预防部疼痛的运动干预措施的有效性:随机对照试验的元分析进行系统审查
Florian Teichert1, Vera Karner1, Rebekka Döding1
1Division of Physiotherapy, Department of Applied Health Sciences, Hochschule für Gesundheit (University of Applied Sciences), Bochum, Germany.
The Journal of orthopaedic and sports physical therapy
|September 8, 2023
概括
运动干预措施可能会在12个月内降低新的部疼痛发作的风险. 这些证据支持预防部疼痛的策略,尽管临床意义需要进一步调查.
科学领域:
- 肌肉骨健康 肌肉骨健康
- 预防医学 预防医学
- 基于证据的实践实践.
背景情况:
- 部疼痛是一种普遍的疾病,特别是在办公室工作者中.
- 有效的预防策略对于管理肌肉骨疾病至关重要.
- 关于用于预防部疼痛的运动干预措施的先前证据需要更新.
研究的目的:
- 系统地审查和元分析关于预防部疼痛新发作的运动干预措施的证据.
- 与对照条件相比,评估运动的有效性.
- 为临床医生和研究人员提供最新的证据基础.
主要方法:
- 随机对照试验 (RCT) 的系统综述和随机效应元分析.
- 在多个数据库 (MEDLINE,Embase,CENTRAL等) 进行了搜索. 截至 2022 年 12 月.
- 包括没有基线部疼痛的成年人;不包括军人和宇航员人口.
主要成果:
- 包括5个RCT,共有1722名参与者;80%是办公室工作人员.
- 中等确定性证据表明,运动干预可能会降低新的部疼痛发作风险 (OR 0.49).
- 短期观察到效果 (≤12个月),但结果对缺失的数据敏感.
结论:
- 中等确定性证据支持运动干预措施,以减少在12个月内出现部疼痛发作的风险.
- 观察到的效应的临床意义尚不清楚.
- 可能需要进一步的研究来澄清临床影响和长期益处.
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