Non-Pharmacological Pain Management for Osteoarthritis: Review Update

被引：0
|
作者：
Allen, Kelli D. [1 ,2 ,3 ]
Ambrose, Kirsten R. [1 ,2 ]
Booker, Staja Q. [4 ]
Buck, Ashley N. [1 ,5 ]
Huffman, Katie F. [1 ,2 ]
机构：
[1] Univ North Carolina Chapel Hill, Thurston Arthrit Res Ctr, CB 7280, Chapel Hill, NC 27599 USA
[2] Univ North Carolina Chapel Hill, Dept Med, Chapel Hill, NC 27599 USA
[3] Durham VA Med Ctr, Ctr Innovat Accelerate Discovery & Practice Transf, Durham, NC 27705 USA
[4] Univ Florida, Coll Nursing, POB 100197, Gainesville, FL USA
[5] Univ North Carolina Chapel Hill, Dept Exercise & Sport Sci, Chapel Hill, NC USA
来源：
CURRENT RHEUMATOLOGY REPORTS | 2025年 / 27卷 / 01期
关键词：
Osteoarthritis; Non-pharmacological; Exercise; Weight management; Psychological intervention; OBESE OLDER-ADULTS; KNEE-JOINT LOADS; WEIGHT-LOSS; COMMITMENT THERAPY; PHYSICAL-ACTIVITY; OVERWEIGHT; EXERCISE; ARTHRITIS; DIET; EDUCATION;
D O I：
10.1007/s11926-025-01185-w
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Purpose of ReviewTo summarize the state of research and recent studies on non-pharmacological therapies for osteoarthritis (OA).Recent FindingsHigh intensity interval training is an exercise-based intervention with some new, promising findings for people with OA. Among mind-body therapies, Tai Chi has the strongest evidence base to date. Diet + exercise has the strongest evidence for weight management in OA, with recent research focusing on maintenance of weight loss and non-calorie restrictive dietary patterns. Among psychological interventions, Cognitive Behavioral Therapy has the strongest evidence base, with some support for Acceptance and Commitment Therapy and mindfulness-based interventions.SummaryThere is a clear role for non-pharmacological therapies for OA. Future research should address the effectiveness of interventions for which evidence is still limited, strategies for maintenance, heterogeneity of patients' responses to these therapies, and implementation in clinical and community settings.
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页数：10
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