Proschek D, Rehart S
Zentrum für Orthopädie und Unfallchirurgie, Universitätsmedizin Mainz, Langenbeckstr. 1, 55131, Mainz, Deutschland,
Z Rheumatol. 2014 Jun;73(5):434-8. doi: 10.1007/s00393-013-1341-4.
Sport is becoming increasingly more important in our society. Due to the changing age spectrum with a greater number of elderly and substantially more active people, an increasing number of people with underlying orthopedic diseases are becoming interested in participating in sport.
This article deals with the possibilities and effects of sporting activities for people with rheumatoid arthritis within the framework of a conservative therapy. A literature search was carried out using medical search engines, in particular PubMed, and also via the recommendations of specialist societies and patient help groups.
The quality of life of patients with rheumatoid arthritis consists of physical, mental and social components. Sport as a means of rehabilitation influences all of these components. Sport should be comprehended as a form of therapy and be adapted to the needs of the individual patient. The willingness to actively participate in sport should always be highly rated and encouraged. Sport is therefore an important pillar of therapy in a conservative total concept. The main aspects of sport therapeutic activities are functional, pedagogical and experience-oriented aspects. The clinical symptoms, extent of damage and physical impairment must, however, be evaluated and taken into consideration for the therapeutic concept.
The amount of data on the complex topic of sport and rheumatoid arthritis is low and is mainly dealt with as retrospective reviews. A prospective randomized study basis is lacking. The aim must therefore be to confirm the currently available recommendations for various types of sport in controlled studies.
体育在我们的社会中变得越来越重要。由于年龄谱的变化，老年人数量增加且人们的活动量大幅增多，越来越多患有潜在骨科疾病的人对参与体育运动产生兴趣。
本文探讨了在保守治疗框架内，体育活动对类风湿性关节炎患者的可能性及影响。使用医学搜索引擎，特别是PubMed进行文献检索，并通过专业学会和患者帮助组织的推荐进行检索。
类风湿性关节炎患者的生活质量包括身体、心理和社会组成部分。体育作为一种康复手段会影响所有这些组成部分。体育应被理解为一种治疗形式，并应根据个体患者的需求进行调整。应始终高度重视并鼓励积极参与体育活动的意愿。因此，体育是保守整体治疗概念中的一个重要支柱。体育治疗活动的主要方面是功能、教学和体验导向方面。然而，治疗方案必须评估并考虑临床症状、损伤程度和身体损伤情况。
关于体育与类风湿性关节炎这一复杂主题的数据量较少且主要作为回顾性综述处理。缺乏前瞻性随机研究基础。因此，目标必须是在对照研究中确认目前针对各类体育活动的可用建议。
