Corrigan B, Kannangra S
Aust Fam Physician. 1978 Aug;7(8):1007-14.
Though it may be true that, in the absence of a dependable cause, there is no single cure for inflammatory diseases of the locomotor system, nevertheless there is no reason for therapeutic nihilism. Much can be done to induce a remission in the disease while at the same time suppressing inflammation, relieving pain, preventing or correcting deformities, easing stiffness and increasing muscular control of the joints. However, no drug regime can be expected to achieve this, and reliance on drugs alone invariably leads to disappointing results, both for the doctor and patient. Hence every patient also should have a properly organized and supervised regime of physical methods of treatment. The relative value of rest or exercise remains controversial, and different considerations play a role in some of the disease processes. Thus in patients with active rheumatoid synovitis there seems no doubt that at first, extra rest to the inflamed joints is essential, but as the disease process is brought under control, the patient can be mobilized and made more active. In patients with ankylosing spondylitis, the emphasis should be placed on activity and exercise.
虽然在没有可靠病因的情况下，运动系统炎症性疾病可能确实没有单一的治愈方法，但治疗虚无主义是没有道理的。在诱导疾病缓解的同时，可以采取很多措施来抑制炎症、减轻疼痛、预防或纠正畸形、缓解僵硬并增强关节的肌肉控制能力。然而，不能期望任何药物疗法能做到这一点，仅依靠药物对医生和患者来说都必然会导致令人失望的结果。因此，每个患者还应有一个组织得当且受监督的物理治疗方案。休息或锻炼的相对价值仍存在争议，不同的考量因素在一些疾病进程中发挥作用。所以，对于患有活动性类风湿性滑膜炎的患者，一开始对发炎关节进行额外休息无疑是至关重要的，但随着疾病进程得到控制，患者可以活动起来并变得更加活跃。对于强直性脊柱炎患者，应强调活动和锻炼。
