康复期间的粘性补充治疗。
Viscosupplementation during rehabilitation.
机构信息
Santa Monica Orthopaedic and Sports Medicine Research Foundation, Santa Monica, California ; Department of Biomechanics and Movement Science, University of Delaware, Newark, Delaware.
出版信息
Sports Health. 2014 Sep;6(5):422-6. doi: 10.1177/1941738114539911.
CONTEXT
Viscosupplementation (VS) and physical therapy are both used to treat pain associated with knee osteoarthritis (OA).
EVIDENCE ACQUISITION
PubMed and EMBASE searches were performed to July 2013. Search terms included hyaluronic acid OR hylan, physical therapy OR exercise, AND osteoarthritis.
STUDY DESIGN
Clinical review.
LEVEL OF EVIDENCE
Level 4.
RESULTS
The efficacy and safety of VS in painful knee OA is well documented, as are the appropriate candidates for this intervention. Studies suggest that adding VS to physical therapy and therapeutic exercise may lead to improved pain reduction and increased functionality compared with physical therapy alone.
CONCLUSION
Appropriately selected patients undergoing physical therapy for knee OA may benefit from VS.
背景
黏弹性补充治疗（VS）和物理治疗都被用于治疗膝关节骨关节炎（OA）相关疼痛。
证据采集
PubMed 和 EMBASE 检索至 2013 年 7 月。检索词包括透明质酸或聚糖，物理治疗或运动，以及骨关节炎。
研究设计
临床综述。
证据等级
4 级。
结果
VS 治疗疼痛性膝关节 OA 的疗效和安全性已有充分记录，适合该干预措施的患者也已明确。研究表明，与单纯物理治疗相比，VS 联合物理治疗和运动疗法可能会带来更好的疼痛缓解和功能改善。
结论
正在接受物理治疗的膝关节 OA 患者，如果选择合适，可能会受益于 VS。
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