | 53-57 |
| Year/Month | 2024 / |
| Article | 報告 |
| Publisher | 京都府理学療法士会 |
| Abstract | 要旨: 変形性膝関節症は軟骨の変性や骨変形, 滑膜炎などを特徴とする代表的な関節疾患の一つであり, 疼痛, 膝伸展筋力や身体機能の低下が生じ, 疼痛により身体活動量が減少してさらに膝伸展筋力や身体機能が低下し, 疾患が進行するという悪循環が生じる. そのため, 保存的治療ではこの悪循環を断つために疼痛を軽減し, 膝伸展筋力の改善を図り, 身体活動量の減少を防ぐことが基本方針となる. 理学療法ではNRSや患者報告型評価を用いた疼痛評価, 徒手筋力計や徒手筋力検査による膝伸展筋力評価を行うとともに, 国内外のガイドラインで推奨される疼痛増悪や疾患進行を予防するための患者教育や生活指導, 疼痛軽減のためのTENSや超音波療法などの物理療法, 疼痛軽減および膝伸展筋力低下を防ぐためのNMESを含む膝伸展筋力の筋力増強運動, 身体活動としての上肢のエルゴメーターを含む有酸素運動などを行い, 疾患の進行予防を行うことが重要である. |
| Practice | 医療技術 |
| Keywords | 変形性膝関節症, 保存的治療, 膝伸展筋力, Conservative treatment, Knee osteoarthritis, Muscle strength of the knee extensor |
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