WHITE CROSSは、歯科・医療現場で働く方を対象に、良質な歯科医療情報の提供を目的とした会員制サイトです。



PubMedの提供する医学論文データベースを日本語で検索できます。AI(Deep Learning)を活用した機械翻訳エンジンにより、精度高く日本語へ翻訳された論文をご参照いただけます。
J Exp Orthop.2020 Jul;7(1):52. 10.1186/s40634-020-00271-5. doi: 10.1186/s40634-020-00271-5.Epub 2020-07-19.


Home-based management of knee osteoarthritis during COVID-19 pandemic: literature review and evidence-based recommendations.

  • Theofilos Karasavvidis
  • Michael T Hirschmann
  • Nanne P Kort
  • Ioannis Terzidis
  • Trifon Totlis
PMID: 32686011 DOI: 10.1186/s40634-020-00271-5.




PURPOSE: To provide evidence-based recommendations for patients with severe knee osteoarthritis (OA), who had their knee surgery postponed due to the COVID-19 pandemic.


膝OAに対する在宅治療の転帰を報告する研究について、PubMed/Medline、Scopus、Cochrane Centralデータベースを系統的にレビューした。治療戦略や報告方法が研究間で異なるため、結果はプールされておらず、今回のレビューの結果は物語的な方法で提示されています。

METHODS: PubMed/Medline, Scopus and Cochrane Central databases were systematically reviewed for studies reporting outcomes of home-based treatments for knee OA. Due to between-study differences in treatment strategy and reporting methods the results were not pooled and findings of the current review were presented in a narrative manner.



RESULTS: The comprehensive literature search yielded 33 eligible studies that were included in this review. Management is performed at home and consists of exercise, proper nutrition, physical therapy and use of corrective and assistive orthotics. Virtual education on self-management strategies should be part of coping with knee OA. Initiating an exercise programme involving gymnastics, stretching, home cycling and muscle strengthening is highly recommended. Obese patients are encouraged to set weight loss goals and adopt a healthy diet. Potential benefits but weak evidence has been shown for the use of knee braces, sleeves, foot orthotics or cushioned footwear. Walking aids may be prescribed, when considered necessary, along with the provision of instructions for their use.



CONCLUSION: When bridging the time to rescheduled surgery, it is essential to use appropriate home-based tools for the management of knee OA if pain is to be reduced and need for analgesics or opioid use is to be diminished while maintaining or even improving the functioning and avoiding further limitation of range of motion and subsequent muscular atrophies. Finally, none of these treatments may completely substitute for the life-changing effect of a total knee arthroplasty in patients with severe knee OA. Hence, the subsequent goal is to gradually and safely reinstate elective surgery.