Mind-Body Therapies and Osteoarthritis of the Knee.
Mind-Body Therapies and Osteoarthritis of the Knee.
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DOI：
10.2174/157339709790192512
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发表时间：
2009-11-01
影响因子：
1.5
通讯作者：
Innes KE
中科院分区：
文献类型：
--
作者：
Selfe TK;Innes KE
膝关节骨关节炎是全世界成年人残疾的主要原因。重要的治疗选择包括非药物治疗，尤其是患者积极参与的症状管理策略。其中，身心疗法可能有特别的承诺，以减轻与膝关节炎相关的痛苦症状。然而，缺乏系统的评价。本文的目的是回顾英文文献，这些文献描述了评价患者驱动的身心疗法对膝关节骨关节炎症状的影响的临床研究。8项研究（共267例受试者）符合纳入标准。干预措施包括太极拳、气功和瑜伽。总的来说，这些研究表明，特定的身心实践可能有助于减轻疼痛，增强患有膝关节骨关节炎的成年人的身体功能。然而，样本量很小，严格的调查很少，几种身心疗法的潜在好处尚未得到系统的测试。需要额外的高质量研究来阐明特定身心疗法对膝关节骨关节炎患者疼痛、身体功能和相关指标的标准化测量的影响，并调查可能的潜在机制。
Osteoarthritis of the knee is a major cause of disability among adults worldwide. Important treatment options include nonpharmacologic therapies, and especially symptom management strategies in which patients take an active role. Among these, mind-body therapies may have particular promise for alleviating the distressful symptoms associated with osteoarthritis of the knee. However, systematic reviews are lacking. The objective of this paper is to review English-language articles describing clinical studies evaluating the effects of patient-driven mind-body therapies on symptoms of knee osteoarthritis. Eight studies, representing a total of 267 participants, met the inclusion criteria. Interventions included tai chi, qigong, and yoga. Collectively, these studies suggest that specific mind-body practices may help alleviate pain and enhance physical function in adults suffering from osteoarthritis of the knee. However, sample sizes are small, rigorous investigations are few, and the potential benefits of several mind-body therapies have not yet been systematically tested. Additional high-quality studies are needed to clarify the effects of specific mind-body therapies on standardized measures of pain, physical function, and related indices in persons with osteoarthritis of the knee, and to investigate possible underlying mechanisms.