理学療法ジャーナル53巻9号

2019年09月発行

講座 運動器の理学療法—その常識は正しいか？・1【新連載】

変形性膝関節症に対する膝関節伸展筋筋力トレーニングは関節の負荷を軽減させるか？

著者： 島田昇¹

所属機関： ¹広島大学病院診療支援部リハビリテーション部門

ページ範囲：P.932 - P.936

はじめに

　「変形性膝関節症（knee osteoarthritis：膝OA）に対する膝関節伸展筋筋力トレーニングは疼痛を軽減させるか？」．答えは「Yes」である．複数のシステマティックレビューにおいて，膝関節，股関節を含む下肢筋力トレーニング，有酸素運動，ストレッチングは，膝関節伸展筋力増強効果に加え，疼痛と身体機能を改善させることが報告されている^1〜3）．

　では，本稿のテーマである，「膝OAに対する膝関節伸展筋筋力トレーニングは関節の負荷を軽減させるか？」について，ここで言う「関節負荷」をわれわれ理学療法士が連想しやすい「歩行中メカニカルストレス」とした場合，答えは「No」である．

参考文献

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