koko体育app
骨关节炎与骨质疏松的关系及物理治疗中的热点与争议
Arguments and Debates about Physical Therapies for Osteoporosis and Osteoarthritis
-
摘要: 骨关节炎和骨质疏松是影响老年人生活质量的两大主要骨与骨关节疾患。两病发病机制不同却又不无联系。近年来，国内外临床诊疗指南所推荐的一系列用于骨关节炎和骨质疏松的物理治疗方式，成为当前关注的热点问题，但其应用仍存在争议。这主要体现在：目前关于物理治疗对骨关节炎和骨质疏松的研究量较少、质量较差，临床结局测量指标不一致；而一些动物学研究的结果又难以转化为临床实践或在人体试验中证实。因此，物理治疗骨关节炎和骨质疏松研究的方向应是注重科学设计动物实验和临床试验，联合开展基础和临床研究，探讨物理治疗对骨关节炎和骨质疏松的作用机制、临床疗效和安全性，并注重基础研究和临床研究的相互转化；根据综合康复治疗的理念，注重不同物理因子及其参数之间的相互作用和相互配合，寻找最佳的治疗方案，努力为骨质疏松和骨关节炎患者解决病痛。Abstract: Osteoarthritis (OA) and osteoporosis (OP) are primary bone and joint diseases affecting the quality of life of old people. The two diseases are different in pathogenesis but are closely associated from each other. Recent clinical guidelines have recommended physical therapies for OA and OP, which have attracted attentions and debates. This is because there is a lack of quality research into this topic. The available studies have used different measurements, and many have not been able to obtain evidence from human research apart from animal experiments. There is a need to undertake both animal and human studies with a stringent design so that the clinical efficacy and mechanism of physical therapy as well as its safety for OA and OP can be explored. We also need to pay attention to the interactions between various physical factors in order to find the best solutions in physical therapies for OA and OP.
© 2014 《koko体育app
学报（医学版）》编辑部 版权所有
开放获取🔯 本文遵循知识共享署名—非商业性使用4.0国际许可协议（CC BY-NC 4.0），允许第三方对本刊发表的论文自由共享（即在任何媒介以任何形式复制、发行原文）、演绎（即修改、转换或以原文为基础进行创作），必须给出适当的署名，提供指向本文许可协议的链接，同时标明是否对原文作了修改；不得将本文用于商业目的。CC BY-NC 4.0许可协议详情请访问
下载: