振动疗法改善慢性腰痛患者的疼痛和功能:系统性审查和元分析
Qiang Li1, Pan Liu2,3, Zongbao Wang4,5
1School of Acupuncture and Massage, Anhui University of Chinese Medicine, No.103 Meishan Road, Shushan District, Hefei, 230038, Anhui, People's Republic of China.
Journal of orthopaedic surgery and research
|September 26, 2023
概括
振动疗法 (VT) 可以减少疼痛和改善慢性腰部疼痛 (CLBP) 患者的腰部功能. 然而,证据质量较低,需要进一步的研究来证实这些发现.
科学领域:
- 肌肉骨系统疾病 肌肉骨系统疾病
- 康复医学是康复的医学.
- 基于证据的医学是基于证据的医学.
背景情况:
- 在过去的十年中,振动疗法 (VT) 已成为肌肉骨疾病的潜在治疗方法.
- 由于证据有限,其在缓解慢性腰部疼痛 (CLBP) 和增强腰部功能方面的有效性仍然不确定.
研究的目的:
- 系统地审查振动疗法 (VT) 在缓解疼痛和增强慢性腰部疼痛 (CLBP) 患者的腰部功能方面的疗效.
主要方法:
- 进行了随机对照试验 (RCT) 的系统审查和元分析.
- 在多个数据库 (PubMed,Embase等) 进行了搜索. 在2023年7月1日之前.
- 评估疼痛强度,奥斯韦斯特力功能障碍指数 (ODI) 和罗兰-莫里斯残疾问卷 (RMDQ) 的得分.
主要成果:
- 分析了14个涉及860名参与者的RCT.
- 在CLBP患者中,静脉治疗显著降低了疼痛强度,ODI得分和RMDQ得分.
- 与局部振动 (LV) 相比,全身振动 (WBV) 在减少疼痛和改善ODI得分方面表现出更大的有效性.
结论:
- 在患有CLBP的个体中,静脉疗法似乎有效减轻疼痛并改善腰部功能.
- 然而,由于证据的确定性较低,需要进一步进行高质量的RCT来证实这些发现并澄清临床相关性.
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