心身医学运动疗法防治膝关节骨性关节炎的探讨

Prevention and Treatment of Knee Osteoarthritis With Psychosomatic Exercise Therapy

心身医学是一门新兴学科,通过研究生理、心理、社会的相互关系及其与健康和疾病相关性对疾病进行诊断、治疗与康复。越来越多的研究表明,膝关节骨性关节炎(Knee osteoarthritis,KOA)是一种心身疾病。三大相互关联的因素影响着KOA的发生发展,包括生理因素(关节退行性变、肌肉力量减退、炎症等)、心理因素(紧张、焦虑、抑郁、恐惧、睡眠障碍等)和社会因素(社会互动减少、社会支持缺失、社会关系恶化等)。随着运动疗法防治肌肉骨骼疾病的兴起,将心身医学运动疗法应用于KOA能够减轻KOA患者的疼痛,改善关节功能、情绪、睡眠质量和社会生活,符合KOA患者的治疗需求。

Psychosomatic medicine is a new discipline,which diagnoses,treats and recovers diseases by studying the relationship among physiology,psychology and society and their correlation with health and disease.More and more studies have shown that knee osteoarthritis(KOA)is a psychosomatic disease.Three interrelated factors affect the occurrence and development of KOA,including physiological factors(joint degeneration,muscle weakness,inflammation,etc.),psychological factors(tension,anxiety,depression,fear,sleep disorders,etc.)and social factors(reduced social interaction,lack of social support,deterioration of social relations,etc.).With the rise of exercise therapy in the prevention and treatment of musculoskeletal diseases,the application of psychosomatic exercise therapy to KOA can release the pain,improve joint function,mood,sleep quality and social life of KOA patients,in line with the treatment needs of KOA patients.