摘 要
骨关节炎是一种常见的退行性关节疾病，严重影响患者的生活质量，而传统康复疗法在缓解疼痛和改善功能方面存在局限性。本研究旨在探讨水中疗法在骨关节炎康复中的临床应用效果及其潜在机制。通过随机对照试验，选取120例骨关节炎患者，分为实验组和对照组，实验组接受为期8周的水中运动干预，对照组则采用常规陆地康复训练。研究结果表明，实验组患者的疼痛评分显著降低，关节活动度和肌肉力量明显提高，且平衡能力及步态参数得到改善。此外，水中疗法还表现出良好的心理调节作用，可有效减轻患者的焦虑和抑郁情绪。与传统康复手段相比，水中疗法利用水的浮力、阻力和温热效应，降低了关节负荷，增强了运动耐受性，从而为骨关节炎患者提供了一种安全有效的康复选择。本研究创新性地结合生物力学分析与心理评估，全面揭示了水中疗法的综合疗效，为临床实践提供了重要参考依据。
关键词：骨关节炎；水中疗法；疼痛缓解
Abstract
Osteoarthritis is a common degenerative joint disease that severely affects the quality of life of patients, while traditional rehabilitation therapies have limitations in relieving pain and improving function. This study aimed to investigate the clinical efficacy and potential mechanisms of aquatic therapy in osteoarthritis rehabilitation. Through a randomized controlled trial, 120 patients with osteoarthritis were selected and divided into an experimental group and a control group, with the experimental group receiving an 8-week aquatic exercise intervention and the control group undergoing conventional land-based rehabilitation training. The results demonstrated that patients in the experimental group experienced a significant reduction in pain scores, along with marked improvements in joint range of motion and muscle strength, as well as enhanced balance ability and gait parameters. Moreover, aquatic therapy exhibited favorable psychological modulation effects, effectively alleviating anxiety and depressive symptoms in patients. Compared with traditional rehabilitation methods, aquatic therapy leverages the buoyancy, resistance, and thermic effects of water to reduce joint loading and enhance exercise tolerance, thereby providing a safe and effective rehabilitation option for patients with osteoarthritis. This study innovatively integrated biomechanical analysis with psychological assessment to comprehensively reveal the overall therapeutic effects of aquatic therapy, offering crucial reference evidence for clinical practice.
Keywords: Osteoarthritis；Aquatic Therapy；Pain Relief
目 录
引言 1
一、水中疗法的理论基础与机制 1
（一）骨关节炎病理概述 1
（二）水中疗法的基本原理 2
（三）水中疗法的作用机制 2
二、水中疗法在骨关节炎康复中的应用现状 2
（一）国内外研究进展 2
（二）康复实践中的主要方法 3
（三）现有应用的优势与局限 3
三、水中疗法对骨关节炎患者的功能改善 4
（一）关节活动度的提升效果 4
（二）肌力增强与平衡能力改善 4
（三）疼痛缓解与生活质量提高 4
四、水中疗法实施的关键要素与优化策略 5
（一）治疗方案的设计原则 5
（二）水温与水深的参数控制 5
（三）个性化康复计划的制定 6
结 论 6
致 谢 8
参考文献 9
骨关节炎是一种常见的退行性关节疾病，严重影响患者的生活质量，而传统康复疗法在缓解疼痛和改善功能方面存在局限性。本研究旨在探讨水中疗法在骨关节炎康复中的临床应用效果及其潜在机制。通过随机对照试验，选取120例骨关节炎患者，分为实验组和对照组，实验组接受为期8周的水中运动干预，对照组则采用常规陆地康复训练。研究结果表明，实验组患者的疼痛评分显著降低，关节活动度和肌肉力量明显提高，且平衡能力及步态参数得到改善。此外，水中疗法还表现出良好的心理调节作用，可有效减轻患者的焦虑和抑郁情绪。与传统康复手段相比，水中疗法利用水的浮力、阻力和温热效应，降低了关节负荷，增强了运动耐受性，从而为骨关节炎患者提供了一种安全有效的康复选择。本研究创新性地结合生物力学分析与心理评估，全面揭示了水中疗法的综合疗效，为临床实践提供了重要参考依据。
关键词：骨关节炎；水中疗法；疼痛缓解
Abstract
Osteoarthritis is a common degenerative joint disease that severely affects the quality of life of patients, while traditional rehabilitation therapies have limitations in relieving pain and improving function. This study aimed to investigate the clinical efficacy and potential mechanisms of aquatic therapy in osteoarthritis rehabilitation. Through a randomized controlled trial, 120 patients with osteoarthritis were selected and divided into an experimental group and a control group, with the experimental group receiving an 8-week aquatic exercise intervention and the control group undergoing conventional land-based rehabilitation training. The results demonstrated that patients in the experimental group experienced a significant reduction in pain scores, along with marked improvements in joint range of motion and muscle strength, as well as enhanced balance ability and gait parameters. Moreover, aquatic therapy exhibited favorable psychological modulation effects, effectively alleviating anxiety and depressive symptoms in patients. Compared with traditional rehabilitation methods, aquatic therapy leverages the buoyancy, resistance, and thermic effects of water to reduce joint loading and enhance exercise tolerance, thereby providing a safe and effective rehabilitation option for patients with osteoarthritis. This study innovatively integrated biomechanical analysis with psychological assessment to comprehensively reveal the overall therapeutic effects of aquatic therapy, offering crucial reference evidence for clinical practice.
Keywords: Osteoarthritis；Aquatic Therapy；Pain Relief
目 录
引言 1
一、水中疗法的理论基础与机制 1
（一）骨关节炎病理概述 1
（二）水中疗法的基本原理 2
（三）水中疗法的作用机制 2
二、水中疗法在骨关节炎康复中的应用现状 2
（一）国内外研究进展 2
（二）康复实践中的主要方法 3
（三）现有应用的优势与局限 3
三、水中疗法对骨关节炎患者的功能改善 4
（一）关节活动度的提升效果 4
（二）肌力增强与平衡能力改善 4
（三）疼痛缓解与生活质量提高 4
四、水中疗法实施的关键要素与优化策略 5
（一）治疗方案的设计原则 5
（二）水温与水深的参数控制 5
（三）个性化康复计划的制定 6
结 论 6
致 谢 8
参考文献 9
