Department of Physiotherapy, Faculty of Sport Sciences, Universidad Europea de Madrid, 28670 Villaviciosa de Odón, Spain.
Musculoskeletal Pain and Motor Control Research Group, Faculty of Sport Sciences, Universidad Europea de Madrid, 28670 Villaviciosa de Odón, Spain.
Int J Environ Res Public Health. 2022 May 19;19(10):6194. doi: 10.3390/ijerph19106194.
(1) Background: Patient education (PE), exercise therapy, and weight management are recommended as first-line interventions for hip and knee osteoarthritis (OA). Evidence supporting the effectiveness of exercise therapy and weight management in people with lower-limb OA has been synthesized in recent studies. However, according to the Osteoarthritis Research Society International, PE is often considered a standard of care and the inclusion of this as a first-line intervention for people with knee OA in clinical practice guidelines is often supported by limited evidence. The aim of this review is to evaluate the effects of PE on pain and function and how it impacts on conservative treatment. (2) Methods: This is a literature review of studies investigating the effect of patient education on pain and function and its impact on conservative treatment in elderly patients with pain related to hip and knee OA. PRISMA guidelines were followed during the design, search, and reporting stages of this review. The search was carried out in the PubMed database. (3) Results: A total of 1732 studies were detected and analyzed by performing the proposed searches in the detailed database. After removing duplicates and analyzing the titles and abstracts of the remaining articles, 20 studies were ultimately selected for this review. Nineteen of these twenty articles showed positive results in pain or function in patients with pain related to hip and knee OA. (4) Conclusions: PE seems to be effective in reducing pain and improving function in patients with pain related to hip and knee OA. Furthermore patient education seems to positively impact the conservative treatment with which it can be associated.
(1) 背景：患者教育（PE）、运动疗法和体重管理被推荐为髋和膝关节骨关节炎（OA）的一线干预措施。最近的研究已经综合了支持运动疗法和体重管理对下肢 OA 患者有效性的证据。然而，根据国际骨关节炎研究协会的说法，PE 通常被认为是一种标准护理，并且在临床实践指南中经常将其作为膝 OA 患者的一线干预措施纳入，这一做法的依据往往是有限的证据。本综述的目的是评估 PE 对疼痛和功能的影响，以及它对保守治疗的影响。(2) 方法：这是一项对研究患者教育对疼痛和功能的影响及其对老年髋膝关节 OA 相关疼痛患者保守治疗影响的文献综述。在本综述的设计、搜索和报告阶段遵循了 PRISMA 指南。搜索在 PubMed 数据库中进行。(3) 结果：通过对详细数据库进行提议的搜索，共检测到并分析了 1732 项研究。在去除重复项并分析其余文章的标题和摘要后，最终选择了 20 项研究进行综述。这 20 篇文章中的 19 篇显示出髋膝关节 OA 相关疼痛患者在疼痛或功能方面的积极结果。(4) 结论：PE 似乎可有效减轻髋膝关节 OA 相关疼痛患者的疼痛并改善其功能。此外，患者教育似乎对与它相关的保守治疗产生积极影响。
