Department of Rheumatology, Leiden University Medical Center, Leiden, The Netherlands.
Clin Exp Rheumatol. 2009 Jul-Aug;27(4 Suppl 55):S171-8.
The aim of the paper is to summarize and compare the best available evidence concerning the effectiveness of rehabilitative interventions and provide an overview of recommendations or international guidelines on non-pharmacological treatments in rheumatoid arthritis (RA) and ankylosing spondylitis (AS).It was found that, compared to RA, there are relatively fewer non-pharmacological intervention studies in AS. Overall, the literature on the effectiveness of non-pharmacological treatment modalities in RA and AS supports the use of exercise and educational interventions with a cognitive behavioural component. The evidence on electro-physical modalities, balneotherapy, and dietary interventions and alternative or complementary interventions for managing RA and AS is generally weak or inconclusive.International practice guidelines on RA and AS management recommend non-pharmacological interventions as adjunctive interventions to medications.Areas for future research include non-pharmacological interventions in AS, studies on the effectiveness and costs of various health care delivery models, and the usage of alternative or complementary treatments.
本文旨在总结和比较有关康复干预措施有效性的最佳现有证据，并概述类风湿关节炎 (RA) 和强直性脊柱炎 (AS) 的非药物治疗建议或国际指南。结果发现，与 RA 相比，AS 的非药物干预研究相对较少。总体而言，关于 RA 和 AS 中各种非药物治疗方法有效性的文献支持使用运动和教育干预措施，并结合认知行为成分。关于电物理疗法、水疗和饮食干预以及管理 RA 和 AS 的替代或补充干预措施的证据通常较弱或不确定。关于 RA 和 AS 管理的国际实践指南建议将非药物干预措施作为药物治疗的辅助措施。未来研究的领域包括 AS 中的非药物干预措施、各种医疗保健提供模式的有效性和成本研究，以及替代或补充治疗的使用。
