Dekker Joost, Peter Wilfred, van der Leeden Marike, Lems Willem F
VUmc, Amsterdam, the Netherlands.
Ned Tijdschr Geneeskd. 2011;155(30-31):A3462.
"Exercise is medicine": exercise therapy reduces pain and activity limitations in osteoarthritis of the knee and is likely to have the same effects in osteoarthritis of the hip. Further research into exercise therapy is needed, since disease-modifying drugs are not available, pain medication can cause side effects, and surgical interventions are preferably applied in an advanced stage of disease. Classical exercise therapy is aimed at improving muscle strength, aerobic capacity, range of joint motion, and training of walking and activities of daily living. New modalities of targeted exercise therapy are currently being developed, aimed at the correction of low levels of activity and to correct instability of the knee. Weight loss, preferably combined with exercise therapy, reduces pain and activity limitations in osteoarthritis patients who are overweight. Modalities of exercise therapy adapted to comorbid conditions are currently being developed.
“运动即良药”：运动疗法可减轻膝关节骨关节炎的疼痛并减少活动受限，对髋关节骨关节炎可能也有同样效果。鉴于尚无改善病情的药物，止痛药物会引发副作用，且手术干预最好在疾病晚期进行，因此需要对运动疗法开展进一步研究。传统运动疗法旨在增强肌肉力量、提高有氧能力、增加关节活动范围以及训练行走和日常生活活动能力。目前正在研发有针对性的新型运动疗法，旨在纠正低活动水平并改善膝关节不稳状况。减肥（最好与运动疗法相结合）可减轻超重骨关节炎患者的疼痛并减少活动受限。目前正在研发适应合并症的运动疗法形式。
