运动处方在膝骨性关节炎应用的进展

Progression in application of exercise prescription for knee osteoarthritis

摘要:

膝骨性关节炎 （knee osteoarthritis, KOA） 是常见的关节疾病，严重影响个体健康并给医疗保障体系带来沉重负担。 运动是防治 KOA 的重要方法，但受体质差异、运动方式和强度等因素影响，不科学的运动反而会导致 KOA 加剧。相比之下， 运动处方可在保证安全的前提下发挥运动的治疗优势。运动处方是基于患者病情和体质评估、结合个人生活方式制定的个性化运动方案，在 KOA 的治疗中发挥缓解疼痛、改善膝关节功能等作用，但仍有部分内容存在争议。本文总结了近年来国内外相关文献，就运动处方在 KOA 应用的进展做一综述。

Abstract:

Knee osteoarthritis (KOA) is a common joint disease that significantly affects individual health and places a heavy burden on the healthcare system. Exercise is an important method for preventing and treating KOA. However, factors such as individual physical differ- ences, exercise methods and intensity can lead to the exacerbation of KOA when exercise is not conducted scientifically. By contrast, exer- cise prescription can harness the therapeutic advantages of exercise while ensuring safety. An exercise prescription is a personalized exer- cise plan based on patient condition and physical assessment, combined with individual lifestyle considerations. It plays a role in KOA treat- ment by alleviating pain, improving knee joint function, and more. Nonetheless, there are still some contentious aspects within its content. This article provides a review of recent domestic and international literature, summarizing the progress of exercise prescription application in KOA treatment.