Br J Sports Med:北大人民医院学者运动处方治疗骨关节炎:六成疼痛明显缓解,三成无需常服止疼药

2018-03-28 佚名 中国循环杂志

有数据表明,我国65岁以上人群中,90%的女性和80%的男性会受到不同程度的骨关节炎的烦扰。不过,近期从北京大学人民医院林剑浩团队处传来好消息。

有数据表明,我国65岁以上人群中,90%的女性和80%的男性会受到不同程度的骨关节炎的烦扰。不过,近期从北京大学人民医院林剑浩团队处传来好消息。

该团队研究显示,用运动的方法治疗膝关节炎,疗效显著。

在他们的研究中,150位接受运动治疗的骨关节患者随访1年后,有60%的患者疼痛明显缓解,35%的患者不再需要经常服用止疼药。

同时患者的身体机能,如行走速度和蹲起能力,均得到了明显改善,满意度达到99%。

林剑浩介绍,运动治疗骨关节炎是指通过科学的锻炼方法来增强肌肉、稳定关节、改善运动协调和控制能力,进而减轻疼痛和改善关节功能,达到治疗骨关节炎的目的。运动分为居家锻炼和专业运动处方两大类。

居家锻炼的主要方式包括健步走、游泳、低负重肌力训练等;专业运动处方包括负重肌力训练、运动控制训练、步态训练和平衡训练等。

据介绍,运动治疗骨关节炎的理念在欧美等发达国家已经推行了10余年,并在丹麦发展成治疗体系。目前丹麦已有超过1000名专业人员接受了该项目提供的专业培训,治疗了近3万名骨关节炎的患者。该项目已被纳入医疗保险报销目录,并推广到了加拿大和澳大利亚等国家。

在我国,运动治疗骨关节炎正处于朝阳阶段。“根据国内外经验,可以预期未来随着运动治疗项目的成功推广和应用,将能够使更多的人不再需要经常服用止疼药物,而且能够使60%~70%的人不同程度地延缓关节置换手术,在降低医疗费用的同时,为患者提供了一个药物和手术之外的选择。”北京大学人民医院骨关节科刘强介绍说。

原始出处:
Ewa M Roos, et al. GLA:D to have a high-value option for patients with knee and hip arthritis across four continents: Good Life with osteoArthritis from Denmark. British Journal of Sports Medicine. 07 March 2018. doi: 10.1136/bjsports-2017-098904.

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    2018-05-24 披头士

    可以开家老年健身房了.商机啊

    0

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ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1265659, encodeId=0db11265659b0, content=<a href='/topic/show?id=57a53011364' target=_blank style='color:#2F92EE;'>#关节炎#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=30113, encryptionId=57a53011364, topicName=关节炎)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f90281, createdName=lmm397, createdTime=Fri Mar 30 14:01:00 CST 2018, time=2018-03-30, status=1, ipAttribution=)]
    2018-09-08 lisa438
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ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1265659, encodeId=0db11265659b0, content=<a href='/topic/show?id=57a53011364' target=_blank style='color:#2F92EE;'>#关节炎#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=30113, encryptionId=57a53011364, topicName=关节炎)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f90281, createdName=lmm397, createdTime=Fri Mar 30 14:01:00 CST 2018, time=2018-03-30, status=1, ipAttribution=)]
    2018-04-04 spake

    有什么详细的治疗方案供参考么

    0

  6. 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ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1265659, encodeId=0db11265659b0, content=<a href='/topic/show?id=57a53011364' target=_blank style='color:#2F92EE;'>#关节炎#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=30113, encryptionId=57a53011364, topicName=关节炎)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f90281, createdName=lmm397, createdTime=Fri Mar 30 14:01:00 CST 2018, time=2018-03-30, status=1, ipAttribution=)]
    2018-04-02 186****0580(小山羊)

    学习了谢谢了

    0

  7. 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topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3zSn0GqHrsfLPeNmuNF9ibgMfMOAs7Iic5MpiaU8RLmRH67xCKuk5wzfhb7G4ib7ia6z9lrnsTicj1nAUfEOMecZDtvvu/0, createdBy=d7f91939785, createdName=186****0580(小山羊), createdTime=Mon Apr 02 09:46:50 CST 2018, time=2018-04-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=301336, encodeId=de74301336cf, content=学习学习学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzR8ylhYfiaoAUx2BsaYHVia1IKhG3Cg8CT84rBrn6iaVRkyAibJxBcLEXabOQ5p19vWgDe34ib5ErxNgx/0, createdBy=8a701629084, createdName=jihuaijun1112, createdTime=Sat Mar 31 01:33:03 CST 2018, time=2018-03-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=301335, encodeId=77d230133553, content=学习学习学习学习, 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ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1265659, encodeId=0db11265659b0, content=<a href='/topic/show?id=57a53011364' target=_blank style='color:#2F92EE;'>#关节炎#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=30113, encryptionId=57a53011364, topicName=关节炎)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f90281, createdName=lmm397, createdTime=Fri Mar 30 14:01:00 CST 2018, time=2018-03-30, status=1, ipAttribution=)]
    2018-03-31 jihuaijun1112

    学习学习学习

    0

  8. 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ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1265659, encodeId=0db11265659b0, content=<a href='/topic/show?id=57a53011364' target=_blank style='color:#2F92EE;'>#关节炎#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=30113, encryptionId=57a53011364, topicName=关节炎)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f90281, createdName=lmm397, createdTime=Fri Mar 30 14:01:00 CST 2018, time=2018-03-30, status=1, ipAttribution=)]
    2018-03-31 jihuaijun1112

    学习学习学习学习

    0

  9. 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beContent=null, objectType=article, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzR8ylhYfiaoAUx2BsaYHVia1IKhG3Cg8CT84rBrn6iaVRkyAibJxBcLEXabOQ5p19vWgDe34ib5ErxNgx/0, createdBy=8a701629084, createdName=jihuaijun1112, createdTime=Sat Mar 31 01:32:55 CST 2018, time=2018-03-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=301251, encodeId=0ada301251b4, content=学习一下谢谢, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3zSn0GqHrsfLGSUSR8zwnWWLT4FMl5XH8S58HuZslVkLsAPbXDXaliagK7TOxQfmngKibG1yrDonepCLDkcxGk8hS/0, createdBy=b8282062892, createdName=changjiu, createdTime=Fri Mar 30 20:21:25 CST 2018, time=2018-03-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1265659, encodeId=0db11265659b0, content=<a href='/topic/show?id=57a53011364' target=_blank style='color:#2F92EE;'>#关节炎#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=30113, encryptionId=57a53011364, topicName=关节炎)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f90281, createdName=lmm397, createdTime=Fri Mar 30 14:01:00 CST 2018, time=2018-03-30, status=1, ipAttribution=)]
    2018-03-30 changjiu

    学习一下谢谢

    0

  10. 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    2018-03-30 lmm397

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