Non-Pharmacological Pain Management for Osteoarthritis: Review Update.

IF 3.9 2区医学 Q1 RHEUMATOLOGY Current Rheumatology Reports Pub Date : 2025-02-19 DOI:10.1007/s11926-025-01185-w

Kelli D Allen, Kirsten R Ambrose, Staja Q Booker, Ashley N Buck, Katie F Huffman

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Abstract

Purpose of review: To summarize the state of research and recent studies on non-pharmacological therapies for osteoarthritis (OA).

Recent findings: High 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. There 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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骨关节炎的非药物止痛疗法：评论更新。

综述目的：综述骨关节炎（OA）非药物治疗的研究现状和最新进展。最近发现：高强度间歇训练是一种基于运动的干预，对OA患者有一些新的、有希望的发现。在身心疗法中，太极拳迄今为止拥有最有力的证据基础。饮食+运动对OA患者的体重管理有最有力的证据，最近的研究集中在维持体重减轻和无卡路里限制的饮食模式上。在心理干预中，认知行为治疗具有最强的证据基础，有一些支持接受和承诺治疗和正念为基础的干预。OA的非药物治疗有明确的作用。未来的研究应该解决证据仍然有限的干预措施的有效性，维持策略，患者对这些治疗反应的异质性，以及在临床和社区环境中的实施。

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

Current Rheumatology Reports RHEUMATOLOGY-

CiteScore

11.20

自引率

0.00%

发文量

期刊介绍： This journal aims to review the most important, recently published research in the field of rheumatology. By providing clear, insightful, balanced contributions by international experts, the journal intends to serve all those involved in the care and prevention of rheumatologic conditions. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas such as the many forms of arthritis, osteoporosis and metabolic bone disease, and systemic lupus erythematosus. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also occasionally provided.