Hartung Wolfgang, Sewerin Philipp, Ostendorf Benedikt
Asklepios Klinik Bad Abbach, Kaiser-Karl-V.-Allee 3, 93077, Bad Abbach, Deutschland.
Universitätsklinikum Düsseldorf, Düsseldorf, Deutschland.
Z Rheumatol. 2021 Apr;80(3):251-262. doi: 10.1007/s00393-021-00970-z. Epub 2021 Mar 8.
Physical therapy has always been a pillar of the treatment of inflammatory rheumatic diseases in addition to targeted drug treatment; nevertheless, it is only established in the treatment guidelines for a few diseases. Within the last two decades the discovery of myokines has uncovered the physiological correlations of the anti-inflammatory effect of physical activity. For rheumatoid arthritis and spondylarthritis, several randomized controlled trials provide sufficient evidence to make well-founded recommendations. For connective tissue diseases (CTD) the data situation is clearly sparser but nevertheless shows that the positive effects of physical activity prevail. In the following article the authors present the most important clinical studies on sport and inflammatory rheumatic diseases and from these derive possible therapeutic recommendations.
除了针对性药物治疗外，物理治疗一直是炎性风湿性疾病治疗的一大支柱；然而，它仅在少数疾病的治疗指南中有明确规定。在过去二十年中，肌动蛋白的发现揭示了体育活动抗炎作用的生理相关性。对于类风湿性关节炎和脊柱关节炎，多项随机对照试验提供了充分证据，从而能给出有充分依据的建议。对于结缔组织病（CTD），数据明显较少，但仍表明体育活动的积极作用占主导。在接下来的文章中，作者介绍了关于运动与炎性风湿性疾病的最重要临床研究，并从中得出可能的治疗建议。
