基于循證醫學的骨關節炎康復治療方法_West China Medical Journal

Authors：

 陽筱甜 , 王樸 , 周予婧 ,  何成奇

四川大學華西醫院康復醫學科/康復醫學四川省重點實驗室（成都，610041）;

Corresponding?author：

何成奇, Email: hxkfhcq@126.com

Keywords：

骨關節炎; 循證醫學; 康復治療

DOI：

10.7507/1002-0179.20140545

Video：

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目前在國際范圍內針對骨關節炎（OA）的治療指南眾多，每年都有所修改，甚至是重大原則性的更新。同時，新的證據和相關系統綜述的產生以及方法學的更新為臨床指南的發展奠定了基礎。本文通過綜述OA康復治療原則與策略，根據OA患者出現的不同功能和殘疾問題，選擇與之相應的治療方法，以期為臨床治療提供參考依據；此外，通過介紹OA康復治療方法及基于循證醫學的證據所給出的推薦意見，旨在使醫療工作者了解當今基于循證醫學證據的OA康復治療方法、應用與發展現狀。

Citation： 陽筱甜, 王樸, 周予婧, 何成奇. 基于循證醫學的骨關節炎康復治療方法. West China Medical Journal, 2014, 29(9): 1791-1794. doi: 10.7507/1002-0179.20140545 Copy

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20.	Vavken P,Arrich F,Schuhfried O,et al.Effectiveness of pulsed electromagnetic field therapy in the management of osteoarthritis of the knee:a meta-analysis of randomized controlled trials[J].J Rehabil Med,2009,41(6):406-411.
21.	曹立穎,姜明靜,楊聲坪,等.膝骨關節炎應用脈沖電磁場治療的系統評價[J].中國骨傷,2012,25(5):384-388.
22.	Sim?o AP,Avelar NC,Tossige-Gomes R,et al.Functional performance and inflammatory cytokines after squat exercises and whole-body vibration in elderly individuals with knee osteoarthritis[J].Arch Phys Med Rehabil,2012,93(10):1692-1700.
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24.	Schulz KF,Moher D,Altman DG.CONSORT 2010 comments[J].Lancet,2010,376(9748):1222-1223.
25.	Kilkenny C,Browne WJ,Cuthill IC,et al.Improving bioscience research reporting:the ARRIVE guidelines for reporting animal research[J].Osteoarthritis Cartilage,2012,20(4):256-260.

1. Abramson SB,Attur M.Developments in the scientific understanding of osteoarthritis[J].Arthritis Res Ther,2009,11(3):227.
2. Rowe CR.Cervial osteoarthritis[J].N Engl J Med,1963,268(24):1351-1353.
3. Beaty J,Jacobs JJ,Berry D.Osteoarthritis of the hip[J].N Engl J Med,2008,358(5):534.
4. Koff RS,Dart RC.Osteoarthritis of the knee[J].N Engl J Med,2006,354(23):2508-2509.
5. Zhang W,Moskowitz RW,Nuki G,et al.OARSI recommendations for the management of hip and knee osteoarthritis,Part Ⅱ:OARSI evidence-based,expert consensus guidelines[J].Osteoarthritis Cartilage,2008,16(2):137-162.
6. 中華醫學會骨科學分會.骨關節炎診治指南(2007年版)[J].中國矯形外科雜志,2014,27(3):287-288.
7. World Health Organization.International Classification of Functioning,Disability and Health:ICF[M].Geneva:World Health Organization,2002:3-23.
8. Rauch A,Cieza A,Stucki G.How to apply the International Classification of Functioning,Disability and Health (ICF) for rehabilitation management in clinical practice[J].Eur J Phys Rehabil Med,2008,44(3):329-342.
9. Bennell KL,Hinman RS.A review of the clinical evidence for exercise in osteoarthritis of the hip and knee[J].J Sci Med Sport,2011,14(1):4-9.
10. Fransen M,McConnell S.Exercise for osteoarthritis of the knee[J].Cochrane Database Syst Rev,2008(4):CD004376.
11. Cochrane T,Davey RC,Matthes Edwards SM.Randomised controlled trial of the cost-effectiveness of water-based therapy for lower limb osteoarthritis[J].Health Technol Assess,2005,9(31):iii-iv,ix-xi,1-114.
12. Stener-Victorin E,Kruse-Smidje C,Jung K.Comparison between electro-acupuncture and hydrotherapy,both in combination with patient education and patient education alone,on the symptomatic treatment of osteoarthritis of the hip[J].Clin J Pain,2004,20(3):179-185.
13. Batterham SI,Heywood S,Keating JL.Systematic review and meta-analysis comparing land and aquatic exercise for people with hip or knee arthritis on function,mobility and other health outcomes[J].BMC Musculoskelet Disord,2011,12(1):123-135.
14. Welch V,Brosseau L,Peterson J,et al.Therapeutic ultrasound for osteoarthritis of the knee[J].Cochrane Database Syst Rev,2010 (3):CD003132.
15. Rutjes AW,Nüesch E,Sterchi R,et al.Therapeutic ultrasound for osteoarthritis of the knee or hip[J].Cochrane Database Syst Rev,2010 (1):CD003132.
16. Loyola- Sánchez A,Richardson J,Macintyre NJ.Efficacy of ultrasound therapy for the management of knee osteoarthritis:a systematic review with meta-analysis[J].Osteoarthritis Cartilage,2010,18(9):1117-1126.
17. Bjordal JM,Johnson MI,Lopes-Martins RB,et al.Short-term efficacy of physical interventions in osteoarthritic knee pain.a systematic review and meta-analysis of randomised placebo-controlled trials[J].BMC Musculoskelet Disord,2007,8:51.
18. Osiri M,Welch V,Brosseau L,et al.Transcutaneous electrical nerve stimulation for knee osteoarthritis[J].Cochrane Database Syst Rev,2000 (4):CD002823.
19. Rutjes AW,Nüesch E,Sterchi R,et al.Transcutaneous electrostimulation for osteoarthritis of the knee[J].Cochrane Database Syst Rev,2009(4):CD002823.
20. Vavken P,Arrich F,Schuhfried O,et al.Effectiveness of pulsed electromagnetic field therapy in the management of osteoarthritis of the knee:a meta-analysis of randomized controlled trials[J].J Rehabil Med,2009,41(6):406-411.
21. 曹立穎,姜明靜,楊聲坪,等.膝骨關節炎應用脈沖電磁場治療的系統評價[J].中國骨傷,2012,25(5):384-388.
22. Sim?o AP,Avelar NC,Tossige-Gomes R,et al.Functional performance and inflammatory cytokines after squat exercises and whole-body vibration in elderly individuals with knee osteoarthritis[J].Arch Phys Med Rehabil,2012,93(10):1692-1700.
23. Hawker GA,Mian S,Bednis K,et al.Osteoarthritis year 2010 in review:non-pharmacologic therapy[J].Osteoarthritis Cartilage,2011,19(4):366-374.
24. Schulz KF,Moher D,Altman DG.CONSORT 2010 comments[J].Lancet,2010,376(9748):1222-1223.
25. Kilkenny C,Browne WJ,Cuthill IC,et al.Improving bioscience research reporting:the ARRIVE guidelines for reporting animal research[J].Osteoarthritis Cartilage,2012,20(4):256-260.

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基于循證醫學的骨關節炎康復治療方法

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