Journal of Physiotherapy :患者教育可改善膝骨关节炎患者的疼痛和功能,与运动疗法结合使用效果更佳 !

2021-09-05 MedSci原创 MedSci原创

膝关节骨关节炎(OA)是世界范围内致残的主要原因,50岁以上的人中有四分之一受到影响。在许多发达国家,与膝关节骨关节炎相关的日益增长的医疗负担被认为是不可持续的。例如,2013年澳大利亚仅在膝关节置换

膝关节骨关节炎(OA)是世界范围内致残的主要原因,50岁以上的人中有四分之一受到影响。在许多发达国家,与膝关节骨关节炎相关的日益增长的医疗负担被认为是不可持续的。例如,2013年澳大利亚仅在膝关节置换手术上就花费了9.05亿澳元,预计到2030年这一数字将上升到13.8亿澳元。所有主要临床实践指南都建议将患者教育、运动疗法和体重管理作为膝关节骨性关节炎的一线干预措施。 在临床实践指南中将患者教育作为膝关节骨性关节炎患者的一线干预措施通常是有意义的。 本研究的主要目的是评估患者教育对膝关节骨性关节炎患者自我报告的疼痛和功能结果的影响,作为独立干预或与其他干预相结合。本研究的第二个目的是评估患者教育对心理结果的影响,并评估治疗师促进教育与自我指导教育对膝关节骨性关节炎患者疼痛和功能结果的影响。总之,对于膝关节骨关节炎患者,患者教育作为独立干预或与其他干预相结合是否有效?本文发表在 《 Journal of Physiotherapy 》中。 搜索策略是使用医学主题标题和关键词来确定成人膝关节骨性关节炎的随机对照试验。两名评审员(AJG和DOS)独立评审了标题和摘要,获得了潜在合格文章的全文

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    2022-07-13 lisa438
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    2021-09-07 lmm397
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    2021-09-05 CHANGE

    疗效只是效果的众多方面之一,还要看对患者的获益,包括生活质量等因素共同决定效果的

    0

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2020年7月16日,国际疼痛学会对"疼痛" 定义进行了修改,并在线发表在其会刊《PAIN》杂志上。这是IASP对自1979年开始在全世界使用的疼痛定义的首次修订。

Lancet Oncol:立体定向放疗相比常规外放疗可更有效缓解脊柱转移瘤患者的疼痛

对于脊柱转移瘤患者,立体定向放疗(24 Gy)在提高疼痛的完全缓解率方面优于常规外照射放疗(20 Gy)

Neuron:研究人员使用鳗鱼样蛋白控制神经元帮助抑郁患者

这是第一次从八目鳗鱼身上提取一种蛋白质来控制大脑回路

拓展阅读

1次注射,3个多月持续缓解关节疼痛、僵硬!《柳叶刀》子刊:膝关节炎长效疗法打破现有治疗局限

膝骨关节炎患病率高、致残性强。EP - 104IAR 是用于关节内注射的长效制剂。2 期研究表明它能缓解疼痛达 14 周,安全性佳,在减轻疼痛等方面有临床意义,有望成为新治疗选择。

NEJM:一周一针,司美格鲁肽显著减轻肥胖者膝痛!

本研究旨在评估2.4毫克剂量的司美格鲁肽作为生活方式改变的辅助手段,在减轻体重和缓解肥胖患者中度膝关节骨关节炎相关的疼痛方面的优越性。

针刺治疗膝骨关节炎的临床疗效与影响因素:一项系统评价和成对及探索性网状Meta分析

针刺可能在减轻膝骨关节炎患者膝关节疼痛和改善功能方面提供重要临床效果,但GRADE证据质量评级极低。另外针刺类型和针刺剂量可能是影响针刺临床疗效的两个潜在因素。

NEJM:司美格鲁肽再添新证既能减肥,又可改善关节炎!(STEP9研究)

STEP9的研究结果,表明在肥胖相关膝骨关节炎伴有中重度疼痛的患者中,相比于安慰剂,每周一次司美格鲁肽,治疗15.6周可减重10.5%,WOMAC的疼痛评分降低14.1分(评分范围0~50分,分数越高

既能减肥,又可改善关节炎!NEJM重磅:司美格鲁肽再添新证

NEJM 发表 STEP9 研究,表明司美格鲁肽在肥胖相关膝骨关节炎患者中可显著减重、降低疼痛评分及改善身体机能,安全性与安慰剂无显著差异。

Front Med:可变危险因素与膝骨关节炎之间的因果关系

虽然膝关节骨关节炎(KOA)的几个危险因素已经被确认,但KOA的发病机制以及遗传流行病学中可改变的危险因素与KOA的因果关系尚不清楚。本研究旨在确定KOA与其危险因素之间的因果关系。