Non-pharmacological therapies in osteoarthritis.
Non-pharmacological therapies in osteoarthritis.
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骨关节炎的非药物疗法。
DOI：
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发表时间：
1997
期刊：
影响因子：
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通讯作者：
B. Szebenyi
中科院分区：
文献类型：
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作者：
G. Bálint;B. Szebenyi
非药物治疗在骨关节炎中非常重要。这种治疗的每一种形式都应单独设计，考虑到疾病的解剖分布、阶段和进展速度。适应症、禁忌症、剂量和注意事项在非药物治疗和药物治疗中同样重要。治疗性运动减少疼痛，增加肌肉力量和关节活动范围，以及提高耐力和有氧能力。运动计划应由受过专业训练的物理治疗师设计、实施和定期监督。体重减轻已被证实对患有膝关节骨关节炎的肥胖患者有益。助行器、拐杖、鞋垫、支架和髌骨胶布都是治疗骨关节炎的有用工具。患者教育和社会心理后果的管理是优先任务。冷热疗、电疗、超声、针灸、水疗和水疗疗法被广泛应用，尽管其效果和益处尚未得到充分证实。非药物治疗应经过严格的随机对照试验，与药物研究类似。
Non-pharmacological therapies are very important in osteoarthritis. Each form of this treatment should be individually devised, taking into account the anatomical distribution, the phase and the progression rate of the disease. Indications, contraindications, dosage and precautions are as important in non-pharmacological therapy as they are in drug treatment. Therapeutic exercises decrease pain, increase muscle strength and range of joint motion as well as improve endurance and aerobic capacity. Exercise programmes should be designed, conducted and regularly supervised by professionally trained physiotherapists. Weight reduction is of proven benefit in obese patients with osteoarthritis of the knee. Walking aids, crutches, shoe insoles, braces and patellar taping are useful tools in some form of osteoarthritis. Patient education and the management of the psychosocial consequences are priority tasks. Therapeutic heat and cold, electrotherapy, ultrasound, acupuncture, hydrotherapy and spa treatment are widely used, although the effects and benefits have not been fully established. Non-pharmacological therapies should undergo rigorous randomized controlled trials in a similar manner to pharmacological studies.