Tiffreau V, Mulleman D, Coudeyre E, Lefevre-Colau M M, Revel M, Rannou F
Service de médecine physique et de réadaptation, hôpital Swynghedauw, CHRU de Lille, 59035 Lille cedex, France.
Ann Readapt Med Phys. 2007 Dec;50(9):741-6, 734-40. doi: 10.1016/j.annrmp.2007.10.001. Epub 2007 Oct 11.
To develop clinical practice guidelines concerning individual and group exercise therapy for knee and/or hip osteoarthritis (OA).
We used the SOFMER (French Physical Medicine and Rehabilitation Society) methodology, combining systematic literature review, collection of everyday clinical practice, and external review by a multidisciplinary expert panel, to develop the guidelines.
Physical exercises are proposed for knee and hip OA. The benefit of individual exercises is low to moderate for pain, strength and ability to walk. The effectiveness is not maintained over time if the individual exercise program is not continued. The benefit of group exercise is also low to moderate for pain, strength, balance and ability to walk. There is no evidence of the superiority of one modality over the other (individual or group).
More randomised controlled trials with good methodology are needed to compare the effectiveness of individual versus group exercise therapy for knee and hip OA.
制定关于膝关节和/或髋关节骨关节炎（OA）个体和团体运动疗法的临床实践指南。
我们采用了法国物理医学与康复学会（SOFMER）的方法，结合系统文献综述、日常临床实践收集以及多学科专家小组的外部评审来制定指南。
针对膝关节和髋关节骨关节炎提出了体育锻炼建议。个体锻炼对疼痛、力量和行走能力的益处为低到中度。如果不持续进行个体锻炼计划，其效果不会随时间维持。团体锻炼对疼痛、力量、平衡和行走能力的益处也为低到中度。没有证据表明一种方式（个体或团体）优于另一种。
需要更多方法良好的随机对照试验来比较个体与团体运动疗法对膝关节和髋关节骨关节炎的有效性。
