Bischoff H P
Orthopade. 1986 Sep;15(5):388-93.
The physical therapy of arthrosis as a symptomatic and stage-oriented therapy is illustrated in a review. All of the various therapeutic procedures are discussed regarding their effectiveness and applicability in the different stages. There have been some changes within the last few decades and treatments have been introduced with more or less success. Mild thermotherapy of active arthrosis, suggested earlier, has been replaced by cryotherapy, which is more effective. Peloid therapy has now also been introduced into this cryotherapy, which only used to be applied as a type of heat therapy. Naturally, most of the new developments are in the field of electrotherapy. Nevertheless, the newer types have not led to any significant improvement in therapeutic success compared with "classical" electrotherapy (diadynamic, Träbert ultrastimulation, interferential current). The only remarkable innovation seems to be therapy with low-frequency magnetic fields, although the basic means of the working mechanism have not been thoroughly investigated. Regarding the most recent publications, laser therapy has not shown complete proof of its effectiveness. Passive physical therapy of arthrosis only shows persistent success when it is combined with a careful amount of physical therapy.
一篇综述阐述了作为一种对症且分阶段治疗的关节病物理治疗方法。文中讨论了所有不同治疗方法在不同阶段的有效性和适用性。在过去几十年间出现了一些变化，各种治疗方法相继引入，效果不一。早期建议的活动性关节病温和热疗已被更有效的冷冻疗法所取代。泥疗现在也已被纳入这种过去仅作为热疗类型应用的冷冻疗法中。自然地，大多数新进展都在电疗领域。然而，与“经典”电疗（间动电疗法、特拉贝特超刺激疗法、干扰电流疗法）相比，新型电疗在治疗效果上并未带来显著改善。唯一显著的创新似乎是低频磁场疗法，尽管其作用机制的基本原理尚未得到充分研究。就最新的出版物而言，激光疗法尚未完全证明其有效性。关节病的被动物理治疗只有在与适量的主动物理治疗相结合时才会持续取得成功。
