基于体医融合的社区膝骨关节炎干预模式构建及应用研究

Background&nbsp;&nbsp;With the development of the integration of sports and medicineas well as the increasingly severe situation and harm caused by knee osteoarthritisKOAthe sports intervention for KOA has received widespread attention. Community settings are considered the optimal location for KOA sports interventionsbut existing community-based KOA interventions suffer from issues such as non-standard processesunclear regulationsand incomplete contenthighlighting the urgent need for standardized models. Objective&nbsp;&nbsp;To construct a community KOA intervention model based on the integration of sports and medicineand to apply and evaluate this model. Methods&nbsp;&nbsp;Through literature review and on-site observationa conceptual framework for community KOA intervention model based on the integration of sports and medicine was initially proposed. This framework underwent refinement via expert interviews to establish its constituent elements and application processesresulting in the establishment of the final model. The model was then applied to 62 KOA patients treated at the Maigaoqiao and Xigang Community Health Service Centers in Nanjing from July to October 2022. Patients were randomly divided into a sports intervention group and a health education groupboth receiving an 8-week standardized treatment protocol. Outcome measures included the Visual Analogue ScaleVASWestern Ontario and McMaster Universities Osteoarthritis Index QuestionaireWOMACEuroQol Five Dimensions QuestionaireEQ-5D30-second chair stand testand time up and go testTUGT. Results &nbsp;The community KOA intervention model based on the integration of sports and medicine established an interactive relationship between "sports" and "medicine" in terms of departmentspersonneltechnical meansetc.including 5 primary elements and 24 secondary elements. Application of the model yielded the following outcomesin the sports intervention grouppost-treatment WOMAC total score and scores across all dimensionsVAS scoreand TUGT time were significantly reduced compared to pre-treatmentP<0.05while EQ-5D health index and 30-second chair stand repetitions were significantly increasedP<0.05. In the health education grouppost-treatment WOMAC total score and scores across all dimensionsas well as VAS scorewere significantly lower than pre-treatmentP<0.05with a higher EQ-5D health indexP<0.05. Comparison between groups post-treatment revealed that the sports intervention group had significantly lower WOMAC total scoreWOMAC joint function scoreand VAS score compared to the health education groupP<0.05.Conclusion&nbsp;&nbsp;The community KOA intervention mode based on the integration of sports and medicine effectively alleviatespain and joint stiffness symptomsimproves lower limb muscle strength and balance abilityimproves joint functionand enhances quality of life for KOA patients.