基于循证医学的骨关节炎康复治疗方法_West China Medical Journal

Authors：

 阳筱甜 , 王朴 , 周予婧 ,  何成奇

四川大学华西医院康复医学科/康复医学四川省重点实验室（成都，610041）;

Corresponding author：

何成奇, Email: hxkfhcq@126.com

Keywords：

骨关节炎; 循证医学; 康复治疗

DOI：

10.7507/1002-0179.20140545

Video：

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目前在国际范围内针对骨关节炎（OA）的治疗指南众多，每年都有所修改，甚至是重大原则性的更新。同时，新的证据和相关系统综述的产生以及方法学的更新为临床指南的发展奠定了基础。本文通过综述OA康复治疗原则与策略，根据OA患者出现的不同功能和残疾问题，选择与之相应的治疗方法，以期为临床治疗提供参考依据；此外，通过介绍OA康复治疗方法及基于循证医学的证据所给出的推荐意见，旨在使医疗工作者了解当今基于循证医学证据的OA康复治疗方法、应用与发展现状。

Citation： 阳筱甜, 王朴, 周予婧, 何成奇. 基于循证医学的骨关节炎康复治疗方法. West China Medical Journal, 2014, 29(9): 1791-1794. doi: 10.7507/1002-0179.20140545 Copy

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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.
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21.	曹立颖,姜明静,杨声坪,等.膝骨关节炎应用脉冲电磁场治疗的系统评价[J].中国骨伤,2012,25(5):384-388.
22.	Simão 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.

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. 中华医学会骨科学分会.骨关节炎诊治指南(2007年版)[J].中国矫形外科杂志,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. 曹立颖,姜明静,杨声坪,等.膝骨关节炎应用脉冲电磁场治疗的系统评价[J].中国骨伤,2012,25(5):384-388.
22. Simão 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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基于循证医学的骨关节炎康复治疗方法

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