在OARSI年度审查2023年:康复和结果
E M Macri1, R W Selles2, J J Stefanik3
1Department of Orthopaedics and Sports Medicine, Erasmus MC, University Medical Center Rotterdam, the Netherlands; Department of General Practice, Erasmus MC, University Medical Center Rotterdam, the Netherlands.
Osteoarthritis and cartilage
|September 6, 2023
概括
这次审查发现,虽然核心治疗对骨关节炎 (OA) 提供了适度的益处,但没有特定的运动参数改善了疼痛或功能. 需要更多的研究来优化OA康复策略.
科学领域:
- 整形外科 整形外科 整形外科
- 康复医学 康复医学 康复医学
- 基于证据的实践.
背景情况:
- 骨关节炎 (OA) 的管理需要有效的治疗策略.
- 最近的一项文献综述 (2022年3月至2023年3月) 评估了对OA治疗的比较研究.
研究的目的:
- 系统地审查和综合2022年3月至2023年3月期间发表的关于OA治疗的比较研究的发现.
- 评估核心 (运动,教育,体重控制),辅助和多式模式的OA治疗方法的疗效.
- 确定当前OA康复研究中的趋势和差距.
主要方法:
- 在三个电子数据库中进行系统的文献搜索,用于对OA治疗的比较研究.
- 两位作者对记录进行了独立选,使用PEDro尺度评估了方法质量.
- 对每只手臂平均样本大小至少为46名参与者的研究的疼痛和功能结果的叙述综合.
主要成果:
- 28项研究 (33篇出版物) 符合纳入标准,其中82%的研究被评为质量好或优良.
- 大多数研究集中在膝关节骨关节炎 (OA),对其他关节的研究有限.
- 没有特定的运动参数 (剂量,持续时间,类型) 显示出优异的疼痛或功能结果;核心治疗比最小干预措施显示出适度的益处.
结论:
- 骨关节炎康复研究主要集中在膝关节骨关节炎上.
- 许多研究缺乏足够的力量来最终评估疼痛疗效.
- 进一步的研究应该探索情境影响,患者特征,机制和指导方针的实施.
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