Akinci Aysen, Kiliç Gamze
Department of Physical Medicine and Rehabilitation, Hacettepe University, School of Medicine, Ankara, Turkey.
Department of Physical Medicine and Rehabilitation, Afyon Kocatepe University, Afyonkarahisar Turkey.
Mediterr J Rheumatol. 2017 Jun 27;28(2):70-74. doi: 10.31138/mjr.28.2.70. eCollection 2017 Jun.
Chronic rheumatic diseases can commonly lead to significant physical disability, reduced health-related quality of life and high economic burden for the societies. In the last decades and despite the availability of novel, effective medical treatment for specific rheumatic diseases, rehabilitation interventions do have a pivot role in improving function and psychological status in these conditions. Several systematic reviews and evidence based management recommendations suggest nonpharmaceutical rehabilitation management as an adjunct to medical therapy. The composition of rehabilitative interventions may extensively vary including therapeutic exercise, patient education, occupational therapy, orthoses, assistive devices, work rehabilitation and physical modalities. Exercise therapy is the main component of non-pharmacological treatment and strongly recommended in international guidelines but currently there is no consensus regarding intensity, frequency, or type of rehabilitation program for patients with rheumatic diseases. So, rehabilitation should be designed on a patient-centered basis in the context of multidisciplinary approach.
慢性风湿性疾病通常会导致严重的身体残疾、健康相关生活质量下降，并给社会带来高昂的经济负担。在过去几十年里，尽管针对特定风湿性疾病已有新型有效的药物治疗方法，但康复干预在改善这些疾病患者的功能和心理状态方面确实发挥着关键作用。多项系统评价和基于证据的管理建议表明，非药物康复管理可作为药物治疗的辅助手段。康复干预的组成可能差异很大，包括治疗性锻炼、患者教育、职业治疗、矫形器、辅助设备、工作康复和物理治疗方式。运动疗法是非药物治疗的主要组成部分，国际指南强烈推荐，但目前对于风湿性疾病患者康复计划的强度、频率或类型尚无共识。因此，应在多学科方法的背景下，以患者为中心设计康复方案。
