Abstract：Psychosomatic medicine is a new discipline,which diagnoses,treats and recovers diseases by studying the relationship among physiology,psychology and society and their correlation with health and disease.More and more studies have shown that knee osteoarthritis（KOA）is a psychosomatic disease.Three interrelated factors affect the occurrence and development of KOA,including physiological factors（joint degeneration,muscle weakness,inflammation,etc.）,psychological factors（tension,anxiety,depression,fear,sleep disorders,etc.）and social factors（reduced social interaction,lack of social support,deterioration of social relations,etc.）.With the rise of exercise therapy in the prevention and treatment of musculoskeletal diseases,the application of psychosomatic exercise therapy to KOA can release the pain,improve joint function,mood,sleep quality and social life of KOA patients,in line with the treatment needs of KOA patients.
[1] 中华医学会骨科学分会关节外科学组.骨关节炎诊疗指南(2018年版)[J].中华骨科杂志,2018,38(12):705-715. [2] Wallace IJ,Worthington S,Felson DT,et al.Knee osteoarthritis has doubled in prevalence since the mid-20th century[J].Proc Natl Acad Sci U S A,2017,114(35):9332-9336. [3] Bannuru RR,Osani MC,Vaysbrot EE,et al.OARSI guideines for the non-surgical management of knee,hip,and polyarticular osteoarthritis[J].Osteoarthritis Cartilage,2019,27(11):1578-1589. [4] Herrmann-Lingen C,Melzer J,von Boetticher D.Emotions,bodily changes,and the social environment:how did early psychosomatic medicine consider the social dimension in health and disease[J].Psychosom Med,2019,81(8):694-703. [5] Lipowski ZJ.What does the word "psychosomatic" really mean? A historical and semantic inquiry[J].Psychosom Med,1984,46(2):153-171. [6] 袁勇贵,岳莹莹.中国心身医学学科发展方向和机遇[J].东南大学学报(医学版),2020,39(5):557-561. [7] 钞建峰,贾慧.论心身疾病中医病因病机的核心及其演变[J].中华中医药杂志,2019,34(12):5582-5584. [8] Deter HC,Orth-Gomér K,Wasilewski B,et al.The european network on psychosomatic medicine(ENPM)- history and future directions[J].Biopsychosoc Med,2017,11:3. [9] Vitaloni M,Botto-van Bemden A,Sciortino Contreras RM,et al.Global management of patients with knee osteoarthritis begins with quality of life assessment:a systematic review[J].BMC Musculoskelet Disord,2019,20(1):493. [10] Rivera NV,Parmelee PA,Smith DM.The impact of social interactions and pain on daily positive and negative affect in adults with osteoarthritis of the knee[J].Aging Ment Health,2020,24(1):8-14. [11] Brosseau L,Taki J,Desjardins B,et al.The ottawa panel clinical practice guidelines for the management of knee osteoarthritis.Part two:strengthening exercise programs[J].Clin Rehabil,2017,31(5):596-611. [12] Wang LH,Lo KC,Lin CJ,et al.Multijoint coordination of lower extremity in Tai Chi exercise[J].Journal of Mech-anics in Medicine and Biology,2010,10(3):479-493. [13] Hu X,Lai Z,Wang L.Effects of Taichi exercise on knee and ankle proprioception among individuals with knee osteoarthritis[J].Res Sports Med,2020,28(2):268-278. [14] 张琥,张旻,龚幼波等.太极拳对早期膝骨关节炎患者步态影响的研究[J].中医正骨,2018,30(9):34-38. [15] Roos PE,Mituniewicz A,Liu W.Biomechanical joint loading mechanism of Tai Chi gait in individuals with knee osteoarthritis:A pilot simulation study[J].Osteoarthr Cartil Open,2021,3(2):100158. [16] Zhang Z,Huang L,Liu Y,et al.Effect of tai chi training on plantar loads during walking in individuals with knee osteoarthritis[J].BioMed Research International,2020,3096237:32-35. [17] Salem GJ,Yu SS,Wang MY,et al.Physical demand profiles of hatha yoga postures performed by older adults[J].Evid Based Complement Alternat Med,2013,165763. [18] Deepeshwar S,Tanwar M,Kavuri V,et al.Effect of yoga based lifestyle intervention on patients with knee osteoarthritis:a randomized controlled trial[J].Front Psychiatry,2018,9:180. [19] Lazar SW,Kerr CE,Wasserman RH,et al.Meditation experience is associated with increased cortical thickness[J].Neuroreport,2005,16(17):1893-1897. [20] Selfe TK,Innes KE.Effects of meditation on symptoms of knee osteoarthritis.altern complement Ther[J],2013,19(3):139-146. [21] Lee AC,Harvey WF,Price LL,et al.Mindfulness is associated with treatment response from nonpharmacologic exercise interventions in knee osteoarthritis[J].Arch Phys Med Rehabil,2017,98(11):2265-2273. [22] Lee AC,Harvey WF,Price LL,et al.Mindfulness is associated with psychological health and moderates pain in knee osteoarthritis[J].Osteoarthritis Cartilage,2017,25(6):824-831.
2022, Vol. 42 
