摘要
膝部退化性關節炎的最顯著症狀是疼痛、膝功能障礙以及關節僵硬。復健的主要目的就是針對這三個症狀治療：減輕膝關節的疼痛、提高膝功能以及軟化膝關節、增加關節的活動度。不同程度的關節炎有不同的復健方式。關節尚未變形，勿需手術的病例，可接受下列的保守治療方法：(1)藥物治療(medication)，(2)局部注射(local injection)，(3)醫療儀器的物理治療(physical modality)，(4)運動治療(therapeutic exercise)，(5)徒手治療(manual therapy)，(6)輔助支撐器具(supportive device)。對於關節已變形的例子，則以手術爲宜，如只接受非手術的保守治療，效果往往不彰。手術後的復健分為三個時期：第一期－早期活動期(early motion)。第二期－中度保護期(moderate protection)。第三期－加強活動期(advanced activity)。不論手術與否，復健之終極目標是讓病人能活動自如，無功能上之障礙。退化性關節炎患者的居家復健也相當重要。替病人設計一套最適當的運動計劃及教育病人如何在日常生活中保護、强健膝關節，是居家復健的兩大要項。尤其是適當的運動治療，對退化性關節炎的患者而言，是絕對不可或缺的。
並列摘要
The major problems of degenerated osteoarthritic knee are pain, limitation of function and joint stiffness. The goals of rehabilitation are directly to solve symptoms: decreasing knee pain, promoting functional capacity and softening the joint stiffness, increasing the range of motion. The methods of rehabilitation depend on the different stages of osteoarthritis. If the joint is preserved more than half joint space and no special deformity, conservative treatment will make a good prognosis. They are including (1) medication, (2) local injection, (3) physical modality, (4) therapeutic exercise, (5) manual therapy, (6) supportive device. Rehabilitation after knee surgery must be a well-planned process. The proggram consists of three phases of rehabilitation and allows for gradual increase in activity and motion. Phase I-Early motion: Within the first 6 weeks, patients try to do isometric exercise around affected joint as early as possible after operation. Phase Ⅱ-Moderate protection: At 6 weeks postsurgery, patients try to do some moderate exercise and to bear some weight with affected limb gradually. Phase Ⅲ-Advanced rehabilitation and activity. After approximately 12 weeks, patients should try to wean from their crutches and regain enough ROM for day-to-day functional activities. A good patient eduction not only make more efficiency of the training program but also preserves the functional capacity longer. So, the patient eduction is essential for rehabilitation program.