上十字综合征的物理治疗干预:系统性审查和元分析
Sharmila Chaudhuri1, Jasmine Kaur Chawla2, Vandana Phadke3
1Amity Institute of Health Allied Sciences, Amity University, Noida, IND.
Cureus
|October 20, 2023
概括
物理治疗显著改善了上十字综合征的姿势. 运动疗法纠正了对齐,而手动疗法有效地减少了疼痛并改善了功能.
科学领域:
- 物理治疗是物理治疗.
- 肌肉骨康复 肌肉骨康复
- 姿势分析 姿势分析
背景情况:
- 上十字综合征是一种常见的姿势功能障碍,导致上肢肌肉骨问题.
- 早期检测和干预对于预防并发症至关重要.
- 缺乏系统性审查,评估上十字综合征的物理治疗干预措施.
研究的目的:
- 系统地审查和评估物理治疗干预措施的有效性,以纠正上十字综合征.
- 根据当前的证据,确定最有效的上十字综合征治疗策略.
主要方法:
- 在英语中对未来人类研究进行系统的文学搜索.
- 包括临床试验 (随机和非随机) 与对照组或对照组.
- 使用Cochrane协作工具的方法质量评估和干预的非随机研究中的偏差风险.
- 用于定量分析的元分析 (随机效应模型) 和用于证据评级的建议,评估,开发和评估 (GRADE) 的分级.
主要成果:
- 与没有治疗相比,物理治疗显著改善了姿势变量 (椎间盘角,阴影角,圆肩) (SMD = -1.78,p = 0.0001).
- 与传统治疗相比,先进的手动治疗技术显示出疼痛 (SMD = -0.71,p < 0.0001) 和功能限制 (SMD = -0.57,p = 0.009) 的显著改善.
- 运动疗法有效地纠正了姿势对齐和运动模式.
结论:
- 物理治疗干预措施,包括运动和手动治疗,在管理上十字综合征方面是有效的.
- 运动疗法对姿势正有益,而手动疗法则在减轻疼痛和改善功能方面表现出色.
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