专题

骨关节炎的物理治疗进展

  • 李兰 ,
  • 周君
展开
  • 1.南华大学附属第一医院康复医学科;湖南衡阳市 421000
    2.南华大学附属第一医院康复医学实验室,湖南衡阳市 421000
李兰(1993-),女,汉族,湖南株洲市人,主要研究方向:骨科康复。

收稿日期: 2018-11-12

  修回日期: 2019-01-25

  网络出版日期: 2019-08-16

基金资助

1.湖南省教育厅优秀青年项目(No. 17B232);2.湖南省卫生计生委科研计划课题项目(No. B20180062)

Advance in Physical Therapy for Osteoarthritis (review)

  • LI Lana ,
  • ZHOU Juna
Expand
  • 1.Department of Rehabilitation Medicine; b. Rehabilitation Medicine Laboratory, The First Affiliated Hospital of University of South China, Hengyang, Hunan 421000, China
    2.Department of Rehabilitation Medicine; b. Rehabilitation Medicine Laboratory, The First Affiliated Hospital of University of South China, Hengyang, Hunan 421000, China

Received date: 2018-11-12

  Revised date: 2019-01-25

  Online published: 2019-08-16

Supported by

Supported by Foundation:Hunan Department Of Education Outstanding Youth Program (No. 17B232) and Scientific Research Project of Hunan Provincial Health and Family Planning Commission (No. B20180062)

摘要

骨关节炎是一种常见的累及关节软骨和周围结构的退行性疾病,迄今尚无特效疗法,而物理治疗在缓解骨关节炎症状、矫正畸形及促进功能恢复方面有其独特之处。本文主要综述物理治疗在骨关节炎中的临床应用,包括运动疗法、超声波治疗、体外冲击波治疗、电疗、脉冲电磁场和全身振动治疗。

本文引用格式

李兰 , 周君 . 骨关节炎的物理治疗进展[J]. 中国康复理论与实践, 2019 , 25(8) : 918 -921 . DOI: 10.3969/j.issn.1006-9771.2019.08.007

Abstract

Osteoarthritis is a common degenerative disease involving articular cartilage and surrounding structures, and there is no specific therapy so far. Physical therapy has its unique features in relieving osteoarthritis symptoms, correcting deformity and promoting functional recovery. This article mainly reviewed the clinical application of physical therapy in osteoarthritis, which includes kinesitherapy, ultra-sound therapy, extracorporeal shockwave therapy, electrotherapy, pulsed electromagnetic field and whole-body vibration.

参考文献

1 BijlsmaJ W, BerenbaumF, LafeberF P. Osteoarthritis: an update with relevance for clinical practice [J]. Lancet, 2011, 377(9783): 2115-2126.
2 LiuQ, WangS, LinJ, et al. The burden for knee osteoarthritis among Chinese elderly: estimates from a nationally representative study [J]. Osteoarthritis Cartilage, 2018, 26(12): 1636-1642.
3 LitwicA, EdwardsM H, DennisonE M, et al. Epidemiology and burden of osteoarthritis [J]. Br Med Bull, 2013, 105: 185-199.
4 WalshN E, PearsonJ, HealeyE L. Physiotherapy management of lower limb osteoarthritis [J]. Br Med Bull, 2017, 122(1): 151-161.
5 FransenM, McConnellS, Hernandez-MolinaG, et al. Exercise for osteoarthritis of the hip [J]. Cochrane Database Syst Rev, 2014(4): CD007912.
6 SchiphofD, van den DriestJ J, RunhaarJ. Osteoarthritis year in review 2017: rehabilitation and outcomes [J]. Osteoarthritis Cartilage, 2018, 26(3): 326-340.
7 LeeA C, HarveyW F, PriceL L, et al. Dose-response effects of Tai Chi and physical therapy exercise interventions in symptomatic knee osteoarthritis [J]. PM R, 2018, 10(7): 712-723.
8 BeumerL, WongJ, WardenS J, et al. Effects of exercise and manual therapy on pain associated with hip osteoarthritis: a systematic review and meta-analysis [J]. Br J Sports Med, 2016, 50(8): 458-463.
9 WangC, SchmidC H, IversenM D, et al. Comparative effectiveness of Tai Chi versus physical therapy for knee osteoarthritis: a randomized trial [J]. Ann Intern Med, 2016, 165(2): 77-86.
10 周谋望,岳寿伟,何成奇,等. 《骨关节炎的康复治疗》专家共识[J]. 中华物理医学与康复杂志, 2012, 34(12): 951-953.
11 HenriksenM, HansenJ B, KlokkerL, et al. Comparable effects of exercise and analgesics for pain secondary to knee osteoarthritis: a meta-analysis of trials included in Cochrane systematic reviews [J]. J Comp Eff Res, 2016, 5(4): 417-431.
12 LiH, WangD, YuanY, et al. New insights on the MMP-13 regulatory network in the pathogenesis of early osteoarthritis [J]. Arthritis Res Ther, 2017, 19(1): 248.
13 XuP, GuoW, JinT, et al. TIMP-2 SNPs rs7342880 and rs4789936 are linked to risk of knee osteoarthritis in the Chinese Han population [J]. Oncotarget, 2017, 8(1): 1166-1176.
14 JiJ B, LiX F, LiuL, et al. Effect of low intensity pulsed ultrasound on expression of TIMP-2 in serum and expression of MMP-13 in articular cartilage of rabbits with knee osteoarthritis [J]. Asian Pac J Trop Med, 2015, 8(12): 1043-1048.
15 ZahoorT, MitchellR, BhasinP, et al. Effect of low-intensity pulsed ultrasound on joint injury and post-traumatic osteoarthritis: an animal study [J]. Ultrasound Med Biol, 2018, 44(1): 234-242.
16 ZhouX Y, ZhangX X, YuG Y, et al. Effects of low-intensity pulsed ultrasound on knee osteoarthritis: a meta-analysis of randomized clinical trials [J]. Biomed Res Int, 2018, 2018: 7469197.
17 CakirS, HepgulerS, OzturkC, et al. Efficacy of therapeutic ultrasound for the management of knee osteoarthritis: a randomized, controlled, and double-blind study [J]. Am J Phys Med Rehabil, 2014, 93(5): 405-412.
18 ChengJ H, WangC J. Biological mechanism of shockwave in bone [J]. Int J Surg, 2015, 24(Pt B): 143-146.
19 刘洪柏,张鸣生,区丽明,等. 体外冲击波对大鼠膝骨关节炎白细胞介素-1β及肿瘤坏死因子-α表达的影响[J]. 中国康复医学杂志, 2014, 29(3): 208-211, 217.
20 黄艺林,刘洪柏,张鸣生. 低能量体外冲击波对兔膝骨关节炎软骨细胞修复和重塑能力的影响 [J]. 生物医学工程与临床, 2016, 20(6): 557-561.
21 LiW, PanY, YangQ, et al. Extracorporeal shockwave therapy for the treatment of knee osteoarthritis: a retrospective study [J]. Medicine, 2018, 97(27): e11418.
22 LizisP, KobzaW, MankoG. Extracorporeal shockwave therapy vs. kinesiotherapy for osteoarthritis of the knee: a pilot randomized controlled trial [J]. J Back Musculoskelet Rehabil, 2017, 30(5): 1121-1128.
23 ZengC, LiH, YangT, et al. Electrical stimulation for pain relief in knee osteoarthritis: systematic review and network meta-analysis [J]. Osteoarthritis Cartilage, 2015, 23(2): 189-202.
24 GigginsO, FullenB, CoughlanG. Neuromuscular electrical stimulation in the treatment of knee osteoarthritis: a systematic review and meta-analysis [J]. Clin Rehabil, 2012, 26(10): 867-881.
25 LiH, ZengC, LeiG H. Comment on 'Neuromuscular electrical stimulation in the treatment of knee osteoarthritis: a systematic review and meta-analysis' [J]. Clin Rehabil, 2014, 28(11): 1145-1146.
26 VazM A, BaroniB M, GeremiaJ M, et al. Neuromuscular electrical stimulation (NMES) reduces structural and functional losses of quadriceps muscle and improves health status in patients with knee osteoarthritis [J]. J Orthop Res, 2013, 31(4): 511-516.
27 ShimouraK, IijimaH, SuzukiY, et al. Immediate effects of transcutaneous electrical nerve stimulation on pain and physical performance in individuals with pre-radiographic knee osteoarthritis: a randomized controlled trial [J]. Arch Phys Med Rehabil, 2019, 100(2): 300-306.
28 ChenL X, ZhouZ R, LiY L, et al. Transcutaneous electrical nerve stimulation in patients with knee osteoarthritis: evidence from randomized-controlled trials [J]. Clin J Pain, 2016, 32(2): 146-154.
29 JingD, CaiJ, WuY, et al. Pulsed electromagnetic fields partially preserve bone mass, microarchitecture, and strength by promoting bone formation in hindlimb-suspended rats [J]. J Bone Miner Res, 2014, 29(10): 2250-2261.
30 BagnatoG L, MiceliG, MarinoN, et al. Pulsed electromagnetic fields in knee osteoarthritis: a double blind, placebo-controlled, randomized clinical trial [J]. Rheumatology (Oxford), 2016, 55(4): 755-762.
31 ZhouJ, LiaoY, XieH, et al. Pulsed electromagnetic field ameliorates cartilage degeneration by inhibiting mitogen-activated protein kinases in a rat model of osteoarthritis [J]. Phys Ther Sport, 2017, 24: 32-38.
32 JunboW, SijiaL, HongyingC, et al. Effect of low-magnitude different-frequency whole-body vibration on subchondral trabecular bone microarchitecture, cartilage degradation, bone/cartilage turnover, and joint pain in rabbits with knee osteoarthritis [J]. BMC Musculoskelet Disord, 2017, 18(1): 260.
33 WangP, YangX, YangY, et al. Effects of whole body vibration on pain, stiffness and physical functions in patients with knee osteoarthritis: a systematic review and meta-analysis [J]. Clin Rehabil, 2015, 29(10): 939-951.
34 ZafarH, AlghadirA, AnwerS, et al. Therapeutic effects of whole-body vibration training in knee osteoarthritis: a systematic review and meta-analysis [J]. Arch Phys Med Rehabil, 2015, 96(8): 1525-1532.
35 LiX, WangX Q, ChenB L, et al. Whole-body vibration exercise for knee osteoarthritis: a systematic review and meta-analysis [J]. Evid Based Complement Alternat Med, 2015, 2015: 758147.
36 McCannM R, YeungC, PestM A, et al. Whole-body vibration of mice induces articular cartilage degeneration with minimal changes in subchondral bone [J]. Osteoarthritis Cartilage, 2017, 25(5): 770-778.
文章导航

/