膝骨关节炎患者运动干预的证据总结

Summary of evidence for exercise interventions in patients with knee osteoarthritis

目的总结和评价膝骨关节炎患者运动干预的最佳证据。方法系统检索国内外专业网站或数据库中关于膝骨关节炎患者运动干预的临床决策、指南、专家共识、推荐意见、证据总结和系统评价,检索时间为建库至2022年7月。结果本研究最终纳入12篇文献,其中指南3篇,临床决策1篇,推荐建议1篇,专家共识3篇,系统评价4篇。从运动前评估、运动方式、运动量与运动强度、运动方案的制定原则和注意事项5个方面归纳了22条最佳证据。结论本研究总结了膝骨关节炎患者运动干预的最佳证据,可为医疗保健人员进行膝骨关节炎患者的运动管理提供循证依据,促进患者进行安全有效的运动。

Objective To summarize and evaluate optimal evidence of exercise intervention in patients with knee osteoarthritis(KOA).Methods We systematically searched professional websites or databases at home and abroad for clinical decisions,guidelines,expert consensus,recommendations,evidence summaries,and systematic reviews of exercise intervention in patients with KOA from inception to July 2022.Results A total of 12 articles were included in this study,including 3 guidelines,1 clinical decision,1 recommendation,3 expert consensus,and 4 systematic reviews.Twenty-two pieces of optimal evidence were summarized from five aspects:pre-exercise evaluation,exercise mode,amount and intensity of exercise,and principles and precautions for the formulation of exercise programs.Conclusion This study summarizes optimal evidence of exercise intervention in patients with KOA,which can provide a basis of evidence-based for healthcare personnel to manage exercise in patients with KOA,thus promoting safe and effective exercise in patients.