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首页> 外文期刊>Clinical and experimental rheumatology >Physical therapy for patients with knee and hip osteoarthritis: supervised, active treatment is current best practice
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Physical therapy for patients with knee and hip osteoarthritis: supervised, active treatment is current best practice

机译：膝关节和髋关节骨关节炎患者的物理治疗：监督，积极治疗是目前的最佳实践

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摘要

Most patients with knee and hip osteoarthritis (OA) should be treated in primary care by non-surgical treatments. Building on substantial evidence from randomised trials, exercise therapy and education, typically delivered by physical therapists, are core first line treatments universally recommended in treatment guidelines for OA alongside weight loss, if needed. Exercise therapy provides at least as effective pain relief as pharmacological pain medications, without serious adverse effects; furthermore, the treatment effect from exercise therapy is similar, irrespective of baseline pain intensity and radiographic OA severity. Exercise therapy should be individualised to the preferences and needs of the individual patient, but at least 12 supervised sessions, 2 sessions per week, are required initially to obtain sufficient clinical benefit. Structured patient education concerning OA and its treatment options, including self-management, is important to retain motivation and adherence to an exercise programme and thereby maintain the effects over the long-term. If treatment effects from exercise therapy and patient education are insufficient, the physical therapist can deliver supplementary interventions that include knee orthoses and manual treatment.
机译：大多数膝关节和髋关节骨关节炎（OA）的患者应通过非手术治疗在初级保健中治疗。根据物理治疗师的随机试验，运动治疗和教育的实质证据，是核心第一线治疗，如果需要，普遍推荐的核心第一线治疗方法，如果需要，持续减肥的治疗准则。运动疗法至少作为药理疼痛药物的有效疼痛缓解，没有严重的不利影响;此外，与运动疗法的治疗效果类似，无论基线疼痛强度和射线照相OA严重程度如何。运动疗法应该是个性化的个人患者的偏好和需求，但最初需要至少12个监督会，每周2次会议，以获得足够的临床效益。有关OA的结构化患者教育及其治疗方案，包括自我管理，对保留动机和遵守锻炼计划非常重要，从而保持长期的影响。如果锻炼治疗和患者教育的治疗效果不足，则物理治疗师可以提供包括膝关节矫形器和手动治疗的补充干预措施。

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