臨床整形外科41巻7号

2006年07月発行

誌上シンポジウム 運動器リハビリテーションの効果

変形性膝関節症に対する運動療法の効果

著者： 黒澤尚¹

所属機関： ¹順天堂大学医学部整形外科

ページ範囲：P.739 - P.747

　変形性膝関節症（膝OA）に対する運動療法の効果に関するこれまでの研究結果を，自験例を含めて概説し，さらにその効果の因子を考察した．この方法は既にエビデンスが出揃った方法であり，有効性，安全性，経済性，そして汎用性において従来の抗炎症剤，ヒアルロン製剤注射，様々な物理療法などに優る療法である．その点から，わが国における膝OAの治療体系は早急に本法を中心としたものに変更していかなければならないと考える．しかし，一方で，その効果の機序は不明であり，また膝OAの体液マーカーなどの客観的評価法は欠如しており，今後の本法のさらなる展開のためにはそれらに関する研究の深化が望まれる．

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