数字健康技术在膝骨关节炎运动处方中的应用

Application of digital health technology in exercise prescription of knee osteoarthritis

膝骨关节炎(knee osteoarthritis,KOA)是一种常见的慢性关节疾病,由于过度机械负荷、炎症、代谢和衰老等因素导致关节软骨和软骨下骨损伤、骨赘形成、滑膜增生等病理改变,引起患者出现疼痛、僵硬、关节活动受限和肌肉无力等症状[1-3]。当前全球约有2.5亿人罹患KOA,我国KOA患病率约为8.1%,不同地区因经济发展和地理位置等因素有所差异[4-5]。

Individualized exercise prescription is a Class I recommendation for the prevention of knee osteoarthritis(KOA),but its application in China still faces obstacles such as poor patient compliance and difficulty in exercise monitoring.With the development of digital health technologies(DHTs),the combination of DHTs and personalized exercise prescription is becoming a new treatment mode.It will facilitate the promotion of traditional exercise prescription,however,controversies in efficiency and application scenario of treatment of KOA patient also exist.This review introduces the application types and effects of common DHTs in KOA exercise prescriptions,and put forward the shortcomings of current application and future prospects,with a view to provide help for the promotion of personalized exercise prescriptions for KOA patients in China.