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自身炎症性疾病与物理治疗

Autoinflammatory Diseases and Physical Therapy.

作者信息

Gurcay Eda, Akinci Aysen

机构信息

Gaziler Physical Medicine and Rehabilitation Education and Research Hospital, Ankara, Turkey.

Hacettepe University Medical School, Department of Physical Medicine and Rehabilitation, Ankara, Turkey.

出版信息

Mediterr J Rheumatol. 2017 Dec 22;28(4):183-191. doi: 10.31138/mjr.28.4.183. eCollection 2017 Dec.

Abstract

Autoinflammatory diseases (AIDs) constitute a group of clinical conditions, characterized by recurrent episodes of systemic inflammation, due to dysregulation of the innate immune system, without involving autoantibodies or antigen-specific T-cells. The patients exhibit recurrent episodes of fever with potentially serious complications and may have classic rheumatologic symptoms, including joint, skin, eye and muscle inflammation. Therefore, musculoskeletal problems and impaired quality of life can be anticipated as unavoidable consequences. In this regards any approach to ease the burden of symptoms and compensate the functional deficits are the main objectives of rehabilitation approach. For patients with inflammatory arthritis, physical therapy and rehabilitation methods have an important role in reducing joint pain and stiffness, preventing deformity, reconstructing muscle tissue and improving function. In order to justify the integration of rehabilitation approach in the management of AIDs and to determine the optimal protocols to use in this group of patients, well-designed, comprehensive, longitudinal, clinical trials using physical therapy centred outcomes are greatly needed.

摘要

自身炎症性疾病(AIDs)是一组临床病症,其特征为由于先天性免疫系统失调而导致全身性炎症反复发作,且不涉及自身抗体或抗原特异性T细胞。患者表现出发热反复发作并可能伴有严重并发症,还可能出现典型的风湿症状,包括关节、皮肤、眼睛和肌肉炎症。因此,肌肉骨骼问题和生活质量受损可被视为不可避免的后果。在这方面,任何减轻症状负担和弥补功能缺陷的方法都是康复治疗的主要目标。对于炎性关节炎患者,物理治疗和康复方法在减轻关节疼痛和僵硬、预防畸形、重建肌肉组织以及改善功能方面具有重要作用。为了证明康复治疗在AIDs管理中的整合合理性,并确定该组患者使用的最佳方案,非常需要设计良好、全面、纵向的以物理治疗为中心结局的临床试验。

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