骨關節炎之治療發展－從中草藥芳香輔助療法、運動治療到再生醫學

身體必須有完整健康的骨關節神經肌肉系統，才能驅動與支撐保護身體達成各式生活。骨關節炎是關節軟骨合併軟骨下硬骨骼與關節囊形變病變而引起的關節疾病，是醫療上常見的問題。骨關節炎發生原因有許多，最常見為退化性關節炎。其症狀可能包括關節腫脹，運動範圍減少以及手臂和腿部無力或麻木。原因除關節損傷外，異常的關節或四肢發育以及遺傳因素，生活習慣與肥胖性別都有影響。各種文明發展出各種骨關節炎治療方式，中草藥敷浴推拿針灸、芳香療法等的替代療法，物理治療運用物理性質的因子。運動治療，以積極科學的態度強化肌肉、神經、骨關節與心肺功能，並以正確之運動進程計畫來循序漸進訓練，如關節韌帶肌肉損傷急性期採用開放式關節活動訓練（open chain exercise），損傷中期採用功能性關節活動訓練（functional chain exercise），損傷完全復原末期採用封閉式關節活動訓練（close chain exercise），是比較正確的運動處方。中國古代武術對於強身、養身的觀念，兼顧身心健康與社會發展。骨關節炎的多病因學性質及其關節內多個組織和結構的原因，結合SVF細胞療法或幹細胞療法、生長因子療法、PRP富血小板血漿療法，再加上正確的運動，有望為軟骨再生和修復，使疼痛和炎症緩解，導致藥物減少使用與併發症減少產生。組織工程幹細胞也成為骨關節炎再生醫學中的核心與趨勢，從疾病治療與健康保健都是全新的突破。無論是傳統植物中草藥芳香等輔助療法、運動治療和再生醫學幹細胞療法，目前都持續在改進發展與研究中。

關鍵字

骨關節炎；再生醫學；芳香療法；運動治療；幹細胞

並列摘要

The body must have a complete and healthy bone and joint muscle system to drive and support the body to achieve a variety of life. Osteoarthritis is a joint disease caused by articular cartilage combined with subchondral dense bone and joint capsule deformation, and is a common medical problem. There are many causes of osteoarthritis, the most common being degenerative arthritis. Symptoms may include swelling of the joints, reduced range of motion, and weakness or numbness in the arms and legs. Causes in addition to joint damage, abnormal joint or limb development and genetic factors, lifestyle habits and obesity gender have an impact. Various civilizations have developed various treatment methods for osteoarthritis, like Chinese herbal medicine, bath and massage, acupuncture, aromatherapy and other alternative therapies. physical therapy using physical properties. Exercise therapy, strengthen the muscles, nerves, bones and joints and cardiopulmonary function with a positive scientific attitude, and gradually train with the correct exercise process plan, such as open chain exercise in the acute phase of joint ligament muscle injury, The functional chain exercise is used in the middle stage of the injury, and the closed chain exercise is used in the end of the complete recovery. It is a correct exercise prescription. Ancient Chinese martial arts are concerned with the concept of strengthening the body and maintaining the body, taking into account physical and mental health and social development. The multiple etiology of osteoarthritis and the causes of multiple tissues and structures within the joint, combined with SVF cell therapy、stem cell therapy、growth factor therapy and PRP platelet-rich plasma therapy, coupled with proper exercise, are expected to be cartilage regeneration and repair, making pain and inflammation are alleviated, resulting in reduced drug use and reduced complications. Tissue engineering stem cells have also become the core and trend in the regenerative medicine of osteoarthritis, which is a new breakthrough from disease treatment and health care. Whether it is adjuvant therapy such as traditional botanical herbs、aromatherapy or exercise therapy and regenerative medicine stem cell therapy, it is currently continuing to improve development and research.

並列關鍵字

Osteoarthritis ； Regeneration Medicine ； Aromatherapy ； Exercise therapy ； Stem cell

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