Revue du Rhumatisme Monographies最新文献_第9页

Épidémiologie et effets sur la morbi-mortalité de l’activité physique et de la sédentarité dans la population générale 一般人群中身体活动和久坐生活方式对发病率和死亡率的流行病学和影响

Revue du Rhumatisme Monographies Pub Date : 2021-06-01 DOI: 10.1016/j.monrhu.2020.11.008

Martine Duclos

{"title":"Épidémiologie et effets sur la morbi-mortalité de l’activité physique et de la sédentarité dans la population générale","authors":"Martine Duclos","doi":"10.1016/j.monrhu.2020.11.008","DOIUrl":"10.1016/j.monrhu.2020.11.008","url":null,"abstract":"<div><p>Five million deaths per year worldwide could be prevented if physical activity (PA) recommendations were followed. The attributable risk of mortality due to physical inactivity is 6 % and the preventive fraction is 15 %. Studies have demonstrated with a high level of scientific evidence that regular physical activity and sport can prevent and treat most chronic non-communicable diseases: cardiovascular disease, type 2 diabetes, colon, breast and endometrial cancer. Physical activity also contributes to the prevention of the main risk factors of these diseases. In France, regardless of age group, PA is considered insufficient in relation to WHO recommendations and sedentary times reach 12h/day. Children are the most impacted by this association of “inactivity and sedentary lifestyle”. In order to change this behaviour associating insufficient physical activity and sedentariness from an early age, changes must concern all components of PA and sedentariness (school, studies, professional life, leisure activities), from a very young age, throughout life and up to the elderly.</p></div>","PeriodicalId":101125,"journal":{"name":"Revue du Rhumatisme Monographies","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.monrhu.2020.11.008","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86462894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Réadaptation musculaire après infection à COVID-19 COVID-19感染后的肌肉康复

Revue du Rhumatisme Monographies Pub Date : 2021-06-01 DOI: 10.1016/j.monrhu.2021.03.002

Emmanuel Coudeyre , Cédric Cormier , Frédéric Costes , Marie-Martine Lefevre-Colau , Maxime Grolier

引用次数: 2

Arthrose : des traitements à venir aux traitements d’avenir 骨关节炎:从未来的治疗到未来的治疗

Revue du Rhumatisme Monographies Pub Date : 2021-04-01 DOI: 10.1016/j.monrhu.2020.12.004

Vianney Delplace , Marie-Astrid Boutet , Catherine Le Visage , Yves Maugars , Jérôme Guicheux , Claire Vinatier

引用次数: 0

Injections de corticoïdes, acide hyaluronique et plasma riche en plaquettes dans l’arthrose : où en sommes-nous ? 皮质类固醇注射，透明质酸和富含血小板的血浆在骨关节炎:我们在哪里?

Revue du Rhumatisme Monographies Pub Date : 2021-04-01 DOI: 10.1016/j.monrhu.2021.01.001

Augustin Latourte , Henri Lellouche

{"title":"Injections de corticoïdes, acide hyaluronique et plasma riche en plaquettes dans l’arthrose : où en sommes-nous ?","authors":"Augustin Latourte , Henri Lellouche","doi":"10.1016/j.monrhu.2021.01.001","DOIUrl":"10.1016/j.monrhu.2021.01.001","url":null,"abstract":"<div><p>Because the intra-articular administration of a drug offers many advantages over the systemic route, corticosteroids or hyaluronic acid intra-articular injections are routinely used in the management of osteoarthritis, and recommended in the recent guidelines of the French Society of Rheumatology for the management of knee osteoarthritis. Nevertheless, international guidelines are not unanimous as to their use in the knee, hip or hand osteoarthritis. This discrepancy is explained by the results of meta-analyses of randomized controlled trials, showing a modest effect size and a disputable clinical relevance. Indeed, clinical trials do not take into account the contextual effect associated with the intra-articular procedure. This effect contributes to the greater placebo effect observed with intra-articular therapies than with oral or transdermal treatments, and the difficulty in demonstrating a clinically relevant effect of intra-articular drugs. Intra-articular injections have an advantageous safety profile compared to other therapies available for the management of osteoarthritis pain. The long-term tolerance of intra-articular corticosteroids remains uncertain, as they have been associated with accelerated structural progression, especially if they are repeated multiple times. Finally, the efficacy of platelet-rich plasma is debated. The literature on this topic is particularly heterogeneous, and randomized controlled trials of good methodological quality are warranted to determine their efficacy and tolerance in the short and long term.</p></div>","PeriodicalId":101125,"journal":{"name":"Revue du Rhumatisme Monographies","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.monrhu.2021.01.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75773181","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Nouveautés médicales et prise en charge chirurgicale dans l’arthrose digitale 指骨关节炎的医学创新和外科治疗

Revue du Rhumatisme Monographies Pub Date : 2021-04-01 DOI: 10.1016/j.monrhu.2020.12.006

Adeline Cambon-Binder , Alice Courties

{"title":"Nouveautés médicales et prise en charge chirurgicale dans l’arthrose digitale","authors":"Adeline Cambon-Binder , Alice Courties","doi":"10.1016/j.monrhu.2020.12.006","DOIUrl":"10.1016/j.monrhu.2020.12.006","url":null,"abstract":"<div><p>Hand osteoarthritis (OA) is a very frequent and heterogeneous disease. Its medical management is currently based on European recommendations and includes pharmacological (topical NSAIDs, and infiltrations) and non-pharmacological measures (orthotics, and ergonomics). Conventional synthetic or biological treatments used in rheumatoid arthritis have not demonstrated any efficacy. The only positive trial in recent years is low-dose corticosteroid therapy, which has demonstrated a suspensive effect. However, new therapeutic options such as botulinum toxin infiltrations or vagus nerve stimulation are currently being evaluated. As far as surgical treatment is concerned, arthrodesis remains the intervention of choice for distal interphalangeal OA and new fixation methods allow immediate mobilization. At the proximal interphalangeal level, joint denervation is an interesting conservative solution, while the best functional result is obtained with a prosthesis. The new models of resurfacing implants give higher amplitudes than hinged silicone implants, but we do not yet have the hindsight we have for the latter. For thumb base OA, trapezectomy with or without suspension ligamentoplasty has been confronted in recent years with severe competition from trapeziometacarpal prostheses, which allow faster functional recovery despite a higher complication rate and a long-term survival that is still poorly known. In total, surgical decision-making is based on multiple factors: functional demand of the patient, stability of the osteoarthritic joint, radiographic anatomical parameters.</p></div>","PeriodicalId":101125,"journal":{"name":"Revue du Rhumatisme Monographies","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.monrhu.2020.12.006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85884844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Activité physique dans l’arthrose 骨关节炎的身体活动

Revue du Rhumatisme Monographies Pub Date : 2021-04-01 DOI: 10.1016/j.monrhu.2021.01.003

Camille Daste , Quentin Kirren , Joulnar Akoum , Marie-Martine Lefèvre-Colau , François Rannou , Christelle Nguyen

{"title":"Activité physique dans l’arthrose","authors":"Camille Daste , Quentin Kirren , Joulnar Akoum , Marie-Martine Lefèvre-Colau , François Rannou , Christelle Nguyen","doi":"10.1016/j.monrhu.2021.01.003","DOIUrl":"10.1016/j.monrhu.2021.01.003","url":null,"abstract":"<div><p>Physical activity is defined as movement of the body resulting from muscle contraction and inducing energy expenditure. It can be adapted to a person's health status and have the objective of maintaining or improving health status. The link between sedentary lifestyle and the severity of symptoms in osteoarthritis is now well established, making adapted physical activity (APA) a first-line targeted treatment in osteoarthritis, in order to fight against the effects of a sedentary lifestyle, regardless of the phenotype or stage of the disease. The latest recommendations from EULAR, ACR and OARSI place APA, in the form of structured exercise programs for muscle strengthening, joint mobility, proprioception and aerobic work, as the core treatment for people with osteoarthritis. The benefits of APA in reducing pain and activity limitations, in the short, mid and long terms, in osteoarthritis, especially of the lower limbs, has been demonstrated in high-level clinical trials and meta-analyses, with effect-sizes comparable to those observed with pharmacological treatments. In clinical practice, the prescription of APA in people with osteoarthritis should still be encouraged. Particular attention should also be paid to patients’ adherence at long term.</p></div>","PeriodicalId":101125,"journal":{"name":"Revue du Rhumatisme Monographies","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.monrhu.2021.01.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79108242","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

La sénescence : de son implication physiopathologique aux traitements futurs 衰老:从病理生理影响到未来的治疗

Revue du Rhumatisme Monographies Pub Date : 2021-04-01 DOI: 10.1016/j.monrhu.2020.12.007

Jérémy Boulestreau , Damien Véret , Jean-Marc Brondello , Danièle Noël

引用次数: 0

Comorbidités et arthrose 合并症和关节病

Revue du Rhumatisme Monographies Pub Date : 2021-04-01 DOI: 10.1016/j.monrhu.2021.01.007

Christian-Hubert Roux

引用次数: 0

Quoi de neuf dans les prothèses articulaires du membre inférieur ? 下肢关节假体有什么新进展?

Revue du Rhumatisme Monographies Pub Date : 2021-04-01 DOI: 10.1016/j.monrhu.2021.02.003

Guillaume A. Odri , Diane J.Y. Yoon , Mathieu Severyns

引用次数: 0

L’arthrose : si connue, si méconnue 骨关节炎:众所周知，但鲜为人知

Revue du Rhumatisme Monographies Pub Date : 2021-04-01 DOI: 10.1016/j.monrhu.2021.03.001

Jérémie Sellam

引用次数: 0