呼吸练习对慢性腰部疼痛的影响:随机对照试验的系统审查和元分析
Xiaoyu Jiang1, Wenyu Sun2, Qiang Chen1
1College of Rehabilitation Medicine, Shandong University of Traditional Chinese Medicine, Jinan, Shandong, China.
Journal of back and musculoskeletal rehabilitation
|September 18, 2023
概括
呼吸练习显著减少慢性腰痛 (CLBP) 患者的疼痛和残疾. 这种方法还可以改善肺功能,为CLBP提供潜在的替代治疗方法.
科学领域:
- 肺部病理学 肺部病理学
- 康复医学 康复医学 康复医学
- 疼痛管理 疼痛管理
背景情况:
- 慢性腰部疼痛 (CLBP) 是一个重大的健康挑战.
- 之前关于CLBP呼吸练习的研究已经产生了不确定的结果.
- 需要进行全面的评估,以澄清呼吸练习对CLBP的有效性.
研究的目的:
- 系统地评估呼吸练习作为治疗慢性腰部疼痛 (CLBP) 的有效性.
- 综合随机对照试验 (RCT) 的证据,以确定对疼痛,腰部功能和肺功能的影响.
主要方法:
- 在2022年11月之前,以英语或中文出版的RCT进行系统审查和元分析.
- 在主要的数据库中进行了搜索,包括MEDLINE,EMBASE,科学网,科克兰图书馆,CNKI,万芳和CBM.
- 数据提取和偏差风险评估由两个审稿人独立进行.
主要成果:
- 有677名参与者的13项研究符合纳入标准.
- 呼吸练习显著降低了疼痛 (视觉模拟尺度:SMD = -0.84) 和改善了腰部功能 (奥斯威斯特残疾指数:SMD = -0.74).
- 肺功能有所改善,包括强迫生命能力 (FVC:MD=0.24) 和FEV1/FVC比率 (MD=1.90),但FEV1或最大自发通风 (MVV) 没有显著改善.
结论:
- 呼吸练习在减少与CLBP相关的疼痛和残疾方面具有显著的益处.
- 此外,该干预措施还对改善CLBP患者肺功能产生了积极影响.
- 呼吸练习是一个有希望的,非药物治疗的替代治疗选择,用于CLBP.
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