膝骨关节炎患者运动干预的证据总结
Summary of evidence for exercise interventions in patients with knee osteoarthritis
Received date: 2023-10-18
Online published: 2024-07-05
胡泽林 , 吴美璇 , 梅佳 , 孟书静 , 张强 , 秦殿菊 . 膝骨关节炎患者运动干预的证据总结[J]. 临床荟萃, 2024 , 39(5) : 396 -400 . DOI: 10.3969/j.issn.1004-583X.2024.05.002
Objective To summarize and evaluate optimal evidence of exercise intervention in patients with knee osteoarthritis (KOA). Methods We systematically searched professional websites or databases at home and abroad for clinical decisions, guidelines, expert consensus, recommendations, evidence summaries, and systematic reviews of exercise intervention in patients with KOA from inception to July 2022. Results A total of 12 articles were included in this study, including 3 guidelines, 1 clinical decision, 1 recommendation, 3 expert consensus, and 4 systematic reviews. Twenty-two pieces of optimal evidence were summarized from five aspects: pre-exercise evaluation, exercise mode, amount and intensity of exercise, and principles and precautions for the formulation of exercise programs. Conclusion This study summarizes optimal evidence of exercise intervention in patients with KOA, which can provide a basis of evidence-based for healthcare personnel to manage exercise in patients with KOA, thus promoting safe and effective exercise in patients.
Key words： osteoarthritis, knee; exercise intervention; evidence summary
| [1] | Sharma L. Osteoarthritis of the knee[J]. N Engl J Med, 2021, 384(1):51-59. |
| [2] | Hunter DJ, Bierma-Zeinstra S. Osteoarthritis[J]. Lancet, 2019, 393(10182):1745-1759. |
| [3] | 朱政, 胡雁, 邢唯杰, 等. 不同类型循证问题的构成[J]. 护士进修杂志, 2017, 32(21):1991-1994. |
| [4] | DiCenso A, Bayley L, Haynes RB. Accessing pre-appraised evidence: Fine-tuning the 5S model into a 6S model[J]. Evid Based Nurs, 2009, 12(4): 99-101. |
| [5] | Foster MJ, Shurtz S. Making the critical appraisal for summaries of evidence (CASE) for evidence-based medicine (EBM): Critical appraisal of summaries of evidence[J]. J Med Libr Assoc, 2013, 101(3): 192-198. |
| [6] | Brouwers MC, Kho ME, Browman GP, et al. AGREE II: Advancing guideline development, reporting and evaluation in health care[J]. CMAJ, 2010, 182(18): E839-E842. |
| [7] | 顾莺, 张慧文, 周英凤, 等. JBI循证卫生保健中心关于不同类型研究的质量评价工具——系统评价的方法学质量评价[J]. 护士进修杂志, 2018, 33(8):701-703. |
| [8] | 胡雁, 郝玉芳. 循证护理学[M]. 2版. 北京: 人民卫生出版社, 2018:81-82. |
| [9] | 王磊, 闫媛媛, 赵晓艳, 等. 造口治疗师护理角色与实践的最佳证据总结[J]. 护理研究, 2022, 36(12):2086-2092. |
| [10] | 王春青, 胡雁. JBI证据预分级及证据推荐级别系统(2014版)[J]. 护士进修杂志, 2015, 30(11):964-967. |
| [11] | Deveza LA. Management of knee osteoarthritis[EB/OL].(2022-04-05)[2022-05-05]. http://www-uptodate-cn-s.webvpn.zju.edu.cn/. |
| [12] | van Doormaal MCM, Meerhoff GA, Vliet Vlieland TPM, et al. A clinical practice guideline for physical therapy in patients with hip or knee osteoarthritis[J]. Musculoskeletal Care, 2020, 18(4): 575-595. |
| [13] | Bannuru RR, Osani MC, Vaysbrot EE, et al. OARSI guidelines for the non-surgical management of knee, hip, and polyarticular osteoarthritis[J]. Osteoarthritis Cartilage, 2019, 27(11): 1578-1589. |
| [14] | 中华医学会骨科学分会关节外科学组, 中国医师协会骨科医师分会骨关节炎学组, 湘雅医院国家老年疾病临床医学研究中心, 等. 中国骨关节炎诊疗指南(2021年版)[J]. 中华骨科杂志, 2021, 41(18):1291-1314. |
| [15] | Pradelli L, Sinigaglia T, Migliore A, et al. Non-surgical treatment of knee osteoarthritis: Multidisciplinary Italian consensus on best practice[J]. Ther Clin Risk Manag, 2021, 17: 507-530. |
| [16] | 风湿免疫疾病慢性病管理全国护理专家协作组. 骨关节炎慢性病管理专家建议[J]. 中华风湿病学杂志, 2020, 24(4):221-225. |
| [17] | Chen W, Liu X, Tong P, et al. Diagnosis and management of knee osteoarthritis: Chinese medicine expert consensus (2015)[J]. Chin J Integr Med, 2016, 22(2): 150-153. |
| [18] | Osthoff AKR, Niedermann K, Braun J, et al. 2018 EULAR recommendations for physical activity in people with inflammatory arthritis and osteoarthritis[J]. Ann Rheum Dis, 2018, 77(9): 1251-1260. |
| [19] | Li Y, Su Y, Chen S, et al. The effects of resistance exercise in patients with knee osteoarthritis: A systematic review and meta-analysis[J]. Clin Rehabil, 2016, 30(10): 947-959. |
| [20] | Tanaka R, Ozawa J, Kito N, et al. Effects of exercise therapy on walking ability in individuals with knee osteoarthritis: A systematic review and meta-analysis of randomised controlled trials[J]. Clin Rehabil, 2016, 30(1): 36-52. |
| [21] | Kraus VB, Sprow K, Powell KE, et al. Effects of physical activity in knee and hip osteoarthritis: A systematic umbrella review[J]. Med Sci Sports Exerc, 2019, 51(6): 1324-1339. |
| [22] | 曾令烽, 杨伟毅, 郭达, 等. 传统运动疗法干预对膝骨关节炎患者疼痛改善及关节功能影响的系统评价[J]. 中华中医药杂志, 2018, 33(5):2132-2139. |
| [23] | 宋宁, 邢玥, 李康之, 等. 运动不耐受诊断标准:Bárány协会分类委员会共识文件[J]. 神经损伤与功能重建, 2022, 17(12):687-695. |
| [24] | 宋秉娜, 胡翔, 彭子涵, 等. 膝骨关节炎病人运动康复的研究进展[J]. 护理研究, 2022, 36(10):1827-1830. |
| [25] | 李川, 卜鹏飞, 韩云峰, 等. 运动治疗膝骨关节炎的实施方案及临床探索[J]. 中华关节外科杂志(电子版), 2021, 15(1):98-103. |
| [26] | 宋校能, 胡玲慧, 黄德胜, 等. 运动防治膝骨关节炎的关键因素及注意事项[J]. 中国组织工程研究, 2020, 24(2):289-295. |
| [27] | 张溪, 蔡倩, 李际强, 等. 基于心肺运动试验的医护人员健康状况研究[J]. 中国医药导报, 2019, 16(10):88-91. |
| [28] | 应奇峰, 余卫, 尹香君, 等. 正常人前臂桡骨数字X射线骨密度测量结果:全国流行病学调查[J]. 中华骨质疏松和骨矿盐疾病杂志, 2019, 12(5):468-473. |
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