Knee osteoarthritis: key treatments and implications for physical therapy
Knee osteoarthritis: key treatments and implications for physical therapy
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膝关节骨关节炎：关键治疗和物理治疗的意义
DOI：
10.1016/j.bjpt.2020.08.004
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发表时间：
2021-03-01
影响因子：
3.4
通讯作者：
McAlindon, Timothy E.
中科院分区：
文献类型：
--
作者：
Dantas, Lucas Ogura;Salvini, Tania de Fatima;McAlindon, Timothy E.
背景资料：膝关节骨关节炎（OA）是一种慢性进行性疾病，给社会和医疗保健系统带来巨大的社会经济负担。近几十年来，由于全球预期寿命和肥胖的持续增加，膝关节OA的患病率急剧上升。患者教育、体育锻炼和体重减轻（对于超重或肥胖个体）构成了一线膝关节OA治疗方法。然而，不到40%的膝关节OA患者接受这种干预。治疗膝关节骨性关节炎患者的医疗保健专业人员需要了解当前推荐的治疗策略以提供有效的康复。目的：通过总结目前可用的最安全和最有效的治疗方案，并通过描述膝关节骨性关节炎临床研究中使用的最传统的结局指标，指导物理治疗师进行临床决策。医疗保健提供者需要放弃低质量和无效的治疗，并教育自己和患者了解当前膝关节OA的最佳循证实践。(C)2020由Elsevier Editora Ltda出版。代表Associacao Brasileira de Pesquisa e Pos-Graduacao em Fisioterapia。
Background: Knee osteoarthritis (OA) is a chronic progressive disease that imparts a substantial socioeconomic burden to society and healthcare systems. The prevalence of knee OA has dramatically risen in recent decades due to consistent increases in life expectancy and obesity worldwide. Patient education, physical exercise, and weight loss (for overweight or obese individuals) constitute the first-line knee OA treatment approach. However, less than 40% of patients with knee OA receive this kind of intervention. There is an unmet need for healthcare professionals treating individuals with knee OA to understand the current recommended treatment strategies to provide effective rehabilitation.Objective: To guide physical therapists in their clinical decision making by summarizing the safest and most efficacious treatment options currently available, and by delineating the most traditional outcome measures used in clinical research for knee OA.Conclusion: There is a need for healthcare providers to abandon low-quality and ineffective treatments and educate themselves and their patients about the current best evidence-based practices for knee OA. (C) 2020 Published by Elsevier Editora Ltda. on behalf of Associacao Brasileira de Pesquisa e Pos-Graduacao em Fisioterapia.