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- 您请求的操作仅限于组中的用户:==骨关节炎的治疗==对于髋关节和膝关节的骨关节炎，有几个强有力的系统综述。[参考文献]Fransen M, McConnell S, Hernandez‐Molina G, Reichenbach S. [http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD007912.pub2/full运动治疗髋关节骨关节炎]。Cochrane数据库系统评价。2014(4)。， and osteoarthritis of膝Fransen M, McConnell S, Harmer AR, Van der Esch M, Simic M, Bennell KL. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD004376.pub3/full膝关节骨性关节炎的运动治疗。系统评价]。[J] .体育与医学杂志，2015;49(24):1554-7。，认为运动是“任何增强或保持肌肉力量、身体健康和整体健康的活动”。*考虑运动治疗髋关节骨关节炎的综述检查了10项随机对照试验。综合这些结果表明，陆上治疗性运动方案可以减轻症状性髋关节OA患者的疼痛并改善身体功能，*考虑膝关节骨关节炎运动的综述分析了44项研究。它的结论是，有充分的证据表明，陆上治疗性运动至少在减轻膝关节疼痛和改善膝关节OA患者的身体功能方面具有短期效益。 The magnitude of the treatment effect for these reviews would be considered small, but comparable to estimates reported for non-steroidal anti-inflammatory drugs. * A subsequent Cochrane review of aquatic exercise for hip and knee osteoarthritis provided moderate-quality evidence that among people with hip and knee osteoarthritis, aquatic exercise may reduce pain and disability, and increase quality of life immediately after the end of the programme of treatmentBartels EM, Juhl CB, Christensen R, Hagen KB, Danneskiold‐Samsøe B, Dagfinrud H, Lund H. [http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD005523.pub3/full Aquatic exercise for the treatment of knee and hip osteoarthritis]. Cochrane Database of Systematic Reviews. 2016(3)., * Other systematic reviews considering exercise for knee osteoarthritis support the latter, advocating a combination of lower limb strength and flexibility plus aerobic fitness exercisesJuhl C, Christensen R, Roos EM, Zhang W, Lund H. [http://onlinelibrary.wiley.com/doi/10.1002/art.38290/full Impact of exercise type and dose on pain and disability in knee osteoarthritis: a systematic review and meta-regression analysis of randomized controlled trials]. Arthritis Rheumatol. 2014; 66(3):622–636., UK NICE Guidance on “Osteoarthritis Care and Management”, advocates exercise as a core treatment irrespective of age, comorbidity, pain severity or disability. It supports the evidence base of local muscle strengthening and general aerobic fitness. Other guidelines such as the OsteoArthritis Society International (OARSI) “Guidelines for the non-surgical management of knee osteoarthritis”McAlindon TE, Bannuru R, Sullivan MC, Arden NK, Berenbaum F, Bierma-Zeinstra SM, Hawker GA, Henrotin Y, Hunter DJ, Kawaguchi H, Kwoh K. [http://www.oarsijournal.com/article/S1063-4584(14)00016-8/fulltext OARSI guidelines for the non-surgical management of knee osteoarthritis]. Osteoarthritis and cartilage. 2014 Mar 1;22(3):363-88. , and the Arthritis Research Council (ARC) “Osteoarthritis” guide support this.
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