资源描述：
《膝骨性关节炎康复课件》由会员上传分享，免费在线阅读，更多相关内容在教育资源-天天文库。
1、膝骨性关节炎(KneeOsteoarthiritis)上海交通大学附属第六人民医院预防保健手术方法康复治疗临床评价膝骨性关节炎病理改变研究背景定义诊断标准研究背景Jointpain,specificallychronickneepain(CKP),isafrequentcauseofChronicpainandlimitationoffunctionandmobilityamongolderadults.Multipleevidence-basedguidelinesrecommendexerciseas
2、afirst-linetreatmentforallpatientswithCKPorkneeosteoarthritis(KOA),yethealthcarepractitioners’attitudesandbeliefsmaylimittheirimplementation.Thissystematicreviewaimstoidentifytheattitudes,beliefsandbehavioursofGeneralPractitioners(GPs)regardingtheuseofexe
3、rciseforCKP/KOA.BMCFamilyPractice2010,11:4doi:10.1186/1471-2296-11-4研究背景Theincreasingageofthepopulation,especiallyinthewesternworld,meansthattheprevalenceofosteoarthritisisalsoincreasing,withcorrespondingsocioeconomicconsequences.Althoughthereisnocurative
4、interventionatpresent,inaccordancewithUSandEuropeanguidelines,pharmacotherapeuticandnon-pharmacologicalapproachesaimatpaincontrolandthereductionoffunctionalrestriction.BMCMusculoskeletalDisorders2009,10:104(19 August 2009)研究背景Thedisablingsymptomsofosteoar
5、thritisofthekneecanbedramaticallyimprovedwithjointreplacement.Theaimofthisstudywastoexaminethechangeinpainandphysicalfunctionthatoccursinpatientswithosteoarthritickneesawaitingtotalkneereplacement.EurJOrthopsurgTraumatol(2005)15:309-312研究背景Osteoarthritiso
6、fthekneeisadegenerativediseasethatcausesjointpain,stiffness,anddecreasedfunction.Treatmentismultidisciplinaryandinvolvesphysicaltherapy,medication,andsurgery.Arthroscopicsurgery,inwhichanarthroscopyisinsertedintothekneejoint,allowsforlarvae,aprocedurethat
7、removesparticulatematerialsuchascartilagefragmentsandcalciumcrystals.Italsoallowsfordebridement,wherebyarticularsurfacesandosteophytescanbesurgicallysmoothed.Thegoalofthisprocedureistoreducesynovitisandeliminatemechanicalinterferencewithjointmotion.NEnglJ
8、Med2009;361(20):2004定义危害老年人身心健康的主要疾病发生在滑膜关节的一种缓慢的、以局部关节软骨破坏并伴有相邻软骨下骨板骨质增生/骨唇形成的骨关节病伴有不同程度的滑膜炎症反应诊断标准（1995ACR)膝骨关节炎存在:具备(1),(2),(3),(4)或(1),(2),(5)或(1),(2),(4),(5)膝骨关节炎存在:具备(1),(2)或(1),(3),(5)或(1),(4),(5),(6)病理改变手术方法
