电物理剂在受试者肩部结的有效性:一个系统的审查和元分析
Fabrizio Brindisino1, Giuseppe Girardi1, Mauro Crestani2
1Department of Medicine and Health Science "Vincenzo Tiberio", University of Molise c/o Cardarelli Hospital, Campobasso, Italy.
Disability and rehabilitation
|September 5, 2023
概括
电物理药物,如体外冲击波疗法和激光,由于低质量的证据,对冷肩部 (FS) 有不确定的益处. 超声波治疗对FS疼痛或功能没有显著改善.
科学领域:
- 物理疗法物理治疗
- 康复医学 康复医学 康复医学
- 基于证据的实践.
背景情况:
- 冷的肩膀 (FS) 显著影响肩膀功能和生活质量.
- 电物理剂是FS管理的常用模式.
- 对其有效性的全面评估对于临床决策至关重要.
研究的目的:
- 系统地审查和元分析电物理剂在改善疼痛,功能,残疾,运动范围,生活质量,硬度和冷肩患者的恢复时间方面的有效性.
主要方法:
- 在多个数据库 (MEDLINE,Cochrane Library,PEDro,EMBASE) 中进行了全面的文献搜索.
- 包括23项随机对照试验,涉及1073名受试者.
- 偏差风险和证据确定性分别使用柯克兰偏差风险2工具和GRADE标准进行评估.
主要成果:
- 没有一项包含的研究表明偏差风险低.
- 身体外冲击波疗法 (ESWT) 和激光疗法显示出潜在的临床显著改善疼痛和残疾,但由于偏差和异质的高风险,结果不确定.
- 超声波 (US) 治疗没有在任何评估结果中产生显著差异. 证据的整体确定性非常低.
结论:
- 由于高异质性和证据的低质量/确定性,ESWT,激光和US不建议用于治疗冷的肩膀.
- 研究结果应谨慎解释,强调需要更高质量的研究.
- 需要进一步进行严格的试验,以确定FS的最终治疗指南.
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