在慢性部疼痛患者中,哪些肌肉表现出增加的性? 一个系统的审查与元分析
Manca Opara1, Žiga Kozinc1,2
1Faculty of Health Sciences, University of Primorska, Izola, Slovenia.
Frontiers in sports and active living
|September 15, 2023
概括
慢性部疼痛患者表现出上梯形肌硬度增加. 这一系统性审查强调了一个小但显著的差异,尽管需要更多的研究来确认因果关系并指导康复策略.
科学领域:
- 生物医学工程 生物医学工程
- 肌肉骨研究 研究
- 康复科学 康复科学 康复科学
背景情况:
- 慢性部疼痛 (CNP) 显著降低了生活质量,并造成了经济负担.
- 对于有效的管理,了解患有CNP和没有CNP的个体之间的生理差异,如肌肉硬,至关重要.
研究的目的:
- 系统地审查和分析研究,调查慢性部疼痛患者与无症状对照人群之间的肌肉特异性硬度差异.
- 为了确定特定的肌肉,在CNP中表现出改变的度.
主要方法:
- 在PubMed,Scopus和PEDro数据库中进行了系统的文献搜索.
- 包括使用超声波弹性学或肌肉测量来评估肌肉度的研究.
- 在元分析中使用了随机效应模型来计算聚合标准化平均差异 (SMD).
主要成果:
- 六项研究被评为中等到高质量的研究被纳入了元分析.
- 与对照组 (SMD = 0.39,p = 0.03) 相比,在CNP患者中观察到明显升高的上梯形 (UT) 肌肉度,这表明效果大小小小.
- 对于其他部肌肉的数据,关于度差异的数据仍然没有确定性.
结论:
- 这些发现表明,上梯形硬度增加和慢性部疼痛之间存在潜在的联系.
- 然而,包含的研究的案例控制性质排除了建立直接因果关系的可能性.
- 需要进一步的研究来证实这些发现,并确定准形肌硬度在CNP康复中的有效性.
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