進階搜尋


   電子論文尚未授權公開,紙本請查館藏目錄
(※如查詢不到或館藏狀況顯示「閉架不公開」,表示該本論文不在書庫,無法取用。)
系統識別號 U0026-0502201719173300
論文名稱(中文) 整合性運動對中高齡退化性膝關節炎患者疼痛、功能表現和生活品質之成效
論文名稱(英文) The effects of integrated exercise on pain, functional performance, and quality of life in middle aged and older patient with knee osteoarthritis
校院名稱 成功大學
系所名稱(中) 老年學研究所
系所名稱(英) Institute of Gerontology
學年度 105
學期 1
出版年 106
研究生(中文) 鐘若綺
研究生(英文) Jo-Chi Chung
學號 TC6034034
學位類別 碩士
語文別 中文
論文頁數 68頁
口試委員 指導教授-官大紳
指導教授-范聖育
口試委員-吳至行
中文關鍵字 整合性運動  退化性膝關節炎  中高齡  疼痛  功能表現  生活品質 
英文關鍵字 Integrated exercise  Knee osteoarthritis  Middle aged and older adults  Pain  Functional performance  Quality of life 
學科別分類
中文摘要 退化性膝關節炎是一個常見於中高齡的關節疾病,且好發率隨著年紀增加而上升,其症狀有疼痛、關節僵硬、不穩定、腫脹、肌肉群無力等,會導致生理及心理問題,並影響其生活品質。實證研究證實運動可以有效改善膝關節疼痛、功能表現及生活品質。然而目前仍無簡易、低成本設備且容易執行的整合性運動(integrated exercise)處方。因此,本研究設計一套適合中高齡退化性膝關節炎患者在社區的整合性運動,探討運動治療介入後膝關節的疼痛、功能表現及生活品質之成效。研究採取類實驗設計(Quasi-experimental design),從社區中徵求自願研究參與者,年齡為45歲以上、經美國風濕症學會(American College of Rheumatology, ACR)臨床標準診斷為退化性膝關節炎者。介入組(intervention group) (n=37)先進行單次退化性膝關節炎衛教課程,並接受每週2次,每次50分鐘,為期6週的整合性運動課程,內容包含:柔軟度運動、肌力訓練、耐力訓練及平衡訓練。等候控制組 (waitlist control group) (n=19)在前6週僅接受單次衛教課程,6週後再接受相同的整合性運動介入。以WOMAC 退化性關節炎量表 (Western Ontario and McMaster Universities Osteoarthritis Index, WOMAC)及SF-12生活品質量表(Short-Form 12, SF-12)做為成效指標,並以描述性統計、二因子重複量數變異數、成對樣本t檢定及獨立樣本t檢定進行分析。6週整合性運動介入後,研究結果顯示兩組在疼痛(Visual Analogue Scale, VAS) (F = 8.17, p = .006, Partial Eta square = 0.140)、WOMAC-疼痛(F = 5.39, p = .024, Partial Eta square = 0.091)、SF12-生理構面(F = 6.36, p = .015, Partial Eta square = 0.113)有顯著的交互作用。介入組及等候控制組統整為合併組共56人,比較合併組在介入前後的差異,結果顯示在疼痛(VAS) (t = 3.09, p = .003)、WOMAC-疼痛(t = 3.41, p = .0001)、WOMAC-僵硬(t = 2.63, p = .011)、WOMAC-身體功能(t = 2.85, p = .006)、SF12-生理構面(t = -4.15, p < .001)、SF12-心理構面(t = -2.90, p = .005)皆有顯著差異。
6週的整合性運動有助於改善中高齡退化性膝關節炎患者的疼痛症狀及生理構面的生活品質。未來建議可以將整合性運動應用於社區,有助於善退化性膝關節炎患者疼痛症狀,並改善生活品質。
英文摘要 Knee osteoarthritis (OA) is one of the most common cause physical and psychological disabilities, and it impairs patients’ quality of life in middle and aged group. Previous research showed the positive effects of exercise on pain, physical function, and quality of life in patients with knee OA. Nevertheless, there is no easy access and low cost integrated exercise which was used for this group. The purpose of this study was to investigate the effects of integrated exercise program on pain, functional performance, and quality of life in middle aged and older community residents with knee OA. The participants in intervention group (n = 37) received a knee OA health education course and 6 weeks integrated exercise, 50 minutes per time, 2 times a week. The integrated exercise included flexibility exercise, strengthening exercise, endurance and balance training. The waitlist control group (n = 19) only received a health educational course at first 6 weeks, and then receive the same intervention of integrated exercise in the next 6 weeks. Measured outcomes were the Western Ontario and McMaster Universities Arthritis Index (WOMAC) and 12-item short form general health survey measures (SF-12). After 6 weeks integrated exercise intervention, there were significant interactions in pain (VAS) (F = 8.17, p = .006, Partial Eta square = 0.140), WOMAC-pain (F = 5.39, p = .024, Partial Eta square = 0.091), and SF-12 physical component summary (PCS) (F = 6.36, p = .015, Partial Eta square = 0.113) between the two groups. Intervention group and the waitlist control group were merged into a combine group (n=56), there were significant differences in VAS (t = 3.09, p = .003), WOMAC-pain (t = 3.41, p = .0001), WOMAC-stiffness (t = 2.63, p = .011), WOMAC- physical function (t = 2.85, p = .006), SF12-physical component summary (t = -4.15, p < .001), and SF12-mental component summary (t = -2.90, p = .005) between pre-intervention and post-intervention. In future, integrated exercise could be a recommended intervention for the patients in the community to reduce pain and improve quality of life.
論文目次 中文摘要 I
ABSTRACT III
致謝 VI
第壹章 前言 1
第一節 研究背景與動機 1
第二節 研究目的 3
第貳章 文獻回顧 4
第一節 退化性膝關節之診斷與盛行率 4
第二節 退化性膝關節炎的治療方式 6
第三節 運動治療對退化性膝關節之成效 8
第四節 退化性膝關節炎的運動處方指引 13
第五節 退化性膝關節炎的功能性指標 16
第六節 研究問題與假設 18
第參章 研究方法 19
第一節 研究對象 19
第二節 研究設計 21
第三節 整合性運動介入處方 22
第四節 測量工具 29
第五節 統計分析 31
第六節 研究倫理 32
第肆章 研究結果 33
第一節 研究參與者人口學變項 33
第二節 整合性運動介入對疼痛、僵硬、身體功能、以及生活品質之成效 36
第三節 整合性運動介入對依變項改變量的差異 41
第四節 合併組前後測結果之比較 42
第伍章 討論與結論 43
第一節 整合性運動介入對於疼痛和功能表現的影響 43
第二節 整合性運動介入對於生活品質的影響 47
第三節 結論與建議 49
參考文獻 51
附錄一、同意人體研究證明書 62
附錄二、基本資料表 63
附錄三、活動前簡易自我評量表 64
附錄四、WOMAC 退化性關節炎量表 65
附錄五、SF-12生活品質量表 67
參考文獻 中文文獻
王淑美(民91)。全膝關節置換術論病例計酬醫療資源耗用分析--以北部某醫學中心為例(碩士論文)。 取自台灣博碩士論文知識加值系統。(系統編號090YM000528017)
吳岱穎、楊榮森、廖振焜、郭冠良、林光洋(民98)。美國骨科醫學會 (AAOS) 膝部退化性關節炎的治療指引。臺灣醫學,2,181-190。
李丞華(民98年10月)。退化性膝關節炎健康照護之現況─健保局觀點。奈米科技產學研究合作推動論壇-奈米技術現況與未來趨勢系列論壇之會議論文,臺北市世界貿易中心。
李淑芳、王秀華(民101)。退化性膝關節炎患者健康相關生活品質之決定因子。大專體育學刊,3,387-398。
李淑芳、王秀華(民104)。高齡及特殊族群之運動處方。臺北市: 華都文化。
張馨文(民82)。以項目反應理論比較SF-36 及WHOQOL-BREF 異同之研究-以肺部疾病患者為例(碩士論文)。取自台灣博碩士論文知識加值系統。(系統編號092CMCH0520023)。
陳毓璟(民100)。退化性膝關節炎中老年病人之疾病認知與因應。健康促進與衛生教育學報,36,1-33。
衛生福利部國民健康署(民101)。運動前的準備。取http://www.hpa.gov.tw/bhpnet/
Web/Act/SportNote.aspx
盧瑞芬、曾旭民、蔡益堅(民92)。國人生活品質評量 (Ⅰ): SF-36 台灣版的發展及心理計量特質分析。台灣公共衛生雜誌,6,501-511。

英文文獻
Aǧlamış, B., Toraman, N., & Yaman, H. (2008). The effect of a 12-week supervised multicomponent exercise program on knee OA in Turkish women. Journal of Back and Musculoskeletal Rrehabilitation, 21(2), 121-128.
Aǧlamış, B., Toraman, N., & Yaman, H. (2009). Change of quality of life due to exercise training in knee osteoarthritis: SF-36 and WOMAC. Journal of Back and Musculoskeletal Rrehabilitation, 22(1), 43-48.
Alter, M. J. (2004). Science of flexibility. Champaign: Human Kinetics.
Altman, R., Asch, E., Bloch, D., Bole, G., Borenstein, D., Brandt, K., . . . Hochberg, M. (1986). Development of criteria for the classification and reporting of osteoarthritis: classification of osteoarthritis of the knee. Arthritis & Rheumatism, 29(8), 1039-1049.
Altman, R. D. (1991). Criteria for the classification of osteoarthritis. The Journal of Rheumatology, 27(65), 10-12.
American College of Sports Medicine. (2013). ACSM's guidelines for exercise testing and prescription. Philadelphia: Lippincott Williams & Wilkins.
American Geriatrics Society Panel on Exercise and Osteoarthritis. (2001). Exercise Prescription for Older Adults With Osteoarthritis Pain: Consensus Practice Recommendations. Journal of the American Geriatrics Society, 49(6), 808-823.
American Physical Therapy Association. (2012). Resistance Band & Tubing Instruction Manual. Retrieved from http://www.thera- band.com/UserFiles/File/Resistance
_Band-Tubing_Instruction_Manual(1).pdf
Anwer, S., & Alghadir, A. (2014). Effect of isometric quadriceps exercise on muscle strength, pain, and function in patients with knee osteoarthritis: A randomized controlled study. Journal of Physical Therapy Science, 26(5), 745-748.
Baker, K., & McAlindon, T. (2000). Exercise for knee osteoarthritis. Current Opinion in Rheumatology, 12(5), 456-463.
Beckwée, D., Vaes, P., Cnudde, M., Swinnen, E., & Bautmans, I. (2013). Osteoarthritis of the knee: why does exercise work? A qualitative study of the literature. Ageing Research Reviews, 12(1), 226-236.
Bellamy, N. (1988). Validation study of WOMAC: a health status instrument for measuring clinically-important patient-relevant outcomes following total hip or knee arthroplasty in osteoarthritis. Journal of Orthopedics & Rheumatology, 1, 95-108.
Bennell, K. L., Hall, M., & Hinman, R. S. (2016). Osteoarthritis year in review 2015: rehabilitation and outcomes. Osteoarthritis and Cartilage, 24(1), 58-70.
Bennell, K. L., & Hinman, R. (2005). Exercise as a treatment for osteoarthritis. Current Opinion in Rheumatology, 17(5), 634-640.
Bennell, K. L., & Hinman, R. S. (2011). A review of the clinical evidence for exercise in osteoarthritis of the hip and knee. Journal of Science and Medicine in Sport
, 14(1), 4-9.
Bennell, K. L., Wrigley, T. V., Hunt, M. A., Lim, B. W., & Hinman, R. S. (2013). Update on the role of muscle in the genesis and management of knee osteoarthritis. Rheumatic Disease Clinics of North America, 39(1), 145-176.
Blackham, J., Garry, J. P., Cummings, D. M., & Russell, R. G. (2008). Does regular exercise reduce the pain and stiffness of osteoarthritis? The Journal of Family Practice, 57(7), 476-477
Blagojevic, M., Jinks, C., Jeffery, A., & Jordan, K. (2010). Risk factors for onset of osteoarthritis of the knee in older adults: A systematic review and meta-analysis. Osteoarthritis and Cartilage, 18(1), 24-33.
Burdine, J. N., Felix, M., Abel, A. L., Wiltraut, C., & Musselman, Y. (2000). The SF-12 as a population health measure: An exploratory examination of potential for application. Health Services Research, 35(4), 885.
Byrne, G., Hill, J., Dornan, T., & O'Neill, P. A. (2007). Core Clinical Skills for OSCEs in Surgery. Amsterdam: Elsevier Health Sciences.
Campbell, A. J., Robertson, M. C., Gardner, M. M., Norton, R. N., Tilyard, M. W., & Buchner, D. M. (1997). Randomised controlled trial of a general practice programme of home based exercise to prevent falls in elderly women. BMJ, 315(7115), 1065-1069.
Cooper, C., Snow, S., McAlindon, T. E., Kellingray, S., Stuart, B., Coggon, D., & Dieppe, P. A. (2000). Risk factors for the incidence and progression of radiographic knee osteoarthritis. Arthritis & Rheumatism, 43(5), 995.
da Silva, F. S., De Melo, F. E., Do Amaral, M. M., Caldas, V. V., & Pinheiro, Í. L. D. (2015). Efficacy of simple integrated group rehabilitation program for patients with knee osteoarthritis: single-blind randomized controlled trial. Journal of Rehabilitation Research and Development, 52(3), 309.
Deyle, G. D., Allison, S. C., Matekel, R. L., Ryder, M. G., Stang, J. M., Gohdes, D. D., . . . Garber, M. B. (2005). Physical therapy treatment effectiveness for osteoarthritis of the knee: A randomized comparison of supervised clinical exercise and manual therapy procedures versus a home exercise program. Physical Therapy, 85(12), 1301-1317.
Dinçer, F., Erol, Ö., & Atalay, A. (2006). Effect of physical therapy on WOMAC scores and quality of life in patients with knee osteoarthritis. Journal of Musculoskeletal Research, 10(01), 57-61.
Diracoglu, D., Aydin, R., Baskent, A., & Celik, A. (2005). Effects of kinesthesia and balance exercises in knee osteoarthritis. Journal of Clinical Rheumatology, 11(6), 303-310.
Escalante, Y., García-Hermoso, A., & Saavedra, J. (2011). Effects of exercise on functional aerobic capacity in lower limb osteoarthritis: A systematic review. Journal of Science and Medicine in Sport, 14(3), 190-198.
Escobar, A., Quintana, J., Bilbao, A., Arostegui, I., Lafuente, I., & Vidaurreta, I. (2007). Responsiveness and clinically important differences for the WOMAC and SF-36 after total knee replacement. Osteoarthritis and Cartilage, 15(3), 273-280.
Etnyre, B. R., & Abraham, L. D. (1986). H-reflex changes during static stretching and two variations of proprioceptive neuromuscular facilitation techniques. Electroencephalography and Clinical Neurophysiology, 63(2), 174-179.
Ettinger, W. H., Burns, R., Messier, S. P., Applegate, W., Rejeski, W. J., Morgan, T., . . . Monu, J. (1997). A randomized trial comparing aerobic exercise and resistance exercise with a health education program in older adults with knee osteoarthritis: The Fitness Arthritis and Seniors Trial (FAST). JAMA, 277(1), 25-31.
Felson, D. T., McAlindon, T. E., Anderson, J. J., Weissman, B. W., Aliabadi, P., Evans, S., . . . LaValley, M. P. (1997). Defining radiographic osteoarthritis for the whole knee. Osteoarthritis and Cartilage, 5(4), 241-250.
Field, T. (2016). Knee osteoarthritis pain in the elderly can be reduced by massage therapy, yoga and tai chi: A review. Complementary Therapies in Clinical Practice, 22, 87-92.
Fitzgerald, G. K., & Oatis, C. (2004). Role of physical therapy in management of knee osteoarthritis. Current Opinion in Rheumatology, 16(2), 143-147.
Fransen, M., Crosbie, J., & Edmonds, J. (2001). Physical therapy is effective for patients with osteoarthritis of the knee: A randomized controlled clinical trial. The Journal of Rheumatology, 28(1), 156-164.
Fransen, M., & McConnell, S. (2008). Exercise for osteoarthritis of the knee. The Cochrane Library, 4, 1-50
Fransen, M., McConnell, S., Harmer, A. R., van der Esch, M., Simic, M., & Bennell, K. L. (2015). Exercise for osteoarthritis of the knee: A Cochrane systematic review. British Journal of Sports Medicine, 49(24), 6.
Gamble, R., Wyeth-Ayerst, J., Johnson, E. L., Searle, W. A., & Beecham, S. (2000). Recommendations for the medical management of osteoarthritis of the hip and knee. Arthritis & Rheumatism, 43(9), 1905-1915.
Gandhi, S. K., Salmon, J. W., Zhao, S. Z., Lambert, B. L., Gore, P. R., & Conrad, K. (2001). Psychometric evaluation of the 12-item short-form health survey (SF-12) in osteoarthritis and rheumatoid arthritis clinical trials. Clinical Therapeutics, 23(7), 1080-1098.
Golightly, Y. M., Allen, K. D., & Caine, D. J. (2012). A comprehensive review of the effectiveness of different exercise programs for patients with osteoarthritis. The Physician and Sports medicine, 40(4), 52-65.
Halvorsrud, L., & Kalfoss, M. (2007). The conceptualization and measurement of quality of life in older adults: A review of empirical studies published during 1994–2006. European Journal of Ageing, 4(4), 229-246.
Hampson, S. E., Glasgow, R. E., & Zeiss, A. M. (1994). Personal models of osteoarthritis and their relation to self-management activities and quality of life. Journal of Behavioral Medicine, 17(2), 143-158.
Hartig, D. E., & Henderson, J. M. (1999). Increasing hamstring flexibility decreases lower extremity overuse injuries in military basic trainees. The American Journal of Sports Medicine, 27(2), 173-176.
Headley, B. J., O'Sullivan, S.B., Schmitz, T.J. (1994). Physical Rehabilitation: Assessment and Treatment. Philadelphia: FA Davis Company.
Henriksen, M., Klokker, L., Graven‐Nielsen, T., Bartholdy, C., Schjødt Jørgensen, T., Bandak, E., . . . Bliddal, H. (2014). Association of exercise therapy and reduction of pain sensitivity in patients with knee osteoarthritis: A randomized controlled trial. Arthritis Care & Research, 66(12), 1836-1843.
Hill, K. D., Williams, S. B., Chen, J., Moran, H., Hunt, S., & Brand, C. (2013). Balance and falls risk in women with lower limb osteoarthritis or rheumatoid arthritis. Journal of Clinical Gerontology and Geriatrics, 4(1), 22-28.
Hochberg, M. C., Altman, R. D., April, K. T., Benkhalti, M., Guyatt, G., McGowan, J., . . . Tugwell, P. (2012). American College of Rheumatology 2012 recommendations for the use of nonpharmacologic and pharmacologic therapies in osteoarthritis of the hand, hip, and knee. Arthritis Care & Research, 64(4), 465-474.
Irrgang, J. J., Anderson, A. F., Boland, A. L., Harner, C. D., Kurosaka, M., Neyret, P., . . . Shelborne, K. D. (2001). Development and validation of the international knee documentation committee subjective knee form. The American Journal of Sports Medicine, 29(5), 600-613.
Jan, M. H., Lin, J. J., Liau, J. J., Lin, Y. F., & Lin, D. H. (2008). Investigation of clinical effects of high-and low-resistance training for patients with knee osteoarthritis: A randomized controlled trial. Physical Therapy, 88(4), 427-436.
Jonas, S., & Phillips, E. M. (2012). ACSM's exercise is medicineTM: A clinician's guide to exercise prescription. Philadelphia: Lippincott Williams & Wilkins.
Jongbloed, L., van Twist, D., & Swart, N. (2015). Kinesio Taping Improves Pain, Range of Motion, and Proprioception in Older Patients With Knee Osteoarthritis. American Journal of Physical Medicine & Rehabilitation, 94(3), 192-200.
Jordan, K., Arden, N., Doherty, M., Bannwarth, B., Bijlsma, J., Dieppe, P., . . . Kaklamanis, P. (2003). EULAR Recommendations 2003: An evidence based approach to the management of knee osteoarthritis: Report of a Task Force of the Standing Committee for International Clinical Studies Including Therapeutic Trials (ESCISIT). Annals of the Rheumatic Diseases, 62(12), 1145-1155.
Jorge, R. T. B., de Souza, M. C., Chiari, A., Jones, A., Fernandes, A. d. R. C., Júnior, I. L., & Natour, J. (2015). Progressive resistance exercise in women with osteoarthritis of the knee: A randomized controlled trial. Clinical Rehabilitation, 29(3), 234-243.
Kalron, A., & Bar-Sela, S. (2013). A systematic review of the effectiveness of Kinesio Taping--fact or fashion? European Journal of Physical and Rehabilitation Medicine, 49(5), 699-709.
Kase, K., Tatsuyuki, H., & Tomoko, O. (1996). Development of Kinesio tape. Kinesio taping perfect manual. Kinesio Taping Association, 6, 117-118.
Katz, P., O'Grady, M., Davis, G., Rojas-Fernandez, C., Ferrell, B., Levy, R., . . . Reitt, B. (2001). Exercise prescription for older adults with osteoarthritis pain: Consensus practice recommendations-A supplement to the AGS clinical practice guidelines on the management of chronic pain in older adults. Journal of the American Geriatrics Society, 49(6), 808-823.
Kellgren, J., & Lawrence, J. (1957). Radiological assessment of osteo-arthrosis. Annals of the Rheumatic Diseases, 16(4), 494.
Kerrigan, D. C., Lelas, J. L., Goggins, J., Merriman, G. J., Kaplan, R. J., & Felson, D. T. (2002). Effectiveness of a lateral-wedge insole on knee varus torque in patients with knee osteoarthritis. Archives of Physical Medicine and Rehabilitation, 83(7), 889-893.
Kisner, C., & Colby, L. A. (2012). Therapeutic exercise: foundations and techniques. Philadelphia: FA Davis Company.
Knoop, J., Steultjens, M., Roorda, L., Lems, W., van der Esch, M., Thorstensson, C., . . . Dekker, J. (2015). Improvement in upper leg muscle strength underlies beneficial effects of exercise therapy in knee osteoarthritis: Secondary analysis from a randomised controlled trial. Physiotherapy, 101(2), 171-177.
Kolasinski, S. L., Garfinkel, M., Tsai, A. G., Matz, W., Dyke, A. V., & Schumacher Jr, H. R. (2005). Iyengar yoga for treating symptoms of osteoarthritis of the knees: A pilot study. Journal of Alternative & Complementary Medicine, 11(4), 689-693.
Laine, L., White, W. B., Rostom, A., & Hochberg, M. (2008). COX-2 selective inhibitors in the treatment of osteoarthritis. Seminars in Arthritis and Rheumatism, 38(3), 165-187.
Lange, A. K., & Vanwanseele, B. (2008). Strength training for treatment of osteoarthritis of the knee: A systematic review. Arthritis Care & Research, 59(10), 1488-1494.
Lawrence, R. C., Felson, D. T., Helmick, C. G., Arnold, L. M., Choi, H., Deyo, R. A., . . . Hunder, G. G. (2008). Estimates of the prevalence of arthritis and other rheumatic conditions in the United States: Part II. Arthritis & Rheumatism, 58(1), 26-35.
Levy, S. S., Macera, C. A., Hootman, J. M., Coleman, K. J., Lopez, R., Nichols, J. F., . . . Ji, M. (2012). Evaluation of a multi-component group exercise program for adults with arthritis: Fitness and Exercise for People with Arthritis (FEPA). Disability and Health Journal, 5(4), 305-311.
Lim, J. Y., Tchai, E., & Jang, S. N. (2010). Effectiveness of aquatic exercise for obese patients with knee osteoarthritis: A randomized controlled trial. PM&R, 2(8), 723-731.
Little, T., & Williams, A. G. (2006). Effects of differential stretching protocols during warm-ups on high-speed motor capacities in professional soccer players. The Journal of Strength & Conditioning Research, 20(1), 203-307.
Lund, H., Weile, U., Christensen, R., Rostock, B., Downey, A., Bartels, E. M., . . . Bliddal, H. (2008). A randomized controlled trial of aquatic and land-based exercise in patients with knee osteoarthritis. Journal of Rehabilitation Medicine, 40(2), 137-144.
Magnusson, S. P., Simonsen, E. B., Aagaard, P., Dyhre-Poulsen, P., McHugh, M. P., & Kjaer, M. (1996). Mechanical and physiological responses to stretching with and without preisometric contraction in human skeletal muscle. Archives of Physical Medicine and Rehabilitation, 77(4), 373-378.
Maly, M. R., Costigan, P. A., & Olney, S. J. (2006). Determinants of self-report outcome measures in people with knee osteoarthritis. Archives of Physical Medicine and Rehabilitation, 87(1), 96-104.
Meneses, S., Hunter, D., & Marques, A. (2015). Effect of low-level laser therapy (904 NM) and static stretching exercises in patients with knee osteoarthritis: A randomised controlled trial. Osteoarthritis and Cartilage, 23, A167-A168.
Messier, S. P., Loeser, R. F., Miller, G. D., Morgan, T. M., Rejeski, W. J., Sevick, M. A., . . . Williamson, J. D. (2004). Exercise and dietary weight loss in overweight and obese older adults with knee osteoarthritis: The Arthritis, Diet, and Activity Promotion Trial. Arthritis & Rheumatism, 50(5), 1501-1510.
Minor, M. A. (1999). Exercise in the treatment of osteoarthritis. Rheumatic Disease Clinics of North America, 25(2), 397-415.
Mostafavifar, M., Wertz, J., & Borchers, J. (2012). A systematic review of the effectiveness of kinesio taping for musculoskeletal injury. The Physician and Sports Medicine, 40(4), 33-40.
Neogi, T., & Zhang, Y. (2013). Epidemiology of Osteoarthritis. Rheumatic Disease Clinics of North America, 39(1), 1-19.
National Institute for Health and Care Excellence. (2014). Osteoarthritis: care and management. Retrieved from https://www.nice.org.uk/guidance/cg177
Nunez, M., Nunez, E., Segur, J., Macule, F., Quinto, L., Hernandez, M., & Vilalta, C. (2006). The effect of an educational program to improve health-related quality of life in patients with osteoarthritis on waiting list for total knee replacement: A randomized study. Osteoarthritis and Cartilage, 14(3), 279-285.
Oida, Y., Morozumi, K., Nakamura, N., Kitabatake, Y., Shiozawa, S., Sato, S., . . . Itakura, M. (2008). Effectiveness of a community health service program using exercise intervention for elderly people with osteoarthritis of the knees: A randomized controlled trial. Japanese Journal of Public health, 55(4), 228-237.
Oliveria, S. A., Felson, D. T., Reed, J. I., Cirillo, P. A., & Walker, A. M. (1995). Incidence of symptomatic hand, hip, and knee osteoarthritis among patients in a health maintenance organization. Arthritis & Rheumatism, 38(8), 1134-1141.
Paterson, K. L., Wrigley, T. V., Bennell, K. L., & Hinman, R. S. (2014). A survey of footwear advice, beliefs and wear habits in people with knee osteoarthritis. Journal of Foot and Ankle Research, 7(1), 1.
Patterson, R. M., Jansen, C. W. S., Hogan, H. A., & Nassif, M. D. (2001). Material properties of thera-band tubing. Physical therapy, 81(8), 1437-1445
Peat, G., McCarney, R., & Croft, P. (2001). Knee pain and osteoarthritis in older adults: a review of community burden and current use of primary health care. Annals of the Rheumatic Diseases, 60(2), 91-97.
Pierce, C. A., Block, R. A., & Aguinis, H. (2004). Cautionary note on reporting eta-squared values from multifactor ANOVA designs. Educational and Psychological Measurement, 64(6), 916-924.
Pisters, M. F., Veenhof, C., Schellevis, F. G., De Bakker, D. H., & Dekker, J. (2010). Long-term effectiveness of exercise therapy in patients with osteoarthritis of the hip or knee: a randomized controlled trial comparing two different physical therapy interventions. Osteoarthritis and Cartilage, 18(8), 1019-1026.
Proske, U., Morgan, D. L., & Gregory, J. E. (1993). Thixotropy in skeletal muscle and in muscle spindles: A review. Progress in Neurobiology, 41(6), 705-721.
Rejeski, W. J., Miller, M. E., Foy, C., Messier, S., & Rapp, S. (2001). Self-efficacy and the progression of functional limitations and self-reported disability in older adults with knee pain. The Journals of Gerontology Series B, 56(5), S261-S265.
Riddle, D. L., Kong, X., & Jiranek, W. A. (2009). Two-year incidence and predictors of future knee arthroplasty in persons with symptomatic knee osteoarthritis: Preliminary analysis of longitudinal data from the osteoarthritis initiative. The Knee, 16(6), 494-500.
Roddy, E., Zhang, W., Doherty, M., Arden, N. K., Barlow, J., Birrell, F., . . . Richards, S. (2005). Evidence-based recommendations for the role of exercise in the management of osteoarthritis of the hip or knee - the MOVE consensus. Rheumatology, 44(1), 67-73.
Roos, E. M., Roos, H. P., Lohmander, L. S., Ekdahl, C., & Beynnon, B. D. (1998). Knee Injury and Osteoarthritis Outcome Score (KOOS)—Development of a self-administered outcome measure. Journal of Orthopaedic & Sports Physical Therapy, 28(2), 88-96.
Royal Australian College of General Practitioners. (2009). Guideline for the nonsurgical management of hip and knee osteoarthritis. Royal Australian College of General Practitioners: South Melbourne.
Schnitzer, T. J. (1998). Non-NSAID pharmacologic treatment options for the management of chronic pain. American Journal of Medicine, 105(1B), 45S-52S.
Shellock, F. G., & Prentice, W. E. (1985). Warming-up and stretching for improved physical performance and prevention of sports-related injuries. Sports Medicine, 2(4), 267-278.
Shen, J., & Chen, D. (2014). Recent progress in osteoarthritis research. Journal of the American Academy of Orthopaedic Surgeons, 22(7), 467-468.
Sled, E. A., Khoja, L., Deluzio, K. J., Olney, S. J., & Culham, E. G. (2010). Effect of a home program of hip abductor exercises on knee joint loading, strength, function, and pain in people with knee osteoarthritis: A clinical trial. Physical Therapy, 90(6), 895-904.
Sotosky, J. R. (1988). Physical therapy management of arthritis. Arthritis & Rheumatism, 1(1), 64-64.
Steultjens, M., Dekker, J., van Baar, M., Oostendorp, R., & Bijlsma, J. (2000). Range of joint motion and disability in patients with osteoarthritis of the knee or hip. Rheumatology, 39(9), 955-961.
Tanaka, R., Ozawa, J., Kito, N., & Moriyama, H. (2014). Effect of the frequency and duration of land-based therapeutic exercise on pain relief for people with knee osteoarthritis: A systematic review and meta-analysis of randomized controlled trials. Journal of Physical Therapy Science, 26(7), 969-975.
Thomas, K., Muir, K., Doherty, M., Jones, A., O'Reilly, S., & Bassey, E. (2002). Home based exercise programme for knee pain and knee osteoarthritis: Randomised controlled trial. BMJ, 325(7367), 752.
Thomas, S., Reading, J., & Shephard, R. J. (1992). Revision of the Physical Activity Readiness Questionnaire (PAR-Q). Canadian Journal of Sport Sciences, 17(4), 338-345.
Thorstensson, C. A., Roos, E. M., Petersson, I. F., & Ekdahl, C. (2005). Six-week high-intensity exercise program for middle-aged patients with knee osteoarthritis: A randomized controlled trial. BMC Musculoskeletal Disorders, 6(1), 1.
Topp, R., Woolley, S., Hornyak, J., Khuder, S., & Kahaleh, B. (2002). The effect of dynamic versus isometric resistance training on pain and functioning among adults with osteoarthritis of the knee. Archives of Physical Medicine and Rehabilitation, 83(9), 1187-1195.
van der Waal, J. M., Terwee, C. B., van der Windt, D. A., Bouter, L. M., & Dekker, J. (2005). The impact of non-traumatic hip and knee disorders on health-related quality of life as measured with the SF-36 or SF-12. A systematic review. Quality of Life Research, 14(4), 1141-1155.
Walsh, M., Woodhouse, L. J., Thomas, S. G., & Finch, E. (1998). Physical impairments and functional limitations: A comparison of individuals 1 year after total knee arthroplasty with control subjects. Physical Therapy, 78(3), 248-258.
Wang, M., Shen, J., Jin, H., Im, H. J., Sandy, J., & Chen, D. (2011). Recent progress in understanding molecular mechanisms of cartilage degeneration during osteoarthritis. Annals of the New York Academy of Sciences, 61-69.
Wanless, D., Forder, J., Fernández, J. L., Poole, T., Beesley, L., Henwood, M., & Moscone, F. (2006). Wanless social care review: Securing good care for older people, taking a long-term view: King's Fund. Retrieved from http://www.kingsfund.org.uk/sites/files/kf/field/field_publication_file/securing-good-care-for-older-people-wanless-2006.pdf
Ware, J. E., Gandek, & Barbara. (1994). The SF-36 Health Survey: development and use in mental health research and the IQOLA Project. International Journal of Mental Health, 23(2), 49-73.
Ware, J. E., Kosinski, M., & Keller, S. (1996). A 12-Item Short-Form Health Survey: Construction of scales and preliminary tests of reliability and validity. Medical Care, 34(3), 220-233.
Weerapong, P., Hume, P. A., & Kolt, G. S. (2004). Preventative strategies for exercise-induced muscle damage. Critical Reviews in Physical and Rehabilitation Medicine, 16(2), 133-150.
Weng, M.-C., Lee, C.-L., Chen, C.-H., Hsu, J.-J., Lee, W.-D., Huang, M.-H., & Chen, T.-W. (2009). Effects of different stretching techniques on the outcomes of isokinetic exercise in patients with knee osteoarthritis. The Kaohsiung Journal of Medical Sciences, 25(6), 306-315.
Williams, S. B., Brand, C. A., Hill, K. D., Hunt, S. B., & Moran, H. (2010). Feasibility and outcomes of a home-based exercise program on improving balance and gait stability in women with lower-limb osteoarthritis or rheumatoid arthritis: A pilot study. Archives of Physical Medicine and Rehabilitation, 91(1), 106-114.
Wilson, I. B., & Cleary, P. D. (1995). Linking clinical variables with health-related quality of life. JAMA, 273(1), 59-65.
Wittenauer, R., Smith, L., & Aden, K. (2013). Background Paper 6.12 Osteoarthritis. Geneva, Switzerland: World Health Organization. Retrieved from http://www.who.int/medicines/areas/priority_medicines/BP6_12Osteo.pdf?ua=1
Wolfe, F. (1999). Determinants of WOMAC function, pain and stiffness scores: Evidence for the role of low back pain, symptom counts, fatigue and depression in osteoarthritis, rheumatoid arthritis and fibromyalgia. Rheumatology, 38(4), 355-361.
Wyatt, F. B., Milam, S., Manske, R. C., & Deere, R. (2001). The effects of aquatic and traditional exercise programs on persons with knee osteoarthritis. The Journal of Strength & Conditioning Research, 15(3), 337-340.
Xie, F., Li, S. C., Goeree, R., Tarride, J. E., O’Reilly, D., Lo, N. N., . . . Thumboo, J. (2008). Validation of Chinese Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) in patients scheduled for total knee replacement. Quality of Life Research, 17(4), 595-601.
Yamaguchi, T., & Ishii, K. (2005). Effects of static stretching for 30 seconds and dynamic stretching on leg extension power. The Journal of Strength & Conditioning Research, 19(3), 677-683.
Zarins, B. (2005). Are validated questionnaires valid? The Journal of Bone & Joint Surgery, 87(8), 1671-1672.
Zeng, Q. Y., Zang, C. H., Li, X. F., Dong, H. Y., Zhang, A. L., & Lin, L. (2006). Associated risk factors of knee osteoarthritis: A population survey in Taiyuan, China. Chinese Medical Journal, 119(18), 1522-1527.
Zhang, W., Moskowitz, R. W., Nuki, G., Abramson, S., Altman, R. D., Arden, N., . . . Tugwell, P. (2008). OARSI recommendations for the management of hip and knee osteoarthritis, Part II: OARSI evidence-based, expert consensus guidelines. Osteoarthritis and Cartilage, 16(2), 137-162.
論文全文使用權限
  • 同意授權校內瀏覽/列印電子全文服務,於2022-02-05起公開。
  • 同意授權校外瀏覽/列印電子全文服務,於2022-02-05起公開。


  • 如您有疑問,請聯絡圖書館
    聯絡電話:(06)2757575#65773
    聯絡E-mail:etds@email.ncku.edu.tw