运动治疗对糖尿病神经病变的影响:系统性审查和元分析
Ignacio Hernando-Garijo1,2, Ricardo Medrano-de-la-Fuente1,2, María Teresa Mingo-Gómez1,2
1Faculty of Health Sciences, University of Valladolid, Soria, Spain.
Physiotherapy theory and practice
|June 21, 2023
概括
运动治疗可能为糖尿病神经病变 (DN) 症状,征兆和身体功能提供短期益处. 然而,证据质量非常低,没有观察到对心理社会方面的影响.
科学领域:
- 神经学 神经学
- 物理疗法物理治疗
- 糖尿病学 糖尿病学
背景情况:
- 糖尿病神经病变 (DN) 是糖尿病的常见并发症,影响神经功能并导致各种症状.
- 神经病变的症状,征兆和身体功能受损显著影响患者的生活质量.
- 目前DN的管理策略通常集中在血糖控制和药物治疗上,对非药物干预的探索有限.
研究的目的:
- 系统地评估运动治疗在治疗糖尿病神经病变 (DN) 患者的神经病变症状,征兆和身体功能方面的疗效.
- 评估运动干预对被诊断患有DN的患者心理社会方面的影响.
- 综合随机临床试验 (RCT) 的证据,以确定DN运动治疗的总体证据质量.
主要方法:
- 在包括PubMed,Web of Science,PEDro和Cochrane Library在内的主要数据库中进行了全面的文献搜索.
- 随机临床试验 (RCT) 将糖尿病神经病变患者的运动治疗与对照组进行比较,被选中纳入.
- 方法质量是使用PEDro尺度来评估的,证据的整体质量是使用GRADE方法来评估的.
主要成果:
- 这项分析包括了11项涉及517名参与者的RCT,其中9项研究表明了高方法质量.
- 运动治疗在改善神经病症症状 (MD = -1.05),症状 (SMD = -0.66) 和身体功能 (SMD = -0.45) 方面显示出统计学上显著的好处.
- 在接受运动治疗的糖尿病神经病变患者的心理社会方面没有观察到显著的改善. 证据的整体质量被确定为非常低.
结论:
- 目前的证据表明,运动治疗可能为糖尿病神经病变 (DN) 患者的神经病变症状,征兆和身体功能提供短期益处.
- 支持这些益处的证据的整体质量被认为是非常低的,需要谨慎的解释.
- 运动疗法对糖尿病神经病变患者的心理社会方面没有显著影响.
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