Physiotherapy and occupational therapy in rheumatoid arthritis: Bridging functional and comorbidity gaps

IF 4.5 2区医学 Q1 RHEUMATOLOGY

Best Practice & Research in Clinical Rheumatology Pub Date : 2025-03-01 DOI:10.1016/j.berh.2024.102032

Nur Azizah Allameen , Yi Wye Lai , Guojie Lian , Tyrik Zhen-Yuan Lee , Saranya Selvakumaran , Rachel Yuet Teng Tan , Chuanhui Xu

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引用次数: 0

Abstract

Rheumatoid arthritis (RA) is a chronic, systemic inflammatory disease affecting a significant portion of the global population. Despite advancements in pharmacological treatments, the management of RA remains complex, particularly in regard to comorbidities such as cardiovascular disease and osteoporosis. Physiotherapy (PT) and occupational therapy (OT) are non-pharmacological approaches that play a critical role in the management of RA. This review explores the impact of PT and OT in improving joint function, reducing pain and fatigue, and enhancing the overall quality of life in RA patients. It also addresses the role of these therapies in managing RA-related comorbidities, with an emphasis on exercise therapy, manual techniques, patient education and emerging digital interventions. Evidence supports the inclusion of tailored exercise regimens, such as cardiorespiratory training, resistance exercises and neuromotor activities, as vital components of RA management. By incorporating PT and OT, healthcare providers can better address the multifaceted needs of RA patients, complementing pharmacological treatments and improving long-term outcomes.

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类风湿性关节炎的物理治疗和职业治疗：弥合功能和合并症的差距。

类风湿性关节炎（RA）是一种慢性全身性炎症性疾病，影响着全球很大一部分人口。尽管药物治疗取得了进展，但类风湿性关节炎的治疗仍然很复杂，特别是在心血管疾病和骨质疏松症等合并症方面。物理治疗（PT）和职业治疗（OT）是非药物治疗方法，在类风湿性关节炎的治疗中起着关键作用。本综述探讨了PT和OT在改善RA患者关节功能、减轻疼痛和疲劳以及提高整体生活质量方面的影响。它还讨论了这些疗法在管理ra相关合并症中的作用，重点是运动疗法、手工技术、患者教育和新兴的数字干预。证据支持将量身定制的运动方案纳入RA管理的重要组成部分，如心肺训练、阻力训练和神经运动活动。通过结合PT和OT，医疗保健提供者可以更好地满足RA患者的多方面需求，补充药物治疗并改善长期预后。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Best Practice & Research in Clinical Rheumatology 医学-风湿病学

CiteScore

9.40

自引率

0.00%

发文量

审稿时长

27 days

期刊介绍： Evidence-based updates of best clinical practice across the spectrum of musculoskeletal conditions. Best Practice & Research: Clinical Rheumatology keeps the clinician or trainee informed of the latest developments and current recommended practice in the rapidly advancing fields of musculoskeletal conditions and science. The series provides a continuous update of current clinical practice. It is a topical serial publication that covers the spectrum of musculoskeletal conditions in a 4-year cycle. Each topic-based issue contains around 200 pages of practical, evidence-based review articles, which integrate the results from the latest original research with current clinical practice and thinking to provide a continuous update. Each issue follows a problem-orientated approach that focuses on the key questions to be addressed, clearly defining what is known and not known. The review articles seek to address the clinical issues of diagnosis, treatment and patient management. Management is described in practical terms so that it can be applied to the individual patient. The serial is aimed at the physician in both practice and training.