This Year in Review presents key highlights from recent research relating to osteoarthritis rehabilitation and its outcomes, defined as any non-pharmacological and non-surgical treatment that aims to improve osteoarthritis symptoms at any joint. Three databases (Medline, Embase, and CINAHL Plus) were searched between 1 March 2023 to 12 March 2024. Relevant studies were chosen based on the predefined inclusion/exclusion criteria, perceived clinical importance, quality, controversy in the field, or personal interest, and organised into four overarching themes (with 1–5 sub-themes each). The first theme related to uncertainties regarding exercise benefits. New work has challenged the clinical effectiveness of exercise on symptoms, as well as highlighted uncertainty around our understanding of both mechanisms of effects, how to enhance effectiveness and adherence, and which subgroups of people are more or less likely to improve with exercise. However, we also highlight new work confirming the role of exercise as a first-line management strategy. The second theme related to digital modes of service delivery. There was new evidence to support its effectiveness in improving symptoms and clear potential for creating and evaluating new mobile apps. New work also highlighted the potential future role artificial intelligence can have in providing treatment information and recommendations. The third theme related to patient education, and the call for change to the impairment-based narrative that prevails in osteoarthritis information. The fourth theme is related to weight loss. New work compared the effectiveness of different weight loss diets and explored alternative models of weight loss delivery.

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2024 年骨关节炎年度回顾：康复和结果


本年度回顾介绍了与骨关节炎康复及其结果相关的近期研究的主要亮点，骨关节炎康复被定义为旨在改善任何关节骨关节炎症状的任何非药物和非手术治疗。在 2023 年 3 月 1 日至 2024 年 3 月 12 日期间检索了三个数据库（Medline、Embase 和 CINAHL Plus）。根据预定义的纳入/排除标准、感知的临床重要性、质量、该领域的争议或个人兴趣来选择相关研究，并分为四个总体主题（每个主题有 1-5 个子主题）。第一个主题与运动益处的不确定性有关。新工作挑战了运动对症状的临床有效性，并突出了我们对这两种影响机制、如何提高有效性和依从性以及哪些亚群或多或少可能通过运动改善的理解的不确定性。然而，我们也强调了证实运动作为一线管理策略作用的新工作。第二个主题与数字服务提供模式有关。有新的证据支持它在改善症状方面的有效性，以及创建和评估新移动应用程序的明显潜力。新工作还强调了人工智能在提供治疗信息和建议方面可能发挥的未来作用。第三个主题与患者教育有关，并呼吁改变骨关节炎信息中普遍存在的基于损伤的叙述。第四个主题与减肥有关。新工作比较了不同减肥饮食的有效性，并探索了减肥的替代模式。