悬吊运动疗法治疗慢性非特异性腰痛疗效的Meta分析

发布时间：2018-02-27 05:37

本文关键词： 悬吊运动疗法非特异性腰痛 Meta分析　出处：《中国康复理论与实践》2017年12期 　论文类型：期刊论文

【摘要】：目的探讨悬吊运动疗法治疗慢性非特异性腰痛(CNLBP)的临床疗效。方法计算机检索2007年6月至2017年6月CNKI、维普数据库(VIP)、万方数据库、Pub ed、Web of Science、The Cochrane Library及Embase,搜集悬吊运动疗法治疗CNLBP的随机对照试验(RCT)。对纳入文献进行筛选,资料提取,质量评价和风险评估后,采用Rev Man 5.3软件进行Meta分析。结果共纳入15个RCT,789例患者。悬吊运动疗法在改善视觉模拟量表(VAS)评分[MD=-1.15,95%CI(-1.41,-0.90),Z=8.82,P0.00001]和Oswestry腰痛功能障碍指数评定量表(ODI)评分[MD=-1.29,95%CI(-1.80,-0.78),Z=4.94,P0.00001]方面优于物理治疗;悬吊运动疗法在改善VAS评分[MD=-0.94,95%CI(-1.52,-0.37),Z=3.21,P=0.001]和ODI评分[MD=-5.96,95%CI(-9.41,-2.51),Z=3.38,P=0.0007]优于其他运动疗法,但悬吊运动疗法在改善疼痛数字评分量表(NPRS)评分方面与其他运动疗法无显著性差异[MD=0.35,95%CI(-0.23,0.93),Z=1.19,P=0.23];悬吊运动疗法在改善VAS评分方面与中医疗法无显著性差异[MD=-5.29,95%CI(-20.27,9.70),Z=0.69,P=0.49]。结论悬吊运动疗法在一定程度上可以改善患者疼痛和功能受限。因纳入文献数量有限及质量不高,上述确切结论仍需开展大样本高质量的RCT加以验证。
[Abstract]:Objective to investigate the clinical efficacy of suspension exercise therapy in the treatment of chronic nonspecific low back pain (CNLBPs). Methods to search CNKI, Weip database, Pub Web of Science of the Cochrane Library and Embase from June 2007 to June 2017, and collect suspension exercise therapy. Methods A randomized controlled trial for the treatment of CNLBP was conducted. After data extraction, quality evaluation and risk assessment, Meta analysis was carried out with Rev Man 5.3 software. Results there were 15 RCTs in 789 patients. Suspension exercise therapy was superior to physical therapy in improving visual analogue scale (VAS) score (MD-1.151CI-0.90) and Oswestry low back pain dysfunction index rating scale (MD-1.2995CI-1.80- 0.78P0.01), which was superior to physical therapy in improving visual analogue scale (VAS) score. The results showed that SMTT was superior to physical therapy in improving visual analogue scale (VAS) score (MD-1.151-95) and Oswestry low back pain index evaluation scale (ODII-1.2995CI-1.80- 0.78P0.01), which was superior to physical therapy in improving visual analogue scale (VAS) score. Suspension exercise therapy was superior to other exercise therapy in improving VAS score [MD-0.94 卤9595] and ODI score [MD-5.96-95CI-9.41- 2.51C] compared with other exercise therapy. But there was no significant difference between suspension exercise therapy and other sports therapy in improving the score of NPRSs. Conclusion there is no significant difference between suspension exercise therapy and traditional Chinese medicine in improving the score of VAS [MD-5.2995CI-20.279.70]. Conclusion suspension exercise therapy has no significant difference with traditional Chinese medicine in improving the score of VAS [MD-5.2995CI-20.279.70]. Conclusion suspension exercise therapy has no significant difference with traditional Chinese medicine in improving the score of VAS [MD-5.2995CI-20.279.70]. Conclusion suspension exercise therapy has no significant difference with that of traditional Chinese medicine (MD-5.2995CI-20.279.70). To some extent, the method can improve pain and limited function of patients, because of the limited quantity and low quality of the literature. These exact conclusions still need to be verified by large sample and high quality RCT.
【作者单位】：福建中医药大学;福建省康复产业研究院;福建中医药大学附属康复医院;
【基金】：福建省医学创新课题资助项目(No.2016-CX-470) 福建省自然基金项目(No.2017J01829) 福建省科技厅科技平台建设项目(No.2015Y2001) 福州市科技局基金项目(No.2016-G-49)
【分类号】：R681.5

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