Department of Health Sciences, University of Eastern Piedmont "A. Avogadro", 28100 Novara, Italy.
Translational Medicine, Dipartimento Attività Integrate Ricerca e Innovazione (DAIRI), Azienda Ospedaliera SS. Antonio e Biagio e Cesare Arrigo, 15121 Alessandria, Italy.
Medicina (Kaunas). 2023 Nov 20;59(11):2047. doi: 10.3390/medicina59112047.
Osteoarthritis (OA) is a prevalent degenerative joint condition characterized by cartilage deterioration, joint inflammation, and functional limitations, particularly impacting the elderly population. Rehabilitation and hyaluronic acid (HA) injections are common therapeutic approaches routinely used in clinical practice, but their synergistic potential is far from being fully characterized. Thus, the aim of this narrative review was to elucidate the multilevel benefits and synergies of integrating these two approaches in multidisciplinary OA rehabilitation. This narrative review follows the scale for the assessment of narrative review articles (SANRA) criteria and involves a comprehensive literature search from July to August 2023. Two independent reviewers screened studies, including those involving human subjects with OA, rehabilitation strategies, and outcomes following HA injection, published in English. Results: HA injections might improve joint biomechanics, reducing friction, absorbing shocks, and potentially regulating inflammation. Rehabilitation plays a pivotal role in strengthening muscles, increasing the range of motion, and enhancing overall function. Optimizing rehabilitation following HA injection might provide additional benefits in joint health. OA management requires a multidisciplinary approach integrating HA injections, rehabilitation, and personalized care. Challenges in patient adherence and healthcare resources currently exist, but emerging technologies offer opportunities to enhance patient engagement and monitoring optimizing sustainability and outcomes of patients with knee, hip, shoulder, and temporomandibular joint OA.
骨关节炎(OA)是一种常见的退行性关节疾病,其特征为软骨退化、关节炎症和功能受限,尤其影响老年人群。康复治疗和透明质酸(HA)注射是临床实践中常用的常规治疗方法,但它们的协同潜力远未得到充分描述。因此,本叙述性综述的目的是阐明整合这两种方法进行多学科 OA 康复治疗的多层次获益和协同作用。本叙述性综述符合叙事性文献综述评估标准(SANRA)的标准,并于 2023 年 7 月至 8 月进行了全面的文献检索。两名独立的评审员筛选了研究,包括针对 OA 患者的研究、康复策略以及 HA 注射后结果的研究,这些研究均以英文发表。结果:HA 注射可能改善关节生物力学,减少摩擦、吸收冲击,并可能调节炎症。康复治疗在增强肌肉力量、增加活动范围和提高整体功能方面发挥着关键作用。在 HA 注射后进行优化康复治疗可能会为关节健康带来额外的获益。OA 的管理需要多学科方法,整合 HA 注射、康复治疗和个性化护理。目前存在患者依从性和医疗资源方面的挑战,但新兴技术提供了增强患者参与度和监测的机会,从而优化了膝关节、髋关节、肩关节和颞下颌关节 OA 患者的可持续性和结果。
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