Young James J, Važić Olja, Cregg Andrew C
Center for Muscle and Joint Health, University of Southern Denmark.
Department of Research, Canadian Memorial Chiropractic College.
J Can Chiropr Assoc. 2021 Apr;65(1):6-13.
Knee and hip osteoarthritis (OA) place a significant burden on the Canadian health system and are a major public health challenge. This brief commentary discusses the recently published Osteoarthritis Research Society International guideline and the American College of Rheumatology guideline for the management of OA. Special attention has been given to the role of manual therapy, exercise, and patient education for the treatment of knee and hip OA. This article also reviews the Good Life with osteoArthritis in Denmark (GLA:D) treatment program for knee and hip OA and the implementation of this program in Canada. Lastly, the authors discuss the opportunity for the Canadian chiropractic profession to embrace treatment programs like GLA:D and take an active role in the strengthening of the Canadian health system from a musculoskeletal perspective.
膝关节和髋关节骨关节炎（OA）给加拿大卫生系统带来了沉重负担，是一项重大的公共卫生挑战。本简短评论讨论了最近发布的国际骨关节炎研究学会指南以及美国风湿病学会关于OA管理的指南。特别关注了手法治疗、运动和患者教育在膝关节和髋关节OA治疗中的作用。本文还回顾了丹麦膝关节和髋关节OA的“骨关节炎美好生活”（GLA:D）治疗项目以及该项目在加拿大的实施情况。最后，作者讨论了加拿大整脊专业接受类似GLA:D治疗项目并从肌肉骨骼角度积极参与加强加拿大卫生系统的机会。
