Harvard Medical School, Department of Physical Medicine & Rehabilitation, Spaulding Rehabilitation Hospital, Boston, MA 02114, USA.
Curr Pain Headache Rep. 2011 Dec;15(6):423-30. doi: 10.1007/s11916-011-0225-z.
Exercise is one of the most discussed and controversial nonpharmacologic management strategies for osteoarthritis (OA) of the knee. Health care providers and patients share varied and often pseudoscientific beliefs regarding the effects of exercise on knee OA formulated on outdated notions of the etiology, pathophysiology, and progression of the condition. Based on the contemporary literature, regular light to moderate physical activity has both preventive and therapeutic benefits for individuals with knee OA. Exercise regimens with strong evidence of benefit include those that focus on aerobic/cardiovascular conditioning and lower extremity strength training. Health care providers should confidently incorporate exercise recommendations into clinical management and offer patients evidence-based and individually tailored exercise prescriptions to help manage the painful and often disabling symptoms of this condition.
运动是最受关注和最具争议的膝关节骨关节炎（OA）非药物管理策略之一。医疗保健提供者和患者对运动对膝 OA 的影响存在不同的、常常是伪科学的信念，这些信念是基于对该疾病病因、病理生理学和进展的过时观念形成的。根据当代文献，对于有膝 OA 的个体，定期进行轻到中度的身体活动既有预防作用又有治疗作用。有充分证据表明有益的运动方案包括那些侧重于有氧运动/心血管调节和下肢力量训练的方案。医疗保健提供者应该有信心将运动建议纳入临床管理，并为患者提供基于证据和个性化的运动处方，以帮助控制这种疾病的疼痛和常常使人丧失能力的症状。
